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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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