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Medications Sold in the United States That Can Cause Confirmed Positive

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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 Nonprescription Prescription Medications Medications (components or their metabolites) Amphetamines I–methamphetamine I–amphetamine and l-methamphetamine -amphetamine (Vicks Inhaler and Selegiline (Eldepryl and Ensam patch) is metabolized -methamphetamine generic equivalents) to l-methamphetamine and l-amphetamine l-amphetamine and d-amphetamine Adderall (approximately 3:1 mixture of d- to to l- amphetamine) d-amphetamine Dexedrine Paremyd ophthalmic (hydroxyampohetamine) is metabolized to d-amphetamine Procentra Vyvanase (lisdexamfetamine dimesylate) is metabolized to d-amphetamine d-amphetamine and d-methamphetamine Didrex (benzphetamine) is metabolized to d- methamphetamine and d-amphetamine Desoxyn contains d-methamphetamine. It is metabolized to d-amphetamine MDMA, MDA, MDEA None None Barbiturates -Butabarbital None Butisol -Butalbital None 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 Nonprescription Prescription Medications Medications Benzodiazepines -Alprazolam None Niravan Xanax -Chlordiazepoxide None Librax Librium Limbitrol -Clonazepam None Klonopin -Clorazepate None Tranxene -Diazepam None Diastat Valium -Estazolam None available as generic -Temazepam None Restoril Cocaine None 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. Marijuana None [Note: AK, CO, Dronabinol WA recently added.] 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. Methaqualone None None Medication Nonprescription Prescription Medications Medications Opioids: -Buprenorphine None Burprenex Butrans Suboxone Zubsolv -Codeine Several states allow Cheratussin with codeine over-the-counter Synalgos sales of codeine- Many drugs are sold in combination with codeine as containing cough stated in their names, e.g., Promethazine with medicines codeine, Tylenol with codeine etc. -Fentanyl None Abstral Actiq Duragesic Fentora Lazanda Onsolis Subsys Hydrocodone None Co-Gesic Hycet Hydromet Lorcet Lortab Norco Reprexain Rezira TussiCaps Tussigon Tussionex Vicodin Vicoprofen Zutripro Zydone -Hydromorphone None Dilaudid Exalgo Hydromorphone can also be produced by large amounts of morphine through a minor metabolic pathway -Meperidine None Demerol Medication Nonprescription Prescription Medications Medications Methadone None Dolophine Methadose -Morphine Donnagel-PG Apokyn Infantol Pink Astramorph Kaodene with Avinza paregoric Brompton’s Cocktail (see “Cocaine” above) Quiagel PG DepoDur Duramorph Embeda Infumorph Kadian MS Contin -Oxycodone None Endocet Endodan Oxecta Oxycontin Percocet Percodan Roxicet Roxicodone Roxilox Tylox -Oxymorphone None Opana -Propoxyphene None 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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