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How Is Hydromorphone Stored In The Body?

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Posted on Mon, 3 Nov 2014
Question: How is hydromorphone stored in the body? I was given Dilaudid while in the hospital in December 2013 and it showed up in a urine drug screen in April
doctor
Answered by Dr. Ravi Soni (15 minutes later)
Brief Answer:
It can be detected in hair up to 3 to 6 months

Detailed Answer:
Hi, thanks for your query.

Dilaudid contains hydromorphone hydrochloride, an opiate preparation.
It can be detected in blood, urine, hair and saliva by different screen test for opiates.
It's half life is short of 4 to 6 hours and after oral ingestion peak concentration in blood is detected after 30 minutes to 1 hour.

Hydromorphone can be detected as expanded opiate in your system after last use.

It can be detected in
Blood less than 24 hours
Urine for 2 to 3 days
hair for 3 to 6 months
Saliva for 2 to 3 days

It can not be present in urine for so long. It can be possible that you might have taken another pill before screening, or cough syrup or visited a rave party and ingested unknown drugs which might contain opiate.

Commercially available opiate screening tests can give positive results for other opiate drugs. They have low specificity.

Try to remember about taking drugs for cough, severe pain and any other condition.

I hope this will be helpful. If you have further query feel free to ask.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Ravi Soni (19 minutes later)
I had not taken any hydromorphone since leaving the hospital. I was in there for a stroke and was having severe headaches. They did give me a prescription for hydrcodone when i was discharged but i only took it for app 2 weeks. I had no exposure or access to hydrmorphone.
doctor
Answered by Dr. Ravi Soni (6 minutes later)
Brief Answer:
The test may be done on hair also

Detailed Answer:
Hi, Thanks for writing again.

If you are not exposed to opioid drugs for long then it should not be detected in urine.

I want to ask you about the samples they have taken for testing. Did they take only urine sample or others have also been taken like blood, hair and saliva?

I am waiting for your reply.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Ravi Soni (43 minutes later)
Only urine
doctor
Answered by Dr. Ravi Soni (19 minutes later)
Brief Answer:
This may be because of low specificity of test

Detailed Answer:
Hi, Thanks for writing again.

After your reply I searched on internet and found something that can explain your false positive results for opiate in urine.

There are articles which shows that Fluoroquinolones can cause false-positive urine opiate screens. Fluoroquinolones are antibiotics commonly used to treat upper respiratory tract and urinary tract infections. These may cross react with the immunoassays used to detect opiates.

The fluoroquinolones currently available in the United States include ciprofloxacin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, and ofloxacin. Do you have taken any of these drugs for sore throat or chest infections or urinary tract infections?

This is the only explanation I have found for your opiate detection in urine.

I hope this will be helpful to you.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Ravi Soni (20 minutes later)
What are fluoroquinolones?
doctor
Answered by Dr. Ravi Soni (3 minutes later)
Brief Answer:
Already mentioned in previous answer

Detailed Answer:
Hi, Read properly. I have already mentioned about fluroquinolones in previous reply.

They are one of the types of antibiotics available in the market to treat different infections.

Fluroquinolones are commonly used to treat upper respiratory tract and urinary tract infections.

I hope now you have found your possible answer.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Ravi Soni (2 hours later)
Sorry, I didn't scroll down far enough at first. I do appreciate your answer. It helped me greatly, I had been taking Cipro app 1 week before the test.
doctor
Answered by Dr. Ravi Soni (23 minutes later)
Brief Answer:
Yeah, it may be due to cipro.

Detailed Answer:
Hi, thanks for your appreciation.

Your positive opiate screen may be because of ciprofloxacin, you have been taking.

If you really find this as helpful, give review for my efforts.
Thanks.
Dr Ravi Soni
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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How Is Hydromorphone Stored In The Body?

Brief Answer: It can be detected in hair up to 3 to 6 months Detailed Answer: Hi, thanks for your query. Dilaudid contains hydromorphone hydrochloride, an opiate preparation. It can be detected in blood, urine, hair and saliva by different screen test for opiates. It's half life is short of 4 to 6 hours and after oral ingestion peak concentration in blood is detected after 30 minutes to 1 hour. Hydromorphone can be detected as expanded opiate in your system after last use. It can be detected in Blood less than 24 hours Urine for 2 to 3 days hair for 3 to 6 months Saliva for 2 to 3 days It can not be present in urine for so long. It can be possible that you might have taken another pill before screening, or cough syrup or visited a rave party and ingested unknown drugs which might contain opiate. Commercially available opiate screening tests can give positive results for other opiate drugs. They have low specificity. Try to remember about taking drugs for cough, severe pain and any other condition. I hope this will be helpful. If you have further query feel free to ask.