Pain Mgmt Drug Test Question

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I have been in pain management for chronic back pain for over a year. I go through the ESI shots mid and lower back, and am prescribed hydrocodone (norco) 7.5mg. I was prescribed Tramadol 50mg early on last year and was switched mid year I think it was. I still have some Tramadol left that i usually keep in our one car as an emergency in case I forgot to bring my other stuff.

I always “pass” my test each month and have a great relationship with my doc. I’m on an as needed basis so I can have confirmation or not usually and don’t have much concern. Last month I tested positive for my correct norco dose and have my next appointment for refill/drug test today.

Anyways, last night I was out and about and was starting to have some pain. I had an injection yesterday so that was somewhat expected but most of the day i felt good. 

In my rush to get out of the house I didn’t grab my current med. While I was out I was in need of some relief so I decided to grab one of my Tramadol. Not really even thinking at the time that I have a urine test at 3 today. This was about 7 last night. 

Afterwards I started thinking about if I will have issue with my test now. I just took the one pill and I’m thinking i will test negative for Tramadol if they are even testing for it. I usually get the Quest pain profile 7 test and after looking it does not say for opiates they look for that analyte for confirmation. 

Considering I was previously prescribed the medication should I be worried about this at all? I was considering just telling my doc the situation to avoid anything but if there isn’t a concern about the Tramadol showing up maybe it’s not worth it?

Any help or input is appreciate! Hopefully I get some replies today before my test. 

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    Never mind. I just told the doc the situation. He appreciated my honesty but told me the drug screen they run does not even pick up Tramadol.

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