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Drug
Testing Specifics
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<Back> |
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| Drugs Detected by the Drug Test Kits – An extensive list of drugs detected by each Home Drug Test Kit, along with Cutoff Concentrations, Brand Names, Street Names, and other useful information. |
| How the Home Drug Test Kits Works – A technical explanation. |
| Drug Detection Periods for Urine Testing – To determine how long specific drugs can be detected by a typical urine test. |
| False Positives for Urine Testing – An extensive list of substances that are capable of causing a false positive result with a typical urine test. |
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Drugs Detected by the Home Drug Test Kits |
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| Quick Jump: |
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| Scope: |
| The following tables provide an extensive list of Drugs and Drug Metabolites Detected by each Home Drug Test Kit. The list is designed to assist in determining which Home Drug Test Kit is appropriate for detecting a specific drug in question. Synonyms, Brand Names, and Street Names are also listed for assistance. Key Drugs Detected are the most commonly abused and familiar of the drugs detected within each Drug Type. Cutoffs are expressed as the minimum concentration of drug/metabolite required to produce a positive result. |
| Target Drug/Metabolite: |
| The Target Drug/Metabolite (or Parent Drug/Metabolite) is the primary compound detected. Each test device is specifically designed to detect the target drug/metabolite at the listed cutoff concentration, per NIDA specifications. Due to chemical similarities, other structurally related drugs/metabolites are detected, as well. These compounds are listed in the body of each table, along with their related cutoff levels. |
| Drug Search: |
| To search for a specific drug/metabolite, use your browser's "Find" function: |
| Internet Explorer: Click "Edit", then "Find". Or type "Ctrl-F". |
| Netscape Navigator: Click "Edit", then "Find in Page". Or type "Ctrl-F". |
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Specific |
Drug Class |
Cutoff |
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| d-Amphetamine (d-Deoxynorephedrine, d-Desoxynorephedrine, Dextroamphetamine) |
Adderall, Adrizine, Afatin, Albemap, Am-Dex, d-Amfetasul, Amitrene, Amphedrine, Ampherex, Amphes, Amsustain, Ardex, Betafedrina, d-Betaphedrine, Biphetamine, Burodex, Cendex, Cenules, d-Citramine, Cradex, D.A.S., Dadex, Dexalone, Dexampex, Dexamphetamine, Dexamyl, Dexedrine, Dex-OB, Dex-sule, Dexten, Dextroprofetamine, DextroStat, Dextrosule, Diocurb, Domafate, Ferndex, Hetamine, Lowedex, Maxiton, Medex, Nilox, Obesedrin, Obesonil, Oxydess II, Pelleaps, Pomadex, Robese, Simpamina-D, Spancap, Spansule, Sympamin, Synatan, Tamphetamin, Tydex, Zamitam | Black Beauties, Christmas Trees, Dexies, Double Trouble | Anorexic, CNS Stimulant | 1,000 | ||||
| l-Amphetamine (l-Deoxynorephedrine, l-Desoxynorephedrine, Levamphetamine) |
Ad-Nil, Amphedrine-M, Cydril, Lavabo, Levonor | Anorexic, CNS Stimulant | 10,000 | |||||
| (±)-3,4-Methylenedioxy- amphetamine (MDA, Tenamfetamine) |
Hallucinogenic | 5,000 | ||||||
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Specific |
Drug Class |
Cutoff (ng/ml) |
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| Secobarbital | Barbosec, Immenoctal, Novosecobarb, Pramil, Quinalspan, Seconal, Seotalnatrium, Suditain, Tuinal | Blues, Pinks, Red Birds, Red Devils, Reds, Seggies, Tooies | Sedative-hypnotic | 300 | ||||
| Allobarbital | Asmac, Cibalgine, Diadol, Dial, Malilum, Somnocodal | Sedative-hypnotic | 1,000 | |||||
| Alphenal (Phenallymal) | Alphenate, Allofenyl, Efrodal, Fenallymal | Sedative-hypnotic | 300 | |||||
| Amobarbital | Amal, Amasust, Amsebarb, Amytal, Barbamyl, Dexamyl, Dorminal, Dormytal, Eunoctal, Inmetal, Isomytal, Mylodorm, Sednotic, Somnal, Stadadorm, Tuinal | Blue Heaven, Blues, Double Trouble, Rainbows, Reds, Tooies | Sedative-hypnotic | 1,000 | ||||
| Aprobarbital | Allopropymal, Alurate, Aprozal, Numal, Somnipron | Sedative-hypnotic | 300 | |||||
| Barbital | Barbitone, Calmine, Deba, Dormonal, Embinal, Hypnogène, Malonal, Medinal, Neurinase, Peralga, Plexonal, Sédeval, Uronal, Veramon, Veroletten, Veronal, Vespéral | Sedative-hypnotic | 300 | |||||
| Butabarbital | Asturidon, Barbased, Busodium, Busotran, Butabar, Butabarbitone, Butabon, Butak, Buta-Kay, Butalan, Butanotic, Butased, Butatran, Butazem, Butex, Butibel, Buticaps, Butisol, Butrate, Butte, Carrbutarb, Loubarb, Neravan, Prelital, Pyridium Plus, Sarisol No. 2 | Bute, Stoppers | Sedative-hypnotic | 300 | ||||
| Butalbital (Allybarbital) | Axocet, Cafergot-PB, Esgic, Fioricet, Fiorinal, Fiorpap, Fiortal, Isocet, Isollyl, Medigesic Plus, Panitol, Phrenilin, Repan, Sandoptal, Zebutal | Sedative-hypnotic | 2,000 | |||||
| Butethal (Butobarbital) | Etoval, Neonal, Soneryl | Sedative-hypnotic | 300 | |||||
| Pentobarbital | Barecal, Carbrital, Embutal, FP-3, Mintal, Narcoren, Nembutal, Neodorm, Novopentobarb, Penbon, Pentobarb, Pentone, Praecicalm, Prodormol, Repocal, Somnopentyl, Sopental, WANS | Nembies, Yellow Jackets, | Sedative-hypnotic | 300 | ||||
| Phenobarbital | Agrypnal, Alepsal, Anirrit, Antrocol, Barecal, Barbiphenyl, Barbipil, Barbita, Bellergal-S, Combinal, Corosedine, Deriminal, Dilatrane, Dolviran, Donnatal, Dormiral, Epanal, Eskabarb, Eupaco, Fenemal, Fenobarb, Gardenal, Garomed, Hydantal, Hypnette, Lethyl, Limunal, Luminaletas, Luminaletten, Luminalettes, Linasen, Myocardon, Natisedine, Orprine, Perphyllon, Phenaemal, Phenob, Phenobal, Phenobarbitone, Phenotal, Plexonal, Priscophene, Quietal, Sedofen, Sevenal, Solfoton, Tensedine | Phennies | Anticonvulsant, Sedative-hypnotic | 300 | ||||
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Specific |
Drug Class |
Cutoff (ng/ml) |
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| Oxazepam | Abboxapam, Adumbran, Alepam, Aplakil, Azutranquil, Benzotran, Bonare, Durazepam, Enidrel, Expidet, Hilong, Isodin, Lederpam, Limbial, Lotin, Murelax, Nesontil, Noctazepam, Novoxapam, Oxanid, Oxa-Puren, Oxepam, Praxiten, Primizum, Propax, Psiquiwas, Purata, Quilibrex, Rondar, Serax, Serenal, Serenid, Serepax, Seresta, Sigacalm, Sobile, Sobril, Tazepam, Uskan, Vaben, Wakezepam, Zapex, Zaxopam | Anxiolytic | 300 | |||||
| Alprazolam | Alprax, Alzolam, Constan, Solanex, Tafil, Tranfimazin, Tranquinal, Trankimazin, Valeans, Xanax, Xanor, Zenax, Zoldax | Xanies, Zanies | Anxiolytic | 150 | ||||
| Bromazepam | Compendium, Creosedin, Durazanil, Lectopam, Lexomil, Lexatin, Lexotan, Lexotanil, Normoc | Anxiolytic | 800 | |||||
| Chlordiazepoxide | Ansiacal, A-poxide, Arsitran, Balance, Benpine, Benzodiapin, Brigen, C.D.P. Plus, Cebrum, Chlordiazachel, Chuichin, Clindex, Clipoxide, Contol, Diazebrum, Diazepina, Disarim, Elenium, Epoxide, Equibral, Equilibrium, Helogaphen, H-Tran, Huberplex, Kalbrium, Karmoplex, Labican, Lentotran, Librax, Libritabs, Librium, Limbitrol, Lipoxide, Medilium, Menrium, Mitran, Murcil, Multum, Neuropax, Normide, Novopoxide, O.C.M., Omnalio, Poxi, Psichial, Psicoterina, Radepur, Raysedan, Reliberan, Reposal, Reposans-10, Restocalm, Retcol, Risachief, Risolid, Sereen, Seren Vita, Servium, Silibrin, Sintesedan, SK-Lygen, Solium, Spaz-10, Tensinyl, Tropium, Vapine, Viansin, Zenecit | Anxiolytic | 300 | |||||
| Clobazam | Frisium, Urbadan, Urbanyl | Anticonvulsant, Sedative-hypnotic | 200 | |||||
| Clonazepam | Clonex, Clonopin, Iktorivil, Klonopin, Landsen, Rivotril | Anticonvulsant | 25,000 | |||||
| Clorazepate | Ansiopaz, Azene, Belseren, Covengar, Enadine, Gen-XENE, Justum, Mendon, Moderane, Nansius, Nevracten, Novoclopate, Rivotril, Tencilan, Transene, Tranxene, Tranxilen, Tranxilène, Tranxilium, Travex | Anxiolytic | 100 | |||||
| Delorazepam | EN | Anxiolytic | 6,000 | |||||
| Diazepam | Alboral, Aliseum, Alupram, Amiprol, Anlin, Ansiolin, Antenex, Anxicalm, Anxionil, Apaurin, Armonil, Arzepam, Assival, Atensine, Atilen, Azedipamin, Baogin, Bialzepam, Britazepam, Calmpose, Caudel, Centrazepam, Ceregulart, Chuansuan, Consillum, Desconet, Diaceplex, Dialag, Dialar, Diapam, Diapax, Diapine, Diastat, Diatran, Diazemuls, Diazepam Intensol, Diazepan, Dipam, Dipaz, Dipezona, Disopam, Dizac, Dizam, Doval, Drenian, Ducene, Eridan, Euphorin, Eurosan, Evacalm, Faustan, Gewacalm, Gradual, Gubex, Horizon, Jinpanfan, Kratium, Lamra, Lembrol, Lovium, Mandro, Mandrozep, Meval, Nellium, Nerozen, Neurolytril, Neurosedin, Nivalen, Nixtensyn, Noan, Notense, Novazam, Novodipam, Paceum, Pacitran, Parzam, Paxate, Paxel, Paxum, Plidan, Pomin, Pro-Pam, Psychopax, Q-Pam, Radizepam, Relanium, Reliver, Rival, Ro-Azepam, Saromet, Scriptopam, Sedapam, Seduxen, Servizepam, Setonal, Sipam, Solis, Sonacon, Stesolid, Tranquase, Tranquo-Puren, Tranquo-Tablinen, T-Quil, Unisedil, Valaxona, Valiquid, Valium, Valrelease, Vatran, Vazen, Vazepam, Vival, Vivol, Winii, X-O'Spaz, Zepaxid, Zetran | Vals | Anxiolytic, Muscle-Relaxant (Skeletal) | 150 | ||||
| Estazolam | Cannoc, Domnamid, Esilgan, Eurodin, Julodin, Nemurel, Nuctalon, ProSom, Somnatrol, Tasedan | Sedative-hypnotic | 300 | |||||
| Flunitrazepam | Darkene, Narcozep, Rohypnol, Roipnol | Roofies, Rophies, Ruffies, Ruphies | Sedative-hypnotic | 1,000 | ||||
| Flurazepam | Benozil, Dalmadorm, Dalmane, Dalmate, Dormodor, Durapam, Felison, Felmane, Fluleep, Flunox, Fluzepam, Fordrim, Insumin, Irdal, Lunipax, Midorm, Natam, Nergart, Nindral, Niotal, Noctosom, Novoflupam, Paxane, Remdue, Somlan, Staurodorm, Valdorm | Sedative-hypnotic | 300 | |||||
| Lorazepam | Almazine, Alzapam, Anxiedin, Aplacassee, Ativan, Azurogen, Bonton, Duralozam, Efasedan, Emotion, Emotival, Kalmalin, Larpose, Laubeel, Loram, Lorans, Lorat, Lorax, Loraz, Lorazepam Intensol, Lorenin, Lorivan, Lorsilan, Lozepam, Merit, Nervistopl, Novolorazem, Pro Dorm, Psicopax, Punktyl, Quait, Rocosgen, Securit, Sedatival, Sedazin, Sedizepan, Sidenar, Silence, Sinestron, Somagerol, Somnium, Stapam, Tavor, Temesta, Wypax | Anxiolytic | 1,500 | |||||
| Lormetazepam | Ergocalm, Loramet, Noctamid | Sedative-hypnotic | 1,000 | |||||
| Medazepam | Ansilan, Diepin, Medazepol, Megasedan, Narsis, Nobrium, Psiquium, Resmit, Rudotel, Tranquilax | Anxiolytic | 2,000 | |||||
| Nitrazepam | Mogadon, Remnos, Somnite, Surem, Unisomnia | Anticonvulsant, Sedative-hypnotic | 1,000 | |||||
| Nordiazepam | Calmday, Demadar, Madar, Nordaz, Praxadium, Stilny | Anxiolytic | 100 | |||||
| Prazepam | Centrax, Demetrin, Equipax, Equipaz, Lysanxia, Prasepine, Prazene, Quipax, Reapam, Sedapran, Settima, Trepidan, Verstran | Anxiolytic | 1,000 | |||||
| Temazepam | Cerepax, Euhypnos, Euipnos, Gelthix, Lenal, Levanxene, Levanxol, Normison, Perdorm, Planum, Razepam, Remestan, Restoril, Temaz | Sedative-hypnotic | 150 | |||||
| Triazolam | Dumozolam, Halcion, Novidorm, Nuctane, Somese, Somniton, Songar, Trialam | Sedative-hypnotic | 1,500 | |||||
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| Drugs / Metabolites Detected (Synonyms) | Found In / Brand Names | Street Names | Drug Class | Cutoff (ng/ml) |
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| Benzoylecgonine | Metabolite (Cocaine) | 300 | ||||||
| Cocaine (Methyl Benzoylecgonine) | Base, Blow, Bumps, Coke, Crack, Flake, Freebase, Lines, Nose Candy, Powder, Rock, Snow, Toot, White | Anesthetic (Local) | 300 | |||||
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| Drugs / Metabolites Detected (Synonyms) | Found In / Brand Names | Specific Street Names |
Drug Class | Cutoff (ng/ml) |
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| 11-Nor-D9-tetrahydro- cannabinol-9-carboxylic acid |
Metabolite (Marijuana) | 50 | |||||||
| 11-Hydroxy-D9-tetra- hydrocannabinol |
Metabolite (Marijuana) | 1,000 | |||||||
| 11-Nor-D8-tetrahydro- cannabinol-9-carboxylic acid |
Metabolite (Marijuana) | 100 | |||||||
| D8-Tetrahydrocannabinol (THC) | Hashish, Marijuana | Cannabinoid, Hallucinogenic | 100 | ||||||
| D9-Tetrahydrocannabinol (Dronabinol, THC) | Hashish, Marijuana, Marinol | Antiematic, Cannabinoid, Hallucinogenic | 50 | ||||||
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Street Names |
Drug Class |
Cutoff (ng/ml) |
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| d-Methamphetamine, (d-Deoxyephedrine, d-Desoxyephedrine) |
Amphedroxyn, Desfedrin, Desoxyfed, Desoxyn, Destim, Doxephrin, Drinalfa, Efroxine, Gerobit, Hiropon, Isophen, Madrine, Methampex, Methedrine, Methylisomyn, Norodin, Pervitin, Semoxydrine, Soxysympamine, Syndrox, Tonedron | Bumps, Crank, Crystal, Crystal Meth, Glass, Ice, Lines, Meth | Anorexic, CNS Stimulant | 1,000 | ||||
| d-Amphetamine (d-Deoxynorephedrine, d-Desoxynorephedrine, Dextroamphetamine) |
Adderall, Adrizine, Afatin, Albemap, Am-Dex, Amitrene, Amphedrine, Ampherex, Amphes, d-Amfetasul, Amsustain, Ardex, d-Betaphedrine, Betafedrina, Biphetamine, Burodex, Cendex, Cenules, d-Citramine, Cradex, D.A.S., Dadex, Dexalone, Dexampex, Dexamphetamine, Dexamyl, Dexedrine, Dex-OB, Dex-sule, Dexten, Dextroprofetamine, DextroStat, Dextrosule, Diocurb, Domafate, Ferndex, Hetamine, Lowedex, Maxiton, Medex, Nilox, Obesedrin, Obesonil, Oxydess II, Pelleaps, Pomadex, Robese, Simpamina-D, Spancap, Spansule, Sympamin, Synatan, Tamphetamin, Tydex, Zamitam | Black Beauties, Christmas Trees, Dexies, Double Trouble | Anorexic, CNS Stimulant | 50,000 | ||||
| Chloroquine | Aralen, Roquine | Anti-infective | 50,000 | |||||
| (±)-Ephedrine | Ephetonin | Bronchodilator | 50,000 | |||||
| l-Methamphetamine (l-Deoxyephedrine, l-Desoxyephedrine) |
Afrin, Dristan Nasal Spray, Neo-Synephrine, Vicks Inhaler, Vicks Sinex | Bronchodilator | 25,000 | |||||
| (±)-3,4-Methylenedioxy- methamphetamine (MDMA) |
Beans, E, Ecstacy, Ecstasy, Rolls, X, XTC | Hallucinogenic | 2,000 | |||||
| b-Phenylethylamine | Neuroamine | 50,000 | ||||||
| Procaine | Crysticillin A.S., Novocain, Pfizerpen-AS, Procaine Benzylpenicillin, Wycillin | Anesthetic (Local), Anti-infective | 10,000 | |||||
| Ranitidine | Acidex, Acloral, Anista, Atural, Axoban, Azantac, Coralen, Danitin, Gastrial, Gastrosedol, Histac, Istomar, Logast, Lydin, Mauran, Nodol, Quantor, Radinat, Ranacid, Randin, Raniben, Ranidil, Ranidine, Ranin, Raniogas, Raniplex, Ranisen, Ranital, Ranitiget, Rantin, Raticine, Rosimol, Sostril, Taural, Tritec, Ulcex, Ul-Pep, Ulsal, Vizerul, Zantac, Zantadin, Zantic | Antisecretory | 50,000 | |||||
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Street Names |
Drug Class |
Cutoff (ng/ml) |
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| Morphine | Astramorph, Dolcontin, Duramorph, Infumorph, Kadian, Morphina, MS Contin, MS/L, MS/S, MSIR, Nepenthe, OMS Concentrate, Oramorph, Rescudose, RMS, Roxanol, Statex | M, Morph | Analgesic (Narcotic) | 2,000 | ||||
| 6-Acetylmorphine | Metabolite (Heroin) | 10,000 | ||||||
| Codeine (Methyl Morphine, Morphine Methyl Ester ) | Actifed w/Codeine, APAP w/Codeine, ASA w/Codeine, Cerose, Cheracol, Codicept, Cosanyl, Emcodeine, Empirin w/Codeine, Fiorinal w/Codeine, Pediacof, Robitussin AC, Triaminic w/Codeine, Tylenol w/Codeine | Analgesic (Narcotic), Antitussive | 1,000 | |||||
| Ethylmorphine | Codethyline, Dionin, Trachyl | Analgesic (Narcotic), Antitussive | 2,000 | |||||
| Heroin (Acetomorphine, Diacetylmorphine, Diamorphine) | H, Smack | Analgesic (Narcotic) | 2,500 | |||||
| Hydrocodone (Dihydrocodeine) | Anexsia, Anodynos DHC, Azdone, Bancap HC, Bekadid, Calmodid, Ceta-Plus, Codinovo, Co-Gesic, Damason-P, Dicodid, Dolacet, Duocet, Duodin, Duradyne DHC, Hycodan, Hydrocet, Hydrokan, Hydromet, Hydrotropine, Hy-Phen, Kolikodal, Lorcet, Lortab, Margesic H, Medipain 5, Mercodinone, Norcet, Norco, Norgan, Orthoxycol, Panacet, Stagesic, Synkonin, T-Gesic, Tussend, Tussionex, Vicodin, Vicoprofen, Zydone | Analgesic (Narcotic), Antitussive | 2,500 | |||||
| Hydromorphone (Dihydromorphine) | Dilaudid, Dimorphone, Hydrostat, Hymorphan, Laudicon, Novolauden | Dillies, Little D, Lords | Analgesic (Narcotic) | 10,000 | ||||
| Morphine-3-b-d- glucuronide |
Metabolite (Morphine) | 5,000 | ||||||
| Nalorphine | Lethidrone, Nalline, Norfin | Antagonist (Narcotic) | 2,000 | |||||
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Drugs / Metabolites Detected (Synonyms) |
Found In / Brand Names |
Street Names |
Drug Class |
Cutoff (ng/ml) |
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| Phencyclidine (PCP) | Sernyl, Sernylan | Angel’s Dust, Hog | Anesthetic (Intravenous), Hallucinogenic | 25 | ||
| Tenocyclidine (TCP) | Hallucinogenic | 2,000 | ||||
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| Drug Detection Periods are expressed in terms of lower and upper boundaries. Many factors can determine an individual's placement within these boundaries. In general, the following factors will increase a drug's detection period: chronic use, high levels of use, high potency, slow body metabolism, high body fat count (Marijuana and PCP), low fluid intake, and overall poor health. | ||||
| Drug / Drug Type | Detection Periods | |||
| Alcohol | 6 hours to 1 day | |||
| Amphetamine | 1 to 4 days | |||
| Barbiturates | Short-acting (Allobarbital, Alphenal, Amobarbital, Aprobarbital, Butabarbital, Butalbital, Butethal, Pentobarbital, Secobarbital): 1 to 4 days | |||
| Long-acting (Barbital, Phenobarbital): 2 to 3 weeks | ||||
| Benzodiazepines | Short-term Therapeuttic Use: 3 days | |||
| Long-term Chronic Use: 4 to 6 weeks | ||||
| Cocaine | 2 to 5 days | |||
| LSD | 1 to 4 days | |||
| Marijuana (THC) | Casual Use: up to 7 days | |||
| Chronic Use: up to 30 days or longer | ||||
| Note: THC is stored by the body in fatty lipid tissue, where it is slowly released into the bloodstream for up to several weeks. Chronic users and individuals with high body fat count are at the greatest risk of long-term detection. | ||||
| MDMA (Ecstasy) | 1 to 4 days | |||
| Mescaline | 1 to 4 days | |||
| Methadone | 1 to 7 days | |||
| Methamphetamine | 1 to 4 days | |||
| Methaqualone | up to 14 days | |||
| Nicotene | 1 to 2 days | |||
| Opiates | 1 to 4 days | |||
| PCP | Casual Use: up to 7 days | |||
| Chronic Use: up to 30 days | ||||
| Note: PCP is stored by the body in fatty lipid tissue, where it is slowly released into the bloodstream for up to several weeks. Chronic users and individuals with high body fat count are at the greatest risk of long-term detection. | ||||
| Propoxyphene | 1 to 7 days | |||
| Psilocybin (Mushrooms) | 1 to 3 days | |||
| Steroids (Anabolic) | Oral: 2 to 3 weeks | |||
| Injected: 1 to 3 months | ||||
| Naldrolene: up to 9 months | ||||
| Tricyclic Antidepressants | 1 to 9 days | |||
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False Positives for Urine Testing |
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| A false positive urine test result can have three possible sources: |
| 1. | Prescription Drugs: Many prescription drugs have a high potential for abuse and, thus, are targeted by urine tests. Upon testing positive for a prescription drug, you will be required to provide proof of prescription in your own name. Once confirmed, your positive result will be considered false and will be reported as a negative result. If proof of prescription is not provided, it is assumed that the drug was taken illegally and a true positive result will be reported. |
| 2. | Administered Drugs: This includes drugs administered by a medical professional during an office visit or surgery. For example, Morphine is often administered to relieve pain during surgery. Some administered drugs are also commonly prescribed. Like prescription drugs, many administered drugs have a high potential for abuse and are targeted by urine tests. Always be aware of drugs administered during an office visit or surgery. If a drug test is on the horizon, request documentation of all medications used during your visit. Upon testing positive for an administered drug, you will be required to provide medical documentation in your own name. Once confirmed, your positive result will be considered false and will be reported as a negative result. If medical documentation is not provided, it is assumed that the drug was taken illegally and a true positive result will be reported. |
| 3. | Cross-reactions: A cross-reaction occurs when a substance is misidentified as a targeted drug/metabolite by a urine test. Such substances are known as cross-reactants. They are usually very similar in chemical structure to a targeted drug/metabolite. As a result, they can be misidentified and cause a positive result. Cross-reactants come in many forms – over-the-counter medications, food items, etc. What makes a substance a cross-reactant is simply the fact that it can be confused with a targeted drug/metabolite. Note however, that cross-reactions have become less common. In the past, the drug testing industry has received bad publicity for high cross-reaction rates. As a result, most manufacturers have made significant improvements. Cross-reactions can still occur. Yet required cutoff concentrations are usually too high to register occasional usage. When a cross-reaction does occur, it is often the result of abusive consumption patterns. Any claim that a positive test result was caused by a cross-reactant will be met with skepticism. See below section What to do if you test positive and know that your were drug-free. |
| Who should be concerned about false positives: |
| Prescription drug users need not be concerned, as long as the prescription was obtained legally. Do not discontinue using legally prescribed medications. Also, administered drugs should not be an issue, as long as you can provide medical documentation if requested. However, everybody should be concerned about cross-reactants, as their use can be difficult to substantiate. In fact, cross-reactants (not legal prescriptions) should always be viewed in the same light as illegal drugs. With that in mind, individuals not using a detoxing agent are at the greatest risk of long-term detection. The detection time for a cross-reactant will usually approximate the detection time of the drug mimicked. Individuals using a detoxing agent are at a lower risk, as an effective detoxing agent will eliminate all drugs/metabolites from the body, including those that might cause a false positive. However, cross-reactants should still be avoided for the time period specified by the instructions for the detoxing agent. For example, if the instructions specify to avoid toxins for at least 24 hours, then avoid cross-reactants for at least 24 hours as well. |
| Filling out the Consent Form: |
| Filling out the urine test consent form: Most labs provide a space on their urine test consent form to record your prescriptions. Some use broad enough wording to allow you to also include over-the-counter medications used recently and/or drugs recently administered by a physician. If you are otherwise drug-free and are not using a detoxing agent, you should record such substances on the form. If you subsequently test positive, you will then have the basis for an appeal. On the other hand, if using a detoxing agent, it is wise not to record such substances on the consent form. The Medical Review Officer (MRO) may become suspicious if you subsequently test negative for a drug that you had listed on the form. In any event, avoid listing any substance that is not a medication, such as poppy seeds, as this may alert the MRO that you have been studying the subject. |
| Upon reviewing a positive test result, the MRO will usually contact you by phone. If you tested positive for a prescription or administered drug, the MRO will request medical documentation. A follow-up test may also be required. In the absence of medical documentation or if you tested positive for an illegal substance, the MRO should determine if a legal cross-reactant was involved. Help him. Begin by insisting that you were drug-free and that the test results must be wrong. You can mention the cross-reactant that you suspect caused the false positive. But avoid sounding too knowledgeable on the subject. Wait to see what the MRO says. He might simply ask for proof that you used the cross-reactant and/or a legitimate purpose for using it. But this is rare, as MRO's are always skeptical about such claims. He should schedule a more thorough follow-up test. If not, insist on it. Initial test results usually identify only the drug category that tests positive (ie. Amphetamines or Barbiturates) – not the specific drug within that drug category. You have the right to know what specific drug caused your positive result. Gas chromatography/mass spectrometry (GC/MS) is about the only method that can pinpoint the specific source of the positive result. Standard testing procedures normally require a follow-up test following any initial positive screening. Though many companies will avoid using GC/MS because it is quite expensive. Unfortunately, it is the only method that can prove your innocence. |
| Scope: |
| The below chart attempts to cover all possible sources of a false positive urine test result. Substances listed in the right column may cause a false positive for the drug/metabolite shown in the left column. Brand names are shown in brackets. Note that prescription drug and adminstered drug positives are considered false only when medical documentation is provided. |
| Note 1: |
| Since false positive study information is limited, we cannot guarantee the validity or completeness of this data. And since urine testing accuracy has improved over the years, some entries may be outdated. In addition, some prescription drugs listed may or may not be legal in the United States or abroad. |
| Note 2: |
| Reported false positives are not associated with any particular manufacturer’s urine screen. They are provided as a general guideline in an attempt to cover all possible examples. |
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| Drug / Metabolite | Possible False Positive Sources | |||
| Amphetamine
/ Methamphetamine |
Over-the-counter appetite suppressants containing: Phenylpropanolamine (Accutrim, Dexatrim). | |||
| Over-the-counter asthma medications containing: Epinephrine (Bronkaid Mist, Primatine Mist). | ||||
| Over-the-counter cold and allergy medications containing: Desoxyephedrine, Ephedrine, Phenylephrine, Phenylpropanolamine, Propylephedrine, and/or Pseudoephedrine: (Actifed, Allerest, Contac, Dimetapp, Dristan, Drixoral, Nyquil, Robitussin, Sudafed, Tavist-D, Triaminic). | ||||
| Over-the-counter nasal decongestants containing: Desoxyephedrine (Afrin, Dristan Nasal Spray, Neo-Synephrine, Vicks Inhaler, Vicks Sinex). | ||||
| Prescription appetite suppresants containing: Benzphetamine (Didrex), Clobenzorex (Asenlix, Dinintel, Finedal), Dexfenfluramine (Redux), Fenfluramine (Fen-Phen), Fenproporex (Tegisec), Mefenorex (Pondinil, Rondimen), Phendimetrazine (Adipost), Phenmetrazine (Preludin), Phentermine (Fastin, Fen-Phen, Ionamin). | ||||
| Prescription CNS stimulants containing: Amphetamine (Benzedrine), Amphetaminil (AN 1, Vit02), Dextroamphetamine (Dexedrine), Fenethylline (Captagon), Furfenorex (Frugal, Frugalan), Levamphetamine (Ad-Nil), Methamphetamine (Desoxyn, Methampex), Methylphenidate (Riphenidate, Ritalin), Pemoline (Cylert), Morazone (Rosimon Neu, Tarcuzate). | ||||
| Prescription medications containing: Amineptine (Survector), Chloroquine (Aralen, Roquine), Dopamine (Dopastat), Famprofazone (Geodowin), Fencamfamine (Altimine, Envitrol, Phencamine), Isoproterenol (Isuprel), Mephentermine (Mephine, Wyamine), Mesocarb (Fensidnimine, Sydnocarb), Methoxyphenamine (Orthoxine), Nylidrin (Arlidin), Phenylethylamine, Prenylamine (Segontin), Propranolol (Detensol, Inderal, Novopranol), Ranitidine (Tritec), Selegiline (Carbex, Eldepryl), Thorazine (Chlorpromazine), Tyramine (Mydrial). | ||||
| Ephedra herb (Ma Huang): Taken by itself or as an ingredient in legal "herbal highs", such as Herbal Ecstacy. Legitimate consumption purposes may be difficult to prove. | ||||
| Barbiturates | Prescription Barbiturates containing: Allobarbital (Dial), Alphenal (Alphenate), Amobarbital (Amytal, Tuinal), Aprobarbital (Alurate), Barbital (Barbitone), Butabarbital (Butisol), Butalbital (Fiorinal), Butethal (Etoval), Mephobarbital (Mebaral), Metharbital (Gemonil), Pentobarbital (Nembutal), Phenobarbital (Luminal), Secobarbital (Seconal, Tuinal). | |||
| Prescription medications containing: Glutethimide (Doriden), Phenytoin (Dilantin). | ||||
| Benzodiazepines | Prescription Benzodiazepines containing: Alprazolam (Xanax), Bromazepam (Compendium), Chlordiazepoxide (Librium), Clobazam (Frisium), Clonazepam (Clonopin), Clorazepate (Tranxene), Delorazepam (EN), Diazepam (Valium), Estazolam (ProSom), Flunitrazepam (Rohypnol), Flurazepam (Dalmane), Halazepam (Paxipam), Ketazolam (Unakalm), Lorazepam (Ativan), Lormetazepam (Noctamid), Medazepam (Ansilan), Nitrazepam (Mogadon), Nordiazepam (Nordaz), Oxazepam (Serax), Prazepam (Centrax), Quazepam (Doral), Temazepam (Restoril), Triazolam (Halcion). | |||
| Prescription pain relievers containing: Oxaprozin (Daypro). | ||||
| Cocaine | ||||