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should I do a flush since I am on methadone?


Question:
My wife is on 40 mg/day methadone for chronic facial nerve pain, and is getting ready to re-enter the workplace.

We are concerned, though, about how to approach job interviews, particularly whether to voluntarily bring up the pain medication usage.

She will be applying for secretarial/receptionist jobs, not requiring operating machinery or heavy equipment, so impairment shouldn't be much of an issue.

If pre-employment drug screens are required, at what point (if any), should the methadone be mentioned? Does methadone even show up on a typical drug screen?

Any advice or personal experience would be most appreciated!


Answer:
This kind of question comes up periodically, so you will probably get a number of opinions. In the whole, I think that, unless the testing folks ask about medications (most don't) when getting the sample, she is probably best off keeping her meds and medical problems to herself, as long as they don't relate to the job. It's possible that the company will not even test for opioids (it's cheaper for them to just test for MJ and cocaine, for example). If they do and she gets a negative result, your wife should definitely have an opportunity for your wife to give her list of meds to them. This should let them interpret the results correctly and only the final test conclusion should go to the company hiring.

I know there are a lot of shoulds in my scenario, but, given the bias of the general public against such meds (especially given the stigma attached to methadone) it is in your wife's best interest to keep that as private as possible. It really is not their business, in most circumstances, any more than they should know how often she takes Tylenol.

Anyway, I personally never volunteer any medical information in such circumstances, and an employer has no legal right to know about medical history that does affect job performance when you apply


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