Opioid Awareness and Management

Opioid Duration in System

• Opioids typically remain detectable in the system for 3-4 days.

Oxycodone Classification

• Oxycodone is not classified as an opiate in urine analysis (UA).

Pain Management for Ankle Sprains

• Ibuprofen 400mg offers stronger pain relief than 5mg of oxycodone.
• Codeine is considered less potent than oxycodone.

Opioid Overdose Risks

• Risks for opioid overdose include increased dosage, use of long-acting opioids, concurrent use of sedatives, and illegal drug consumption.

Aberrant Drug-Related Behaviors

• Signs of aberrant behavior include stealing medication, altering prescriptions, obtaining prescriptions from multiple clinicians, requesting early refills, using illicit drugs, and making frequent phone calls.
• Notably, requesting an increased dose does not fall under aberrant behavior.

Substance Use Disorder Risks

• Risk factors for developing substance use disorder related to opioids include a history of other addictions (such as smoking), being male, past incarceration, family history of addiction, and PTSD.

Urine Analysis Considerations

• The less expensive and more specific urine analysis method is Enzyme Immunoassay (EIA).
• Substances such as methadone, oxycodone, buprenorphine, and fentanyl are not classified as opiates in this context.

Tramadol False Positives

• Tramadol may result in false positives for drugs such as PCP and buprenorphine.