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Hydrocodone metabolized to hydromorphone

From: Shawn Nichols
Date: 11 Nov 2005
Time: 18:42:00 -0800
Remote Name: 172.142.55.210

Comments

I would first like to thank you for your web site.  The information I gathered here may have gotten me out of an unjust situation that threatened my freedom.  I am on parole in a large city.  Part of parole consists of being subject to random drug screens.  After a visit to the dentist in August 2005 and with prescriptions for tetracycline and hydrocodone, I was subject to a random urinalysis.  I had my prescription papers in my wallet and thought there would be no problem as I had done nothing wrong.

Three weeks later I was out of the blue hauled into a review board, read the riot act, and my freedom threatened.  The lab sent back a positive for hydrocodone and hydromorphone and I was being accused of doing Dilaudid.  At that time I had no idea that the body metabolized hydromorphone from hydrocodone.  I immediately went to my computer when I got home, did a search and found this web site.  I printed out several of the posts and took them to my parole officer, to no avail.  I then went to my Dr. and told him the story.  He appears to have a lot of knowledge about drug screens because he knew right away what I was talking about and wrote me a note stating the same things I learned on your web site.

The following questions have to do with education in the hopes that I can keep this from happening to someone else in this particular system:

bulletDo the MROs always send the results back as they are or is my local parole board supposed to be educated as to the body's metabolism?
bulletIs there a standard that MROs follow concerning reporting results, with full knowledge that hydrocodone metabolizes to hydromorphone?

Thanks for any reply and thanks for pointing me in the right direction with your web site.

Shawn Nichols