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Comment · Thu, November 29, 2012

Drug test results help. Tested positive.

Original post in this thread

throwadone · 53 points

Let me start by saying thank you for any information you can give me.

Right now I am a methadone maintenance client. I've been doing this for almost one year. I have horrible back and leg pain and this stuff works better than anything I've tried in the last couple of years.

In case you don't know how the methadone program works (and I'm sure every program isn't the same) what you do is go to a clinic daily and get a dose of the medicine and you consume it right there in front of the nurse/doctor that dispenses it.

As time goes on and you don't have any positive drug tests you earn "take-home" doses so you don't have to go to the clinic every day. You start by going every day then after awhile you get one take-home then two, etc.

I have made it to only going to the clinic on Monday and Wednesday. So on Monday I get one take-home does and on Wednesday I get four doses to get me to the following Monday.

Fast forward to today. It's Wednesday so I go to the clinic and they only give me one take-home. I go to the office to speak with one of the counselors about this and they pull out my last drug test result sheet. This test was done on 11/19/2012. I was negative for everything…

What they were answering

throwadone · 2 points

If any of you guys know about the numbers that show up for results tell me what this would be equivalent to if I was a smoker.

The test has two spots where THC is mentioned. They look like this -

THC (Marijuana) DETECTED (67 ng/mL) Enzyme-Immunoassay Method Cutoff 50 ng/mL

THC/Creatinine Ratio 54 ng THC/mg Creat Calculated

Then at the bottom it says -

Creatinine Result 122.5 mg/dL Colorimetric method

Does that information mean anything?

u/MisterYouAreSoDumb

The first part means that they detected THC's secondary metabolite, 11-nor-9-Carboxy-THC, at 67 ng/ml in your urine. It's formed by the oxidation of THC's main active metabolite, 11-OH-THC.

The second part about creatine is the test they do to assess whether or not you have tried to dilute your urine in preparation for the test. If you tested below the threshhold for TCH's metabolites, but they showed that you attempted to dilute your urine to fake the results, they would consider the test a false-negative. They would then make you retake the test in a day or two, then compare the results. That would give them a pretty good certainty. Your creatine level is within the normal range, so it does not look diluted. Below 45mg/dl would be considered a flag for dilution.

High levels of acetaminophen can screw up the GC/MS testing for the metabolite. How much did you take? It's in a lot of medicines these days, and if you were high dosing multiple things, it could have reached really high levels. If you really have never taken THC, then the acetaminophen is probably the cause for the false positive.

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