Medications Sold in the United States that Can Cause Confirmed Positive ...

Medications Sold in the United States that Can Cause Confirmed Positive Drug Test Results

Medication

Amphetamines -amphetamine -methamphetamine

Nonprescription Medications

I?methamphetamine (Vicks Inhaler and generic equivalents)

Prescription Medications

(components or their metabolites) I?amphetamine and l-methamphetamine

Selegiline (Eldepryl and Ensam patch) is metabolized to l-methamphetamine and l-amphetamine

l-amphetamine and d-amphetamine

Adderall (approximately 3:1 mixture of d- to to lamphetamine)

d-amphetamine Dexedrine Paremyd ophthalmic (hydroxyampohetamine) is metabolized to d-amphetamine Procentra Vyvanase (lisdexamfetamine dimesylate) is metabolized to d-amphetamine

MDMA, MDA, MDEA

Barbiturates -Butabarbital -Butalbital

None

None None

d-amphetamine and d-methamphetamine Didrex (benzphetamine) is metabolized to dmethamphetamine and d-amphetamine Desoxyn contains d-methamphetamine. It is metabolized to d-amphetamine

None

Butisol Ascomp with codeine Esgic and Esgic-Plus Fioricet Fiorinal Phrenilin Zebutal

-Pentobarbital

None

Nembutal

-Phenobarbital

None

Bellergal-S Donnatal Hysophen Mysoline (Primidone) is metabolized to phenobarbital

Medication

Benzodiazepines -Alprazolam

Nonprescription Medications

None

-Chlordiazepoxide None

-Clonazepam -Clorazepate -Diazepam

-Estazolam -Temazepam Cocaine

None None None

None None None

Marijuana

None [Note: AK, CO, WA recently added.]

Methaqualone

None

Prescription Medications

Niravan Xanax

Librax Librium Limbitrol

Klonopin

Tranxene

Diastat Valium

available as generic

Restoril

Cocaine hydrochloride, solution or viscous, used as a vasoconstrictive anesthetic, e.g., in otolaryngology, ophthalmology, and dentistry.

TAC (tetracaine, adrenaline, and cocaine mixture). Used in some emergency rooms as a topical anesthetic, e.g., before suturing.

Brompton's Cocktail (contains an opiate - usually morphine ? and cocaine and/or a phenothiazine); used in past years, rarely now, for pain control of the terminally ill.

Dronabinol Marinol

Marijuana More than 20 states and the District of Columbia allow use of marijuana for certain medical conditions under a physician's direction. These laws do not supersede DOT's position that marijuana is not an acceptable medical explanation for a positive result.

None

Medication Opioids:

-Buprenorphine -Codeine -Fentanyl

Hydrocodone

-Hydromorphone -Meperidine

Nonprescription Medications

Prescription Medications

None

Burprenex Butrans Suboxone Zubsolv

Several states allow over-the-counter sales of codeinecontaining cough medicines

None

Cheratussin with codeine Synalgos Many drugs are sold in combination with codeine as

stated in their names, e.g., Promethazine with codeine, Tylenol with codeine etc.

Abstral Actiq Duragesic Fentora Lazanda Onsolis Subsys

None

Co-Gesic Hycet Hydromet Lorcet Lortab Norco Reprexain Rezira TussiCaps Tussigon Tussionex Vicodin Vicoprofen Zutripro Zydone

None

Dilaudid

Exalgo

Hydromorphone can also be produced by large amounts of morphine through a minor metabolic pathway

None

Demerol

Medication Methadone -Morphine

-Oxycodone

-Oxymorphone -Propoxyphene

Nonprescription Medications

None Donnagel-PG Infantol Pink Kaodene with

paregoric Quiagel PG

None

None None

Prescription Medications

Dolophine Methadose

Apokyn Astramorph Avinza Brompton's Cocktail (see "Cocaine" above) DepoDur Duramorph Embeda Infumorph Kadian MS Contin

Endocet Endodan Oxecta Oxycontin Percocet Percodan Roxicet Roxicodone Roxilox Tylox

Opana

Propoxyphene-containing medications were removed from the U.S. market in November 2010

Robert B. Swotinsky. The Medical Review Officer's Manual, 5th Edition, 2015, Exhibit 11-3, pp 151-152. With permission from MROCC.

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