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A 31-year-old female asked:

I have a drug test tomorrow for work and i went to the er 4 days ago and they gave me one tramadol will it show up ?

4 doctor answers11 doctors weighed in
Dr. John Munshower
Family Medicine 31 years experience
Tramadol: Tramadol is not usually tested for specifically, but it is an opiod derivative, Although an opioid, the chemical structure of tramadol (ultram) differs significantly from that of morphine. And so, tramadol alone will not show positive for opiates on a urine drug test. You can always be honest and tell them the truth about the ED and the tramadol Rx, as currently, tramadol is not considered a controlled substance or a narcotic by the United States Drug Enforcement Administration (DEA)
Dr. Natalie Sieb
Family Medicine 15 years experience
Probably not: Although tramadol is a kind of opiate medication, it stimulates a different receptor than the more common opiates and I think it has a slightly different kind of metabolite that shouldn't show up on a standard drug test. Plus, even if it does come back positive, you can ask the ER for records that they gave it to you for a medical reason, which your employer shouldn't hold against you.
Dr. Michael Michaels
Urology 54 years experience
No: Most likely will not show in your test on day 5, especially only one pill.. Besides, they do not test for tramadol since it is not a narcotic. It is an opioid and is controlled in a few states.If ,in the unlikely situation, that an issue arises, you can always get a copy of your ER report to prove things. Get it from the hospital medical recordanyway and be prepared. Good luck in your job search.
Dr. Liesa Harte
Family Medicine 30 years experience
You should tell them: You should have the opportunity to report any medications you have been prescribed when you do the drug test. It shouldn't matter if it it shows up or not as long as you were taking only medication given to you under a doctor's order.
Dr. Michael Michaels
Urology 54 years experience
Basically I told him to get a copy of his medical record. Agree with you.
Jul 23, 2014

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