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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need medication for cluster headache. Drug test showing Oxycodone. Took marijuana and tylenol. Is that the reason for positive drug test?

Last week, I had a drug test because my doctor thinks that I m looking for pain meds for my Cluster headaches, and I failed. It showed oxycodone , or oxycontin in my system when all I have ever taken is tylenol 1 s for my pain. No doctor seems to believe me about the headaches... Anyways, he prescribed me amitryptiline and I took them as well before the test(not taking them anymore as they are useless for clusters) but now I have to fight to prove that I m not an addict when those are the only drugs I have ingested(I do smoke marijuana as well, and it DOES help with the pain of clusters, and frequency). All I ever wanted from this guy was a referral to a headache clinic, and to start to get my life back on track after suffering for 19yrs, and only being diagnosed in the emergency room last year by an amazingly knowledgeable nurse. Question is: Can these 3 substances in any combination come back as a positive for opiates, and more specifically the Oxy-type drugs?
Wed, 10 Jul 2013
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Psychiatrist 's  Response
Hi there ~

I understand your concerns. Cluster headaches can be easily treated with non-opioid medications and you need to consult a neurologist or a neuropsychiatrist for the same. I also believe that you need to consult a psychiatrist specializing in the treatment of substance abuse disorders due to being dependent on the group of drugs called opioids. I hope you consult these specialists as soon as possible and get on to the path of recovery.

I hope this helps. Take care and have a lovely day!
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