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Can Hydrocod Show Traces Of Codeine During Urine Test?

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Posted on Fri, 10 Oct 2014
Question: In February 2014, I was prescribed Hydrocod/Hom5-1.5 mg/5ml for a persistent cough I had that wouldn't go away. I did not take all of the cough syrup so when my cough came back at the end of July I decided to take the last remaining cough syrup that I had left. A couple days later, I was given a random drug test. When I took the random drug/ urine test it showed up that I had codeine in my system and not hydrocodone. Therefore, I failed my drug test. I know that hydrocodone is a synthetic for codeine but the lab stated that hydrocodone does not show up as codeine on a urine test. My job placed me on paid leave for a month and now I have an upcoming hearing to clear my name. If I can't explain why codeine was in my system, my job will terminate me. I am very distraught because I have not taken any medication except for the cough syrup I was prescribed. I rarely even take medication ( except for high blood pressure medicine and a baby aspirin), never take other people's medication, or never abuse drugs. What could have caused my urine test to test positive for codeine when I didn't take anything with codeine in it? Could the hydrocodone have metablized differently in my body since the prescription was almost 6 months old. The only other explanation that I can think of is if the pharmacy put the wrong medicine in my prescription bottle, but I can't prove it. After I took the last of the cough syrup, my prescription bottle was thrown away. Never in a million years, would I ever think I would be placed in this predicament. I don't know what to do. I have been 100% honest with my job. I even provided proof that I was prescribed cough syrup. Unfortunately, it is not what was found in my system during the urine test. My job claims that I had no prescription for what was in my system. My wife is almost nine months pregnant and we rely heavily on my income. Without my job, I don't know how we will make it. Please help!!!!!!
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Answered by Dr. Ravi Soni (23 minutes later)
Brief Answer:
you can go retesting by gas chromatography

Detailed Answer:
Hi

Thanks for writing

I can understand the problem you are going through..

It has been said that commercially available urine detection tests can react indiscriminately with hydrocodone and other opiates..

So if you have gone through simple commercial tests then result may be wrong due to lack of specificity of the test..

I feel that if possible you can argue this.. also you can go for retesting with gas chromatography mass spectrometry analysis..

Oral Hydrocodone in urine usually detected with its metabolites like hydromorphone, norhydrocodone and others.

Nor hydrocodone is detected for longer duration then others.. so detecting norhydrocodone will be helpful..

If you can not go for retesting then gather evidences and research regarding low specificity of the tests which were used for detection of codeine in your urine..

I hope this will help you...best of luck
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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Can Hydrocod Show Traces Of Codeine During Urine Test?

Brief Answer: you can go retesting by gas chromatography Detailed Answer: Hi Thanks for writing I can understand the problem you are going through.. It has been said that commercially available urine detection tests can react indiscriminately with hydrocodone and other opiates.. So if you have gone through simple commercial tests then result may be wrong due to lack of specificity of the test.. I feel that if possible you can argue this.. also you can go for retesting with gas chromatography mass spectrometry analysis.. Oral Hydrocodone in urine usually detected with its metabolites like hydromorphone, norhydrocodone and others. Nor hydrocodone is detected for longer duration then others.. so detecting norhydrocodone will be helpful.. If you can not go for retesting then gather evidences and research regarding low specificity of the tests which were used for detection of codeine in your urine.. I hope this will help you...best of luck