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Do urinalysis drug test tell the difference between oxycodone and oxycodone with acetaminophen for pain management

A female asked:
Dr. Gerardo Guerra Bonilla
11 years experience Family Medicine
Urine Drug Screen: Synthetic opioids, including fentanyl, meperidine, methadone, pentazocine, propoxyphene, and tramadol, are not detected by routine opioid screening.

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A 27-year-old female asked:
Dr. Alan Wartenberg
48 years experience Addiction Medicine
Depends on what drug: test they are doing. They are NOT all the same. Some screening tests will not pick up clonazepam (klonopin) at all, while other forms of drug testin ... Read More
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A 34-year-old female asked:
Dr. Diane Minich
36 years experience Family Medicine
No: Usually just screens for hydrocodone and both are hydrocodone's.
A 34-year-old female asked:
Dr. Marc Goldhagen
32 years experience Occupational Medicine
No: I'm not sure what a "meconium" drug test is but both lortab and norco have hydrocodone and acetaminophen so no drug test can tell them apart.
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A 34-year-old male asked:
Dr. Bahman Omrani
16 years experience Pain Management
No : Urine, blood, oral mucosa & hair qualitative or quantitative testing for the presence hydrocodone+apap cannot distinguish between the various formula ... Read More
A 30-year-old male asked:
Dr. John Rhoades
47 years experience Family Medicine
Below: Dependent on the test being done and the amount of medication taken.
A 50-year-old member asked:
Dr. Lori Wagner
26 years experience Internal Medicine
Yes: Methadone requires a specific test; morphine shows up on the general opioid test and Methadone does not.
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A 52-year-old female asked:
Dr. Robert Killian
27 years experience General Practice
Drug Testing: It all depends on the test. Some do and some don't. Some can add extra tests if there is something that is abnormal.
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A 49-year-old member asked:
Dr. Gary-Anthony Lawson-Boucher
21 years experience Anesthesiology
Opiates: Hydrocodone is derived from codeine. It is given by mouth/rectal/intranasal routes. Oxycodone is derived from thebaine. It is administered by oral/rec ... Read More
A 56-year-old member asked:
Dr. Brian Le
Dr. Brian Le answered
16 years experience Pain Management
Narcotic drug test: Oxycontin is long acting oxycodone. Norco (hydrocodone and acetaminophen) is hydrocodone. They are both narcotics, but different chemical structure. ... Read More
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A 37-year-old male asked:
Dr. Qamar Khan
16 years experience Pain Management
Yes: Yes it can differentiate between the two and all other drugs of abuse.
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A 43-year-old member asked:
Dr. Nathaniel Drourr
28 years experience Pain Management
Different meds: They are completely different opioids - both pain killers. Like coke and pepsi are both soft drinks.
A 38-year-old male asked:
Dr. Karen Sibert
38 years experience Anesthesiology
Yes: Both vicodin and Norco (hydrocodone and acetaminophen) contain hydrocodone, which is an opiate. Standard meconium testing will reveal opiate use.
A 46-year-old male asked:
Dr. Marshall Bedder
37 years experience Pain Management
Not necessarily: Soma is a very poor muscle relaxant meant for short term use only. It's metabolites are barbiturates , which cause sedation as well as withdrawal. Com ... Read More
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A 50-year-old member asked:
Dr. Rhett Griggs
18 years experience Hand Surgery
Yes: Different base narcotics...Hydrocodone vs oxycodone. Some respond better to others better.
A 54-year-old female asked:
Dr. Stuart Wasser
34 years experience Addiction Medicine
No: Norco (hydrocodone and acetaminophen) and vicodin are the same and are detected by the test for "opiods" which actually assesses for the pre ... Read More
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A female asked:
Dr. Kathy Robinson
31 years experience Family Medicine
Possible: Depends upon the test. They would both show up as opiates but some labs screen for them separately.
A 49-year-old member asked:
Dr. Ricardo Borrego
Specializes in Anesthesiology
Added analgesic: Hydrocodone with acetominophen contains both a opioid narcotic medication with an analgesic and antipyretic commonly know as tylenol (acetaminophen). ... Read More
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A 45-year-old member asked:
Dr. Neil Manago
35 years experience Anesthesiology
Both narcotics: Oxycodone and hydrocodone are both synthetic oral opioid analgesics often combined with Acetaminophen for pain relief . Oxycodone tends to be more pot ... Read More
A 35-year-old female asked:
Dr. Robert Grindstaff
37 years experience Addiction Medicine
Just oxycodone: as a rule most drug test do not even test for Tylenol (acetaminophen) itself.
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A 39-year-old female asked:
Dr. John Gaffney
24 years experience Psychiatry
Yes: It really depends on what test was ordered. However, most urine drug tests use mass spectrometry - so they can determine the different chemicals pres ... Read More
A 43-year-old member asked:
Dr. Barbara A Majeroni
Specializes in Family Medicine
Yes: Oxycontin is an extended release drug and will last much longer than dilaudid.

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