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Home , Anesthetic, Butabarbital, Desmethylcitalopram, Desmethylsertraline, Kavain, Local anesthetic

Category Reference

State Toxicology Laboratory, Washington State Patrol Drug Trade Names DRE Category Pharmacological Category Notes from the Lab 6-acetylmorphine Narcotic Narcotic Analgesic metabolite 7-aminoclonazepam Clonopin®, Klonopin® CNS metab. May not be quantified 7-aminoflunitrazepam Rohypnol® CNS Depressant Benzodiazepine

9-hydroxyrisperidone Risperidal® CNS Depressant (metabolite of) Anti-psychotic Not detected by routine drug screen Acetaminophen Narcotic Analgesic (mild) Analgesic Generally not impairing Inhalant Diabetics & users who do not eat can be positive Xanaz® CNS Depressant Benzodiazepine Amitripyline Elavil®, Endep® CNS Depressant Adderall®; Dexedrine® CNS Stimulant Stimulant Used to treat ADHD, met. Of methamp Antipyrene Narcotic Analgesic Analgesic Generally not impairing Abilify® CNS Depressant Anti-psychotic Not detected by routine drug screen Strattera® CNS Stimulant (mild) Treatment of ADHD Mild stimulant compared to other ADHD Benzoylecgonine CNS Stimulant metabolite Benzphetamine Didrex® CNS Stimulant Stimulant Used to treat obesity; metabolizes to Dimetane® CNS Depressant Marcaine® Local Local Anaesthetic Generally not impairing Buprenex®, Subutex® Narcotic Analgesic Narcotic Analgesic Wellbutrin®, Zyban® CNS Depressant Anti-depressant Generally not impairing BuSpar® CNS Depressant Butisol® CNS Depressant Sandoptal® CNS Depressant Barbiturate Caffeine CNS Stimulant (mild) Mild stimulant Generally not impairing; Lab does not routinely report Tegretol® CNS Depressant Anti-convulsant; psychiatric med adjunct Carboxy-THC Cannabis Marijuana metabolite Soma® CNS Depressant Metabolizes to Cathinone khat, qat CNS Stimulant Stimulant 1/3 potency of amphetamine Cetirizine Zyrtec® Antihistamine Non-sedating; generally non-impairing Librium® CNS Depressant Benzodiazepine Metabolizes to nordiazepam Chlorpheniramine chlortrimaton CNS Depressant Antihistamine Thorazine® CNS Depressant Anti-psychotic Cimetidine Tagamet® CNS Depressant Antihistamine

DRE Ref For further information, call 206 262 6100 Issued 03/19/09 Drug Category Reference

State Toxicology Laboratory, Washington State Patrol Drug Trade Names DRE Category Pharmacological Category Notes from the Lab Celexa®, Lexapro® CNS Depressant SSRI Mild CNS Depressant, generally not impairing Anafranil® CNS Depressant Clonazepam Clonopin®, Klonopin® CNS Depressant Benzodiazepine Clonidine Catapres® CNS Depressant (mild) Anti-hypertensive Chlorazepate Tranxene® CNS Depressant Benzodiazepine Metabolizes to nordiazepam Clozaril®, Leponex® CNS Depressant Anti-psychotic Used to treat severe schizophrenia CNS Stimulant Stimulant Metabolite of combined use of Cocaine & Ethanol Cocaine CNS Stimulant Stimulant Narcotic Analgesic Narcotic Analgesic Cotinine Metabolite of Nicotine; Lab does not routinely report Flexeril®, Lisseril® CNS Depressant Tricyclic Antidepressant Used for short term treatment of back Desalkylflurazepam CNS Depressant Benzodiazepine Metabolite of Norpramin®, Pertograne® CNS Depressant Tricyclic Antidepressant Also a met of CNS Depressant SSRI Metabolite of Citalopram Desmethyclomipramine CNS Depressant Tricyclic Antidepressant Metabolite of Clomipramine Desmethyldoxepin CNS Depressant Tricyclic Antidepressant Metabolite of CNS Depressant SSRI Metabolite of Desmethyltramdol Narcotic Analgesic Narcotic Analgesic Metabolite of many cold and cough meds 125 Can cause hallucinations, psychosis in high doses Valium® CNS Depressant Benzodiazepine Metabolizes to nordiazepam Difluroethane Dust off® Inhalant Cardizem®, Tiazac® Calcium Benadryl® CNS Depressant Antihistamine Doxepin Adaoin ®, Sinequan®, Zonalon® CNS Depressant Tricyclic Antidepressant Bendectin®, Unisom®, other cold CNS Depressant Antihistamine Ecgoninemethylester CNS Stimulant Stimulant Cocaine metabolite; Lab does not routinely report EDDP- Narcotic Analgesic Narcotic Analgesic Methadone metabolite; Lab does not routinely report Ephedrine Primatene® CNS Stimulant Sympathomimetic amine No longer available commercially Ethanol CNS Depressant Duragesic®, Sublimaze® Narcotic Analgesic Narcotic Analgesic Patch, often chewed, extracted and inj. Rohypnol® CNS Depressant Benzodiazepine Prozac® CNS Depressant SSRI Generally not impairing

DRE Ref For further information, call 206 262 6100 Issued 03/19/09 Drug Category Reference

State Toxicology Laboratory, Washington State Patrol Drug Trade Names DRE Category Pharmacological Category Notes from the Lab Flurazepam Dalmane® CNS Depressant Benzodiazepine Luvox® CNS Depressant SSRI Generally not impairing Neurontin® CNS Depressant Anti-convulsant Commonly used for pain, restless leg syndrome GHB Xyrem® CNS Depressant Anesthetic & Illegally made, Used to treat narcolepsy Guaifenison CNS Depressant Cough medicine & vetinary muscle relaxant Also a metaboolite of methocarbamol Haldol® CNS Depressant Vicodin®, Lortab® Narcotic Analgesic Narcotic Analgesic metabolizes to Hydromorphone Dilaudid® Narcotic Analgesic Narcotic Analgesic Atarax®, Visteril® CNS Depressant Antihistamine Used as an adjuct to pain meds Advil®, Mortin®, Nuprin® Narcotic Analgesic Analgesic Generally not impairing Imipramine Tofranil® CNS Depressant Tricyclic Antidepressant Metabolizes to desipramine , kawain CNS Stimulant Root of South Asia pepper plant Ketalar® Anesthetic Anesthetic Special K Lamotrigene Lamictal® CNS Depressant Anti-epileptic Treats psychiatric disorders, Keppra® CNS Depressant Anti-epileptic Treats psychiatric disorders, chronic pain Dromoran® Narcotic Analgesic Narcotic Analgesic Xylocain® Local Anaesthetic Treats local wounds, arrythmia CNS Depressant Metal Treatment of mania and severe depression Ativan® CNS Depressant Benzodiazepine Needs special test Daxoline®, Loxitane® CNS Depressant Tricyclic Antidepressant LSD Hallucinogen Currently not detected at WSTL, if suspected collect urine MDA Hallucinogen (Stimulant) Sympathomimetic amine Metabolite of MDMA MDMA Ectasy, "Adam" Hallucinogen (Stimulant) Sympathomimetic amine Stimulant & Hallucinogen Dramamine® CNS Depressant Antihistamine Meperidine Demerol® Narcotic Analgesic Narcotic Analgesic Meprobamate Equinil®, Miltown® CNS Depressant CNS Depressant Also a metabolite of Carisoprodol Mesoridazine CNS Depressant Anti-psychotic Metaxalone Skelaxin® CNS Depressant Muscle relaxant Methadone Methadose® Narcotic Analgesic Narcotic Analgesic Used to tx narcotic addiction and chronic pain Methamphetamine (®) CNS Stimulant Sympathomimetic amine Treats ADHD, Parkinson's (L-isomer) Quaalude® CNS Depressant & Hypnotic CNS Depressant Methocarbamol Robaxin® CNS Depressant Sedative & Hypnotic Muscle relaxant, sedative

DRE Ref For further information, call 206 262 6100 Issued 03/19/09 Drug Category Reference

State Toxicology Laboratory, Washington State Patrol Drug Trade Names DRE Category Pharmacological Category Notes from the Lab Ritalin® CNS Stimulant Phenethylamine Derivative Used to treat ADHD Metoclopramide Reglan® CNS Depressant Treatment of Reflux Versed® CNS Depressant Benzodiazepine Often used by EMT at scene Mirtazepine Remeron® CNS Depressant Anti-depressant Often used by EMT at scene Narcotic Analgesic Narcotic Analgesic Can be metabolite resulting from heroin or codeine use Aleve®0000 Narcotic Analgesic Analgesic Generally not impairing N-desalkylflurazepam Dalmane® CNS Depressant Benzodiazepine Metabolite of Flurazepam N-desmethytramadol Narcotic Analgesic Narcotic Analgesic Metabolite of Tramadol Serzone® CNS Depressant Anti-depressant CNS Depressant Nordiazapem CNS Depressant Benzodiazepine Genrally is metabolite of other benzos Norfluoxetine CNS Depressant SSRI Metabolite of Fluoxetine Normeperidine Narcotic Analgesic Narcotic Analgesic Metabolite of Meperidine Norpropoxphene Narcotic Analgesic Narcotic Analgesic Metabolite of Propoxyphene Norsertraline CNS Depressant SSRI Metabolite of Sertraline CNS Depressant Tricyclic Antidepressant Also metabolite of amitryptiline Norvenlafaxine CNS Depressant SSRI Metabolite of CNS Depressant Anti-anginal Generally not impairing by itself-heart med O-desmethyltramadol Narcotic Analgesic Narcotic Analgesic Metabolite of Tramadol O-desmethylvenlafaxine CNS Depressant Metabolite of Venlafaxine Zyprexa® CNS Depressant Anti-psychotic Serax® CNS Depressant Benzodiazepine Also metabolite of other benzos Trileptal® CNS Depressant Anti-convulsant Treats psychiatric disorders, chronic pain Oxycontin®, Percoset®, Percoda Narcotic Analgesic Narcotic Analgesic Narcotic Analgesic Narcotic Analgesic Also metabolite of oxycodone Papa+A155verine Cerebid®, Pavabid® relaxant Also contaminant of Paxil® CNS Depressant SSRI Generally not impairing Vetinary tranquilizer Dissociative Anesthetic Anesthetic Phendimetrazine Bontril® CNS Stimulant Luminol® CNS Depressant Barbiturate Phentermine Adipex® CNS Stimulant Sympathomimetic amine Anorectic Dilantin® CNS Depressant Anti-convulsant Treats psychiatric disorders, chronic pain Mysoline® CNS Depressant Barbiturate

DRE Ref For further information, call 206 262 6100 Issued 03/19/09 Drug Category Reference

State Toxicology Laboratory, Washington State Patrol Drug Trade Names DRE Category Pharmacological Category Notes from the Lab Phergan CNS Depressant Phenothiazine Antihistminic & Propoxyphene Darvon® Narcotic Analgesic Narcotic Analgesic Beta-blocker CNS Depressant Antihypertensive Pseudo/ephedrine Sudafed® Cold CNS Stimulant Sympathomimetic amine Typiclaly this is pseudoepohedirne; lab does not distinguish Psilocybin Mushrooms Hallucinogen Hallucinogen If suspected, collect urine Seroquil® CNS Depressant Neuroleptic Treatment of psychosis Risperidal® CNS Depressant Anti-psychotic Treatment of psychosis Seconal® CNS Depressant Barbiturate Sertraline Zoloft® CNS Depressant SSRI Generally not impairing Ultane® CNS Depressant Anesthetic Restoril® CNS Depressant Benzodiazepine THC Cannabis active componen of marijuana Theophylline Bronchodialator Treats asthma CNS Depressant Phenothiazine Anti-psychotic Paints & Glue Sniffing Inhalant Topamax CNS Depressant Anti-convulsant Treats migraines, psychiatric disorders, chronic pain Tramadol Ultram Narcotic Analgesic Narcotic Analgesic Trazadone Desyrel® CNS Depressant Anti-depressant Halcion® CNS Depressant Benzodiazepine Trimethoprim Used to treat urinary traact Valproic Acid Depakote®, Depakene® CNS Depressant Anti-convulsant Tx: psychiatric disorders, chronic pain Venlafaxine Effexor® CNS Depressant SSNRI Generally not impairing Anti-angina , - arrythmic CNS Depressant Generally not impairing-heart med Sonata® CNS Depressant Sleeping pill Geodon® CNS Depressant Anti-psychotic Treatment of psychosis Ambien® CNS Depressant Sleeping pill Imovane® CNS Depressant Sleeping pill Excegran® CNS Depressant Anti-convulsant Treats psychiatric disorders, chronic pain

DRE Ref For further information, call 206 262 6100 Issued 03/19/09