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Vicoprofen, Morphine and a 9 panel test

Discussion in 'Drug testing discussion' started by Chowsie, May 5, 2011.

  1. Chowsie

    Chowsie Newbie

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    I apologize in advance if this has been answered before, but there seems to be conflicting information.
    Someone (who is not me) is prescribed Vicoprofen and Duragesic for chronic pain. For whatever reason, that person ran out of Vicoprofen.
    A friend offered this person some morphine cr, 100mg. which the person cut into tiny pieces and took in lieu of his/her usual Vicoprofen (for about five days. No more than 75 mg. daily total). Bad decision, no question.
    Person has since had Vicoprofen script filled and takes appropriately.
    Person is now scheduled for a preemployment 9 panel urine screen, lab administered.
    Person took last morphine sliver 24 hours ago. Has 48 hours to have test done.
    1) Will the morphine show up as a separate drug?
    2) Will the Vicoprofen trigger a positive?
    3) If a positive result is obtained, should the person's Vicoprofen script cover that issue or will lab result show morphine use?
    To clarify, the test will be done 72 hours after last ingestion of morphine.
    Thanks in advance for any reliable information.

    Chowsie added 286 Minutes and 36 Seconds later...

    Can't edit above.
    The test is actually five days from last ingestion of small dose of morphine after approx five days use. Does that increase his/her chances of the morphine NOT showing up?
    And yes, the person understands the stupidity of the use.
     
    Last edited: May 5, 2011
  2. Mr. Jiki

    Mr. Jiki Titanium Member

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    Yes, Vicoprofen is Hydrocodone and Ibuprofen

    It probably will. the opiate assay that is used at Ru's lab has an ~46% cross reactivity rate. If SWIY's friend is taking the vicoprofin daily, whether at therapeutic or abusive levels, It'll trigger a positive screen.

    This is where SWIY's friend could run into some problems. Ru doesn't believe that the morphine will be in high enough concentration in SWIY's friend's urine to trigger a positive screen which usually has a cutoff between 1,000-2,000 ng/ml. However, since the hydrocodone will trigger the positive, they lab will have to run a confirmation test. There should be a decent peak for hydrocodone, but SWIY's friend may be right at the cusp for a positive morphine which has a cutoff of 100 ng/ml.

    If the lab reports a positive confirmation for hydrocodone and morphine, the prescription will only cover the explanation for why there was hydrocodone in the urine.

    The only advice that Ru could offer is check out the comprehensive drug testing guide and see if any of the information can help SWIY's friend. A good amount of exercise and proper may help speed up the metabolism, but it isn't a guarantee. Good luck, and please report back if SWIY's friend passed the drug test and obtained the new job.
    This post is designed to provide accurate and authoritative information with regard to the subject matter covered. This information is given with the understanding that neither Ru nor this website is engaged in rendering legal or other professional advice. Since the details of your situation are fact dependent, you should additionally seek the services of a competent professional.
     
  3. Chowsie

    Chowsie Newbie

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    Really? Even after 5 days?
    And why a confirmation if SWIM reports use of Vicoprofen?
     
  4. Phenoxide

    Phenoxide Super Moderator Staff Member

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    Possibly. Depends on an individual's metabolism. Usually occasional use would drop below the detection threshold within 3 days or so, but it varies from person to person.

    Precisely because they may suspect other opioids are being used.. as is the case here.
     
  5. Chowsie

    Chowsie Newbie

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    Thanks for your response. This was short term use, from what I understand.
    If a positive is triggered by the hydrocodone, and use is admitted prior with proof, do all positives automatically require a retest or is it case-by-case, in your experience?
    Obviously this is a life changer and all information is, I am sure, appreciated by the person involved.
     
  6. Mr. Jiki

    Mr. Jiki Titanium Member

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    Ru is sorry, he answered the post prior to SWIY's edit. Ru doubts that there will be any morphine in SWIY's friend's urine after 5 days and Morphine abstinence, so Ru would tell the friend not to worry about it.

    Why confirm? It's the law it a lot of places, most every lab will have it in their standard operating procedures. Confirmation works for both the client and the subject. If a subject is taking pseudoephedrine, and taking the over the counter medicine flags the urine as hot for amphetamines, the analyst will run it through a GC/MS confirmation and the urine will be confirmed negative,

    It works the same way for the clients. If somebody claims they are taking hydrocodone, and have a legitimate scrip for it, but they also happen to have a heroin addiction then the urine screen will flag positive for opiates, and the confirmation will show both 6-AM and morphine metabolites of heroin as well as the morphine. The client can then go from there as to how to deal with the subject, whether it be a probation revocation, admitting them to an addiction clinic, etc.
     
  7. Chowsie

    Chowsie Newbie

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    Well, I am sure the person involved would give you a resounding "Huzzah!" for that last answer.
    Initially the test was three days but it is now 5 days or approximately 126 hours after last use.
    Lesson learned, reports the person involved.
    Many thanks.