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Tis table summarizes information for the interpretation of drugs-of-abuse assays; originally developed by the late Daniel M. Baer, MD, and updated by Richard A. Paulson, MT(ASCP), supervisor of Chemistry and Toxicology, VA Medical Center, Portland, OR. Te table was updated and reviewed this year by Allison B. Chambliss, PhD, DABCC, FACC, Director of Clinical Chemistry and Point of Care Testing, LAC and USC Medical Center, Assistant Professor of Clinical Pathology, Keck School of Medicine of USC (University of Southern California).
Drug (and example trade names)
Heroin (Diacetylmorphine)
Morphine (Duramorph)
Methadone (Dolophine, Amidone)
Meperidine (Demerol, Pethidine)
Codeine (Analgesics with codeine)
Tramadol (Ultram, Tramal Ultracet)
Oxycodone (Oxycontin, OxyIR, Percocet, Percodan)
Hydrocodone (Lorcet, Vicodin, Lortab, Hycodan)
Hydromorphone (Dilaudid)
Fentanyl (Sublimaze, Duragesic, Actiq, Fentora)
Common street names
Horse, Stuff, Smack, Junk
M, Junk, Morpho, White stuff
Methadose
Fortis, Demies
Rabo, School boy
Ultra T
Oxy, OC, Oxycotton, Killer
Vikes, Hydro, Norco
Dust, Juice, Smack, D, Footballs
Percopop, Apache, China girl, China white, Dance fever, Friend, Goodfella, Jackpot, Murder 8, TNT, Tango and Cash
Lysergic acid, diethylamide (LSD
Marijuana and cannabinoids
Phencyclidine Cocaine
Acid, Microdot, White lightning
Weed, Mary Jane, Hashish, Bhang, Ganja, Sensemilla
PCP, Angel dust, Killer weed, Hog
Coke, Crack, Flake, Snow
Amphetamine (Benzedrine, Dexedrine)
Methylene-3,4 dioxy- Methamphetamine (MDMA)
Methamphetamine (Desoxyn, Methedrine)
Speed, Bennies, Uppers, Dexies
Ecstasy, Adam, XTC, Love drug, Hug drug
Speed, Meth, Crystal ice, Crank
Typical duration in urine aſter last dose
1-2 days (total opiate)
2 days 3 days 2-3 days 2 days 6 hours to 2 days 1-3 days
Common positive cutoff concentrations for urine screening assay*
2000 ng/mL (as morphine) 150 ng/mL (as 6-monacetyle morphine)
2000 ng/mL 300 ng/mL
300 ng/mL 200 ng/mL 150 ng/mL
200 ng/mL
2000 ng/mL 300 ng/mL
Not established
100 ng/mL 300 ng/mL
1-2 days 1-2 days 1-2 days
300 ng/mL 100 ng/mL 50 ng/mL
2000 ng/mL 300 ng/mL
2 ng/mL 20 ng/mL
Toxic blood level Blood reference (therapeutic range)
>200 ng/mL None detected
>200 ng/mL >2000 ng/mL >1000 ng/mL >1000 ng/mL Not established >200 ng/mL
10-80 ng/mL
For narcotic stabilization: 300-1000 ng/mL For pain: 100-400 ng mL
70-500 ng/mL 10-100 ng/mL Variable by patient 10-100 ng/mL
>100 ng/mL >100 ng/mL
>34 ng/mL >3 ng/mL (naïve patients)
10-40 ng/mL 10-30 ng/mL
1-3 ng/mL (highly variable; depends on dose and route of administration)
1-5 days
Single use: 2-7 days (as ∆9-THC-COOH) Prolonged use: 1-2 months (as ∆9-THC-COOH)
Single use: 1 week Prolonged use: 2-4 weeks
Single use: 1-3 days Prolonged use: 4 days
Single use: 48 hours Prolonged use: 7-10 days
Single use: 24 hours
Single use: 48 hours Prolonged use: 7-10 days
0.5 ng/mL 100 pg/mL
15-100 ng/mL >2 ng/mL 50-200 ng/mL None detected None detected
25 ng/mL
300 ng/mL 150 ng/mL (as metabolite benzoylecgonine)
500 ng/mL 1000 ng/mL
300 ng/mL 500 ng/mL
500 ng/mL 1000 ng/mL
100 ng/mL >1000 ng/mL
None detected 100-500 ng/mL
>200 ng/mL 100-1000 ng/mL >500 ng/mL
20-30 ng/mL 20-30 ng/mL 10-50 ng/mL
*Based on common screening assays currently in use (2019) and CAP Proficiency Testing reporting (2009-2019) unless otherwise indicated. Confirmation results by Gas Chromatography-Mass Spectrometry (GC-MS) or Liquid Chromatography-Mass Spectrometry/Mass Spectrometry (LC-MS/MS) vary by laboratory.
12 $-3 t .-0 t XXX DMS POMJOF DPN
Stimulants
Hallucinogens
OPIATES
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