Chronic Pain and Drug Seeking Patients - CME Conferences
Chronic Pain and Drug Seeking Patients - CME Conferences
Chronic Pain and Drug Seeking Patients - CME Conferences
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3 rd Annual Essentials in Primary Care<br />
Summer Conference: Session 1<br />
Tuesday, July 24, 2012<br />
Predictive Variable for an Abnormal<br />
Urine <strong>Drug</strong> Screen<br />
Younger age<br />
Type of medication <strong>and</strong> dose<br />
were poor predictors<br />
Urine Toxicology<br />
St<strong>and</strong>ard urine screening tests only report whether<br />
various classes of drugs are present or absent based<br />
on an arbitrary cut off level. Therefore need to ask<br />
when the last dose was taken <strong>and</strong> how much.<br />
The st<strong>and</strong>ard immunoassay reacts only with natural<br />
opiates (such as morphine, codeine, hydrocodone<br />
<strong>and</strong> hydromorphone<br />
Semi –synthetic <strong>and</strong> synthetic opioids (such as<br />
fentanyl, oxycodone <strong>and</strong> oxymorphone) are likely to<br />
be missed. Although very high doses of<br />
semisynthetic opioids such as oxycodone maybe<br />
picked up<br />
Grace Forde, MD<br />
<strong>Chronic</strong> <strong>Pain</strong> & the <strong>Drug</strong> <strong>Seeking</strong> Patient
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