Interpreting Urine Drug Test Results in the Context of Chronic Opioid Analgesic Therapy and Poppy Seed Consumption

Pain Medicine ◽  
2021 ◽  
Author(s):  
Jamie Lewis ◽  
Karlee De Monnin ◽  
Jonathan Smith ◽  
Evan Lewis ◽  
Marian Wilson
Keyword(s):  
Opioid Analgesic ◽  
Test Results ◽  
Poppy Seed ◽  
Drug Test ◽  
Analgesic Therapy ◽  
Urine Drug ◽  
Urine Drug Test

Tapentadol is the least common opioid found in admission urine drug-test results at an intensive outpatient opioid-use disorder treatment program in Ohio: A brief report

2021 ◽  
Vol 17 (1) ◽  
pp. 13-17
Author(s):  
Adam Rzetelny, PhD ◽  
Diana Meske, PhD ◽  
Parag Patel, MD, FACOG, FASAM ◽  
Steven Passik, PhD
Keyword(s):  
Treatment Program ◽  
Opioid Use Disorder ◽  
Common Finding ◽  
Prescription Opioid ◽  
Test Results ◽  
Opioid Use ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test ◽  
Dispensing Data

Background: Previous data suggest that tapentadol, an atypical opioid with a putative dual mechanism of action, has relatively low rates of abuse. A better understanding of the rates of abuse among different prescription opioids may help clinicians when considering their potential risks and benefits. The results of urine drug tests (UDTs) may provide a unique opportunity to help answer this question.Method: To investigate different rates of prescription-opioid abuse in this retrospective study, we examined urine drug test results from patients seeking treatment at four facilities of an opioid-use-disorder (OUD) treatment program in Ohio. Urine specimens were collected on admission, one from each patient, in the regular course of care. The opioids reviewed in the present study were tapentadol, hydrocodone, oxycodone, hydromorphone, oxymorphone, and tramadol. Drug dispensing data, including morphine-milligram equivalents (MME) dispensed, were examined to adjust for the relative prevalence of each opioid being examined.Results: Data from 4,162 patients were examined. Tapentadol was the least common finding in UDT results in this cohort and remained so after adjusting for drug availability. The percentage of specimens positive for a given opioid ranged from 0.12 percent (tapentadol) to 7.04 percent (oxycodone). The availability and MME adjustments resulted in a change of rank order, with tapentadol remaining the lowest but tramadol replacing oxycodone as the prescription opioid with the highest rate of abuse.Conclusions: In this sample of UDT results from patients seeking treatment at an OUD program in Ohio, tapentadol was the least frequent finding among the opioids examined, and this remained true when adjusting for dispensing data. Factors potentially contributing to this difference may include pharmacological properties unique to tapentadol. Several important limitations notwithstanding, these findings are consistent with previous real-world evidence and warrant an ongoing line of inquiry. 

scholarly journals Rate of Fentanyl Positivity Among Urine Drug Test Results Positive for Cocaine or Methamphetamine

2019 ◽  
Vol 2 (4) ◽  
pp. e192851 ◽  
Author(s):  
Leah LaRue ◽  
Robert K. Twillman ◽  
Eric Dawson ◽  
Penn Whitley ◽  
Melissa A. Frasco ◽  
...  
Keyword(s):  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

scholarly journals Evaluation of Trends of Near-Real-Time Urine Drug Test Results for Methamphetamine, Cocaine, Heroin, and Fentanyl

2020 ◽  
Vol 3 (1) ◽  
pp. e1918514 ◽  
Author(s):  
Robert K. Twillman ◽  
Eric Dawson ◽  
Leah LaRue ◽  
Maria G. Guevara ◽  
Penn Whitley ◽  
...  
Keyword(s):  
Real Time ◽  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

Association Between Urine Drug Test Results and Treatment Outcome in High-Risk Chronic Pain Patients on Opioids

2010 ◽  
Vol 4 (3) ◽  
pp. 167-173 ◽  
Author(s):  
Kelly S. Barth ◽  
William C. Becker ◽  
Nancy L. Wiedemer ◽  
Shahrzad Mavandadi ◽  
David W. Oslin ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Treatment Outcome ◽  
High Risk ◽  
Test Results ◽  
Drug Test ◽  
Chronic Pain Patients ◽  
Urine Drug ◽  
Urine Drug Test ◽  
Pain Patients

Fentanyl analog positivity among near-real-time urine drug test results in patients seeking health care

2020 ◽  
Vol 217 ◽  
pp. 108264
Author(s):  
Joseph D. Stanton ◽  
Penn Whitley ◽  
Leah LaRue ◽  
William L. Bundy ◽  
Eric Dawson ◽  
...  
Keyword(s):  
Health Care ◽  
Real Time ◽  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

scholarly journals Clinician Response to Aberrant Urine Drug Test Results of Patients Prescribed Opioid Therapy for Chronic Pain

2019 ◽  
Vol 35 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Benjamin J. Morasco ◽  
Erin E. Krebs ◽  
Melissa H. Adams ◽  
Stephanie Hyde ◽  
Janet Zamudio ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Opioid Therapy ◽  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

scholarly journals Challenges in Interpreting Unexpected Urine Drug Test Results

2017 ◽  
Vol 2 (4) ◽  
pp. 640-643 ◽  
Author(s):  
Nicholas E. Heger ◽  
Tai C. Kwong
Keyword(s):  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test
Sign in / Sign up

Export Citation Format

Share Document