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Can anything show a false positive for Tramadol in hair tests

Asked May 2, 2012, 08:17 PM — 20 Answers
I was tested for narcotics and perscription pain killers. I have had Hydrocodon and Tramodol perscribed in the last year. The test was supposed to go back 6 months. In that time I had taken the Hydrocodon 5 and 6 months ago and the tramadol more recently. Probably 4 months ago to just a month ago. The test did not pick up any of the Hydrocodon but did pick up the tramadol. The problem is that it showed a high level was taken. The amount was 5 times the normal usage and I didnt even have enough perscribed to me to have taken that much.
I didnt take that much and the people who tested can't tell me anything other than the amount is accurate and the timeline is an estimate of 6 months. I am trying to determin if there is a false reading for the tramadol because of the Hydrocodon or if there is something else that could have cause this high amount to be detected. A false reading from some other medication etc.

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DrBill100's Avatar
DrBill100 Posts: 3,242, Reputation: 2497
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#2

May 2, 2012, 08:37 PM
Do you have a printout of the test? Would need a lot more info.

If the test was confirmed, and it must have been in order to make a quantitative finding, then it is not a false positive but a true positive but quantitatively erroneous. That's a tough one. It probably is not a result of cross- or inter-reaction between drugs.

Quantitative errors can occur if the instrument is not properly calibrated or maintained. Hard to prove but if you have the report could see where your test was performed in relation to others, i.e. 3, 7, 36 etc., instrument used, then could tell you where to look and what to request.
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jacobtconquest's Avatar
jacobtconquest Posts: 13, Reputation: 1
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#3

May 2, 2012, 09:08 PM
The test was for quantity but showed it to be 5 times higher than normal. The doctor who did the test also missed the Hydrocodon I took and I read somthing about the low levels of the binders needed to detect the tramadol and I thought that he may have mistaken the Hydrocodon for tramodol.

I can't understand why this quantity showed so high! They said it was 11,698 Picograms per mil of hair. They took 20 mil of leg hair. I was burned 3 years ago and skin grafted. Could this have an effect?

I dont have a copy yet. This was reported to me by the testing Dr.'s office this evening. I took the test to show the court I was not taking any other drugs except for what I was perscribed by the doctors and now this may cause some problems.
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DrBill100's Avatar
DrBill100 Posts: 3,242, Reputation: 2497
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#4

May 2, 2012, 09:42 PM
Why leg hair? That makes a big difference! Does this doctor regularly do hair drug testing?

I also don't see how testing leg hair converts to a period of 6 months.

Get an actual copy of the report and we can probably figure this out.
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jacobtconquest's Avatar
jacobtconquest Posts: 13, Reputation: 1
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#5

May 2, 2012, 10:04 PM
He does do hair tests. I also found out he has made some big mistakes before.

He said the leg hair was for an average time of 6 to 8 months. Than he also said it could be for one week to 12 months. He said the time was an estimate and not as acurate as the quantity.

He said he tested 20 millograms of hair. This was from my legs and he said it was slower growing and would work for a longer period of time. Can he put a timeling to the amount like that? How far back can a test for this go back using leg hair? I also don't understand why nothing showed up in the blood or urin he took and why he completely missed the Hydrocodon.

I'll try to see if I can get a proper report from him asap. I hope I can get it tomorrow because I have to answer for this in the morning! This idiot could ruin my life!

Thanks for the input
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DrBill100's Avatar
DrBill100 Posts: 3,242, Reputation: 2497
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#6

May 2, 2012, 10:27 PM
It certainly does grow slower. In order to properly assess any quantity found one must know not only the growth rate, but also the incorporation rate of the specific drug into hair in general and into your hair in particular. Averages don't get it. The usual time period for non-head hair is assumed to be 1 year as opposed to head hair at 3 months (1-/1/2") Drug concentration would therefore be assumed to be 4X that as head hair but no one I know attempts to make that connection. Are you in the US?

Hair is almost never used to back extrapolate amount of drug consumed only to identify that it was consumed.
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jacobtconquest's Avatar
jacobtconquest Posts: 13, Reputation: 1
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#7

May 2, 2012, 10:38 PM
Im in SC.

I guess that is why this finding is wrong. He wrote a report stating this high amount and I cant understand how he could come up with this to begin with unless he did it wrong or couldnt do it in the first place. The problem is he has already given this information to people and its going to be used against me! I need a way to discredit him or show the in accuracy of his findigs.
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jacobtconquest's Avatar
jacobtconquest Posts: 13, Reputation: 1
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#8

May 3, 2012, 05:00 AM
I also take an HGH vitamin called HEXAGHEN. Could that do anything to the hair test? It is supposed to aid in human growth hormone production.
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jacobtconquest's Avatar
jacobtconquest Posts: 13, Reputation: 1
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#9

May 3, 2012, 05:42 AM
He used my leg hair and my legs were burned in 08'. Skin grafting etc. I think he doesnt know what he is doing and he is the only one in South Carolina that we know of to do this test. What I need is a true expert and the report from his findings. I dont know who else to take it to. DrBill seems to be right on the point of it being used wrong to begin with.
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DrBill100's Avatar
DrBill100 Posts: 3,242, Reputation: 2497
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#10

May 3, 2012, 07:22 AM
Quote:
Originally Posted by jacobtconquest View Post
I also take an HGH vitamin called HEXAGHEN. Could that do anything to the hair test? It is supposed to aid in human growth hormone production.
One of the main reasons the report is needed is to see which lab did the report. The fact that the reading is in pico-gram means it required a very sophisticated, large and expensive instrument. Only the larger labs have them. Not found in doctor's offices etc.

In a hair test the source of the hair must also be noted on the form, and there should be a chain of custody form.

The information you have provided is inconsistent with 1) the use and limitation of hair drug testing and 2) beyond the range of any scientific data that I can locate.

Both Tramadol and Hydrocodone are what I call wild-card drugs. Either one might cause initial false positives. But that is the point of the confirmatory test (GC/MS/MS) that analyzes in pg. There is never a false positive as it uses a spectrogram that precisely identifies each drug. Therefore there should not be any interference from other drugs. It provides a molecular fingerprint of the drug.

These instruments are near 100% in sensitivity. Unfortunately the people who operate them are not. The machine must be precisely calibrated and cleaned after each run to prevent "carry over".

But I suspect this situation involves something more overt, providing the information thus far provided is accurate. Most irregular.

The first step is to get the print out. Also, request chain of custody form.

How much did this test cost you?
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