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judimd avatar

Drug screening and pill counts?

Neuropathy | Last Active: Nov 30, 2025 | Replies (24)

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Profile picture for John, Volunteer Mentor @johnbishop

Hello @judimd, Welcome to Connect. I have read that gabapentin is considered a controlled substance in Alabama, Kentucky, Michigan, North Dakota, Tennessee, Virginia, and West Virginia (https://www.drugs.com/medical-answers/gabapentin-narcotic-controlled-substance-3555993/). It sounds like the doctor might be trying to find out how much of the pregabalin is in your blood stream. I don't think they look for it in the random drug test unless they are specifically testing for it. I think if it were me, I would ask the doctor why you need to have the random test and what specifically are they looking for.

Do you think your doctor may just be trying to determine if the dosage is enough to help with your pain?

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Replies to "Hello @judimd, Welcome to Connect. I have read that gabapentin is considered a controlled substance in..."

@johnbishop

I think if that was the case the doctor would have said so. PreGabalin doesn't hang around in your system that long, at least not in therapeutically useful levels. I just got a refill and asked to be put back onto 3X per day instead of 2X. It was done with no problem and I get maintenance quantities.

I recall reading a couple years ago that GabaPentin can potentiate the effect/s of some other illicit substances. To me it's as useless as a screen door in a submarine.

@johnbishop
Thanks for your response.

I have been taking Pregabalin for years. They know that. If it is in my bloodstream I wouldn’t be surprised. I take three a day.

I’m not sure what the reason for this screening and pill count is, but I have to admit I lost my red haired, Irish, Indian temper when they called.

After throwing a fit, I told the nurse I would have to think about this. She said, we can’t refill your meds unless you agree to a drug screening.

I did ask her what the specific reason was for this drug screening. She said it’s a Kentucky state law and we would lose our license if we didn’t do this,

I do not drive. To come in at a moments notice is just not possible for me. I told her that and she said they can’t give me notice, that is why it’s called “random.” Very cold.

I just don’t know what to do. I’ll soon run out of meds and that’s a scary thought. I’m in enough pain taking three a day.

Anyway, thank you for responding, John. I really do appreciate it. It makes me feel like somebody is listening. I’ve learned at age 81, doctors just don’t really want to take the time to listen to their elderly patients. Honestly, they didn’t find me on the street, like a druggie, I went in there on my on steam.

Judi