Drug Test


  A drug test is a technical analysis of a biological specimen - urine, hair, blood, sweat, or oral fluid / saliva - to determine the presence or absence of specified parent drugs or their metabolites.

Drug tests in the United States can be divided into two general groups, federal mandated and general workplace. Federal mandated drug testing started when President Ronald Reagan enacted via executive order, that federal workers refrain from using illegal substances. Subsequent federal legislation required drug testing within the executive branch of government as well as "safety sensitive" occupations within the trucking, mass transit, rail, airline, marine, and oil and gas pipeline sectors. Drug testing guidelines and processes, for federally mandated drug testing, are established and regulated (by the Substance Abuse and Mental Health Services Administration/ SAMHSA, formerly under the direction of the National Institute on Drug Abuse / NIDA. Referred to as the NIDA-5, or standard SAMHSA five panel test, the laboratory based urine test includes marijuana, opiates (codeine and heroin), amphetamine/methamphetamine, and PCP. Unfortunately, these test classes were established decades ago, with little major revision, and do not account for current drug usage patterns. For example, SAMHSA / DOT tests exclude semi-synthetic opioids, such as oxycodone, oxymorphone, hydrocodone, hydromorphone, etc., and other prescription pain medications widely abused in the United States.

While SAMHSA/NIDA guidelines only allow laboratories to report quantitative results for the "NIDA-5" on their official NIDA tests, many drug testing laboratories and on-site tests now offer a wider or "more appropriate" set of drug screens which may be more reflective of current drug use patterns. As noted above, these tests include semi-synthetic pain killers such as Oxycodone (Oxycontin, Percocet), Oxymorphone, Hydrocodone (Vicodin), Hydromorphone; benzodiazepines (Valium, Xanax, Klonopin, Restoril) and barbiturates.

Other drugs, such as meperidine (Demerol), fentanyl, propoxyphene, and methadone are not commonly tested for in most pre-employment situations, however, are being increasing included in random testing.

A confirmation test (usually GC/MS, or LC/MS/MS) can tell the difference between chemically similar drugs such as methamphetamine and methylenedioxymethamphetamine (MDMA or ecstasy).

Substance



Alcohol
Amphetamines (except meth)
Methamphetamine
MDMA (Ecstasy)
Barbiturates (except phenobarbital)
Phenobarbital
Benzodiazepines


Cannabis



Cocaine

Codeine

Cotinine (a break-down product of nicotine)
Morphine
Heroin
LSD


Methadone

PCP

Urine



6–24 hours
1 to 3 days

3 to 5 days
24 hrs
1 day

2 to 3 weeks
Therapeutic use: up to 7 days. Chronic use (over one year): 4 to 6 weeks
3 to 7 days, up to >30 days after heavy use and/or in users with high body fat

2 to 5 days with exceptions for certain kidney disorders
2 to 3 days

2 to 4 days

2 days
3 to 4 days
24 to 72 hours (however tests for LSD are very uncommon)

3 days

3 to 7 days for single use; up to 30 days in chronic users

Hair



up to 90 days
up to 90 days

up to 90 days
up to 90 days
up to 90 days

up to 90 days



up to 90 days



up to 90 days

up to 90 days

up to 90 days

up to 90 days
up to 90 days
up to 3 days


up to 97 days

up to 90 days

Blood/Oral



12-24 hrs
12 hrs

1-3 days
25 hrs
1-2 days

4-7 days
6-48 hrs


Up to 24 hrs



2-5 days



2-4 days

1-3 days
1-2 days
0-3 hrs


24 hrs

1-3 days

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