Brief Answer:
Opiates and methadone
Detailed Answer:
Hi,
Welcome to health care magic.
I have gone through your query and I understand your concern regarding positive tests for opiates on drug screening.
I would like to elaborate more on drug screening to make you understand better.
Urine screening for drugs is usually done for drugs of dependence or abuse like
amphetamines, steroids, club drugs like ecstasy, cocaine, heroin, marijuana, some prescription drugs like painkillers, sedatives and tranquilizers.
Before any drug screening, thorough history of patient is necessary to rule out if he or she is on any other medications that might interfere with the drug screening.
Coming to your case, methadone is chemically an opioid derivative and acts on particular receptors called as mu opioid receptors for its action.
It is prescribed as a painkiller but has a risk of
drug dependence. It can be detected in urine under the opioid panel for at least 3 days after taking it.
The name “opiate” is often used to describe any member of the class of drugs that acts on opioid receptors, the term “opiate” properly refers to the natural alkaloids found in opium XXXXXXX resin (Papaver somniferum), which include morphine, codeine and thebaine.
The term “opioid” refers to the synthetic and semi -synthetic opioid receptor drugs, including heroin,
hydromorphone,
hydrocodone, oxycodone,
oxymorphone,
buprenorphine, fentanyl, and methadone.
If you are on methadone prescription, then the drug screen usually done is the pain management drug screen which is usually done in two steps. The first step is screening for opiates which will be positive if you are taking methadone.
Second step a reconfirmation is done only for morphine, codeine, oxycodone, oxymorphone, hydrocodone and hydromorphone.
Then the result is reported as positive for opiates.
However, there are chances of false positives (especially with drugs that are structurally similar to opiates).
In such cases, clinical history of patient, with medication history and confirmatory test methods like
gas chromatography are useful.
I hope I have cleared your doubts regarding this matter.
Please get back if I can assist you further.
Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports.
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