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Center for Genetics at Saint Francis Clinical Mass Spectrometry Laboratory Laboratory Director: Michael A. Kayser, DO, FACMG 6465 South Yale Ave, Tulsa, OK 74136 Phone: 918-502-2290 Fax: 918-502-2292 CLINICAL URINE DRUG MONITORING The detection time of a drug in urine is dependent on many factors including dose, test sensitivity, route of administration, inter-individual variations in metabolic and renal clearance, chronic or acute use, and urine pH, among other factors. Drug detection time data is limited and is derived primarily from volunteers or persons at treatment facilities for listed agents that are not marketed as prescription drugs. Ethical considerations generally preclude the evaluation of these agents in healthy subjects. DRUG DETECTION* BARBITURATES Amobarbital 4 days Butalbital 7 days Pentobarbital 4 days Phenobarbital 30 days Secobarbital BENZODIAZEPINES Alprazolam Clonazepam Diazepam Flurazepam Lorazepam Midazolam Oxazepam Temazepam Triazolam CANNABINOIDS Dronabinol 4 days Marijuana 5 days 5 days 30 days 2 days 5 days SYNONYMS Amytal® Butalbital, Acetaminophen, and Caffeine: Alagesic LQ; Alagesic [DSC]; Anolor 300; Dolgic® Plus; Esgic-Plus™; Esgic®; Fioricet®; Margesic; Orbivan™; Repan®; Zebutal® Butalbital, Acetaminophen, Caffeine, and Codeine: Fioricet® with Codeine Butalbital and Acetaminophen: Bupap; Cephadyn; Phrenilin®; Phrenilin® Forte; Promacet; Sedapap® Butalbital, Aspirin, and Caffeine: Fiorinal® Butalbital, Aspirin, Caffeine, and Codeine: Ascomp® with Codeine; Fiorinal® with Codeine Nembutal® Phenobarbital: Luminal® Sodium [DSC] Hyoscyamine, Atropine, Scopolamine, and Phenobarbital: Donnatal Extentabs®; Donnatal®; Hyonatol Seconal® 5 days 5 days 2 days Alprazolam Intensol™; Niravam™; Xanax XR®; Xanax® KlonoPIN® Diastat®; Diastat® AcuDial™; Diazepam Intensol™; Valium® Apo-Flurazepam®; Dalmane®; Som Pam Ativan®; Lorazepam Intensol™ Versed [DSC] Serax [DSC] Restoril™ Halcion® 30 days Dronabinol: Marinol® 30 days Slang terms: Bhang; Charas; Dagga; Ganja; Grass; Hashish; Kif; Majun; Mary Jane; Pot; Weed; Hasach; Hemp; Honey Oil; Indian Cannabis; Indian Hemp; Reefer; THC COCAINE Cocaine, Cocaine Viscous Cocaine and metabolite 5 days Slang terms: Baseball; Crack; Rock; Free-base; Speedball (cocaine and heroin); Coke; Snow; Gold dust; Bernice; Lady; Nose-candy; Champagne; Dama Blanca; Rich man’s drug; Batman; Birdie powder; Blast; Blow; Boy; Brick; Bubble gum; Bump; Bush; Cadillac; Caine; California cornflakes; Everclear; Florida snow; Foo foo stuff; Foolish powder; Freeze; Ice; Number 3; Press; Racehorse Charlie; Rane; Ready rock; Roxanne Rush; Teeth; Wings; Witch OPIATES/OPIOIDS Buprenorphine 7 days Codeine 6 days Fentanyl 3 days Buprenorphine: Buprenex®; Butrans™; Subutex® Buprenorphine and Naloxone: Suboxone® Codeine: Codeine Contin® Codeine and Acetaminophen: Capital® and Codeine; Tylenol® with Codeine No. 3; Tylenol® with Codeine No. 4 Codeine, Acetaminophen, and Doxylamine: Mersyndol® With Codeine Butalbital, Acetaminophen, Caffeine, and Codeine: Fioricet® with Codeine Butalbital, Aspirin, Caffeine, and Codeine: Ascomp® with Codeine; Fiorinal® with Codeine Carisoprodol, Aspirin, and Codeine Chlorpheniramine, Pseudoephedrine, and Codeine: Phenylhistine DH Guaifenesin and Codeine: Allfen CD; Allfen CDX; Dex-Tuss; ExeClear-C; Gani-Tuss® NR; Guaiatussin AC; Mar-Cof® CG; Robafen AC; Tusso-C Guaifenesin, Pseudoephedrine, and Codeine: Mytussin® DAC Promethazine and Codeine Promethazine, Phenylephrine, and Codeine Pseudoephedrine and Codeine: EndaCof-DC; Notuss®-DC Triprolidine, Pseudoephedrine, and Codeine: CoActifed®; Covan®; ratio-Cotridin Abstral®; Actiq®; Duragesic®; Fentora®; Onsolis™ * Times listed are upper limit of detection time intervals reported in toxicology and laboratory detection review references. Times are approximate and are dependent on many factors. DRUG DETECTION* Hydrocodone 3 days Hydromorphone Meperidine Methadone 4 days 3 days 7 days Morphine 4 days Oxycodone 3 days Oxymorphone OPIOID ANTAGONISTS 3 days SYNONYMS Hydrocodone and Acetaminophen: hycet®; Lorcet® 10/650; Lorcet® Plus; Lortab®; Margesic® H; Maxidone®; Norco®; Stagesic™; Vicodin®; Vicodin® ES; Vicodin® HP; Xodol® 10/300; Xodol® 5/300; Xodol® 7.5/300; Zamicet™; Zolvit™; Zydone® Hydrocodone and Chlorpheniramine: TussiCaps®; Tussionex® Hydrocodone and Homatropine: Hycodan® [DSC]; Hydromet®; Tussigon® Hydrocodone and Ibuprofen: Ibudone™; Reprexain™; Vicoprofen® Hydrocodone, Chlorpheniramine, and Pseudoephedrine: Zutripro™ Dilaudid-HP®; Dilaudid®; Exalgo™ Demerol® Dolophine®; Methadone Diskets®; Methadone Intensol™; Methadose® Morphine: Astramorph®/PF; AVINza®; Duramorph; Infumorph 200; Infumorph 500; Kadian®; MS Contin®; Oramorph® SR; DepoDur®; Roxanol Morphine and Naltrexone: Embeda™ Oxycodone: OxyCONTIN®; Roxicodone® Oxycodone and Acetaminophen: Endocet®; Percocet®; Primlev™; Roxicet™; Roxicet™ 5/500; Tylox® Oxycodone and Aspirin: Endodan®; Percodan® Oxycodone and Ibuprofen Opana®; Opana® ER Naloxone: Narcan Buprenorphine and Naloxone: Suboxone® Naltrexone: ReVia®; Vivitrol® Naltrexone and Morphine: Embeda™ Naloxone Naltrexone STIMULANTS Amphetamine 10 days Methamphetamine 10 days Amphetamine and Dextroamphetamine: Adderall® [DSC], Adderall® XR Dextroamphetamine: Dexedrine® Spansule®; ProCentra® Desoxyn® Slang terms: Amp; Chalk; Crank; Crystal; Crystal meth; Glass; Ice; Meth; Speed; Tweak Concerta®; Daytrana®; Metadate CD®; Metadate® ER; Methylin®; Methylin® ER; Ritalin LA®; Ritalin-SR®; Ritalin® Methylphenidate Slang terms: Kiddie cocaine; R ball; Skippy; Vitamin R Phentermine Pseudoephedrine OTHER Carisoprodol Diacetylmorphine (Heroin) Adipex-P® 5 days Soma® 4 days Diphenhydramine Ketamine 2 days Lysergic Acid Diethylamide (LSD) and metabolite 5 days Slang terms: Black glass; Black tar; Boy; Brown sugar; China white; Chiva; Chocolate; Diacetylmorphine; Diamorphine; H; Harry; Harry Jones; Horse; Junk; Mexican brown; Mexican horse; Mexican tar; Persian brown; Scag; Skag; Smack; Tar Aler-Cap; Aler-Dryl; Aler-Tab; AllerMax®; Altaryl; Anti-Hist; Banophen™; Benadryl® Allergy Quick Dissolve; Benadryl® Allergy; Benadryl® Children's Allergy FastMelt®; Benadryl® Children's Allergy Perfect Measure™; Benadryl® Children's Allergy; Benadryl® Children's Dye Free Allergy; Benadryl® Dye-Free Allergy; Compoz®; Diphen; Diphenhist®; Histaprin; Nytol® Quick Caps; Nytol® Quick Gels; PediaCare® Children's Allergy; PediaCare® Children's NightTime Cough; Siladryl Allergy; Silphen; Simply Sleep®; Sleep-ettes D; Sleep-Tabs; Sleepinal®; Sominex® Maximum Strength; Sominex®; Theraflu® Thin Strips® Multi Symptom; Triaminic Thin Strips® Children's Cough & Runny Nose; Twilite®; Unisom® SleepGels® Maximum Strength; Unisom® SleepMelts™ Ketalar® Slang terms: Acid; Beast; Ben; Blotter; Brain Buster; California Sunshine; Cubes; Face Melter; Ghost; Hawk; Heavenly Blue; Microdot; Orange Wedges; Paper Acid; Pearly Gates; Pink Drops; Purple Haze; Purple Wedges; Royal Blue; Sunshine; Wedding Bells; White Lightning; Window Pane 3,4-Methylenedioxy-N-Ethylamphetamine (Ecstasy-like) 3,4 MDEA MDE Methylenedioxyethamphetamine (MDEA) Slang terms: Eve; Madness Methylenedioxyamphetamine (MDA) Methylenedioxymethamphetamine (MDMA) Phenylcyclidine (PCP) 2 days 2 days 4 weeks 3,4-methylenedioxyamphetamine (Ecstasy-like) Slang terms: Eve; Madness Methylenedioxymethamphetamine 3,4-methylenedioxymethamphetamine MDM Slang terms: Ecstasy; Stacking (3 or more MDMA tablets in combination); Madness; Lick 'em (MDMA powder suspended in jello); Weasel Dust Slang terms: Angel Dust; Crystal Joint; Cyclones; DOA; Dust; Elephant Tranquilizer; Goon; Green (PCP-impregnated parsley); Hog; Horse Franks; Kay Jay; KJ; Mist; Peace Pill; Rocket Fuel; Scuffle; Sherms (tobacco laced with PCP); Snorts; Soma; Space Basing (PCP + Cocaine (Crack)); Super Grass; Super Weed; Surfer; T * Times listed are upper limit of detection time intervals reported in toxicology and laboratory detection review references. Times are approximate and are dependent on many factors.