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What Causes A False Negative For Burtrans In Urine Test Result?

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Posted on Fri, 2 Sep 2016
Twitter Fri, 2 Sep 2016 Answered on
Twitter Thu, 22 Sep 2016 Last reviewed on
Question : I have been followed a pain management Dr. for 2.5 years now , I have 4 herniated discs and spinal stenosis , I have under went spinal injections every 2 to 4 months ever since and medication management , of a butrans patch of 10mcg Q weekly, Percocet 5mg 2 per day , lorzone 750mg three per day...I have been a model patient and NEVER...have not taken my medications as prescribed or asked to have them refilled before the due date, I have had an increase in my Percocet to 3 per day , due to an increase in pain, at which time the office urine drug tested tested me and today I received a phone call today that my urine tested negative for Butrans. The Doctor called me today to tell me that he is discharging me as a patient due to non compliance of the Burtrans....What do I do now??? I change the patch as directed and do everything the way I am directed....The Dr. told me he will not loose his DEA licensure over me and I told him I would like a repeat Urine test or a GC/ test or even a hair sample he told me it defeats the purpose and he will not and that I need to find another MD. Please Help...
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Answered by Dr. Ashok Kumar Choudhary (2 hours later)
Brief Answer:
It could be false negative

Detailed Answer:
Hello,
Thanks for using Health care magic.

I read tour query and understand your concerns.

There are multiple but simple reasons for getting false negative results for butrans and they should be considered before going putitive to a Model patient.

You need to request him with information that tests are never 100 % accurate and tests for butrans is no exception.

For example false negative can be caused by

dilute urine ( excesdive fluid intake)
elevated urinary lactate
variety of metabolic factors
quality of test kit used
fast metabolism

Requesthim to higher order but more sensiyive tests to prove your compliance.

I hope this helps you.
If you have more questions feel free to contact me.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3344 Questions

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What Causes A False Negative For Burtrans In Urine Test Result?

Brief Answer: It could be false negative Detailed Answer: Hello, Thanks for using Health care magic. I read tour query and understand your concerns. There are multiple but simple reasons for getting false negative results for butrans and they should be considered before going putitive to a Model patient. You need to request him with information that tests are never 100 % accurate and tests for butrans is no exception. For example false negative can be caused by dilute urine ( excesdive fluid intake) elevated urinary lactate variety of metabolic factors quality of test kit used fast metabolism Requesthim to higher order but more sensiyive tests to prove your compliance. I hope this helps you. If you have more questions feel free to contact me. Thanks and regards.