Lorazepam testing and tapering advice. Please help
After suffering a series of panic attacks in the mid 2010s I was diagnosed with panic disorder and generalized anxiety disorder and prescribed 1mg lorazepam daily which I’ve been taking for about 7 or 8 years now. The lorazepam helped A LOT and I’ve been able to live life relatively panic free. Recently my doctor informed me that there had been a change in protocol and that I’d need take a drug screening every 3 months when I go in to see him which I had absolutely no issue with. Ive always taken my lorazepam as prescribed and never used any illicit drugs. When the results of the first urine test came back, I tested negative for everything including benzodiazepines which was obviously a surprise considering I’ve been taking them daily for so many years. We did a follow up urine screening and once again the results came back negative. Confused as to why the lorazepam wasn’t showing up, he had me do a third urine screening but this time the sample was also sent to a different lab where they preformed an lc-ms/ms (mass spectrometry) examination. For the third time the regular urine screening showed a negative result but the MS showed a positive result of 469 ng/ml. The doctor was unsure why we had gotten contradictory results from the same urine sample and order another regular urine screening which again came back negative and then finally a blood test which AGAIN came back negative. Now he is threatening to ban me from the facility and cancel my prescription cold turkey which scares me to death because I’m aware of the dangers of quitting benzodiazepines without properly tapering off. After doing some research, I read that lorazepam and clonazepam are more difficult to detect through regular drug screenings and almost require an MS examination for accurate detection. This would explain why the MS result was the only one to show a positive. I tried to relay this information to my doctor at which point he became extremely defensive and didn’t want to hear it. This entire situation is causing me severe stress and anxiety. Has anybody experienced any issues like this with lorzepam/benzodiazepines? Ive decided to taper off the lorazepam but at this point I’m really not comfortable talking to my doctor about it. Does anybody have any experience/advice on tapering off 1mg? I’m really not sure what to do at this point.