I have been on hydrocodone for over 2 years and passed random testing multiple times during that period. I have informed my physician that I take 4 pills a day, as needed, but I was only prescribed for 3 pills a day. I often run out near the end of the month. I was hoping that he would consider increasing my prescription, but since they never offered . . . I never asked for an increase (as it made me feel like uncomfortable, will he think I'm addicted, etc). When cleaning out our medicine cabinet my wife found an old prescription of Percocet (4 pills). In my stupidity, I allowed myself to not fret on running out and figured that when I did run out, I'd "see if the percocets worked." To be honest, they did relieve the pain, but they also sort of upset my stomach.
Long story short, I didn't report the use of the drugs, thinking I'd just report them as the hydrocodone that I was prescribed. I didn't research that percocets were oxy and not norco (hydro). I assumed they were just different brands and quite frankly I'm a very private person and I'm just not comfortable talking about my personal life.
As I said, the test showed Oxy use, when there shouldn't have been any in my system. I received a letter terminating my treatment. When I spoke to the office, I was told it's a one and done policy. I do not believe we ever discussed my usage or this policy, but I've signed so many papers, I would not be surprised to find out that I was given this policy in writing at one point during my visits.
I'm trying to figure out my next steps. To be very honest, I'm not that stressed over not being on the pills. I've taken myself off the pills randomly throughout the past 4 years and currently I am only taking one pill a day. The pain has increased, but I find that I'm not stressed or anxious about being off of norco. I do not want to be labeled as someone who "abuses" opioids and I may need the medication for future spinal treatments/surgeries. I'm curious what my options are and how best to proceed. I've offered to take a urine test monthly, but it does not appear that is acceptable for the pain specialist center I'm currently going to. I realize I put myself in this situation, but it's surprising that the center has a one and done policy. It doesn't feel like this is about patient care, but more about litigation and government intrusion and over zealous opioid policies.