Understand drug testing

1. What does a drug of abuse test do?”

Answer

It provides preliminary results for the detection of one or more of the drugs at the cut-off level:

 Abbreviation Test Abbreviation  Test
 AMP Amphetamine  MDMA  Ecstasy
 BAR Barbiturates  THC  Marijuana
 BZO Benzodiazepines  TCA  Tricyclics
 COC Cocaine  PCP  Phencyclidine
 MET or mAMP
Methamphetamine  MTD  Methadone
 MOR Morphine  OPI  Opiates
 OXY Oxyconone  PPX Propoxyphene
 BUP Buprenorphine    

2.  What is a cut-off level?

Answer

The cut-off level is the specified concentration of a drug in a urine sample. Above that concentration the test is called non negative, and below that concentration it is called negative.
3.  What are drugs of abuse?

Answer

Examples of drugs of abuse include marijuana, cocaine, opiates, heroin, amphetamines, Ecstasy or MDMA, and phencyclidine. Prescription drugs, such as morphine, codeine, oxycodone or other painkillers, also may be abused.
4.  Common Street Names for Drugs

Answer

Content to be toggled.

Drug Street Name
Amphetamines Speed, Amp, Bennie, Chalk, Black beauties
Cocaine Big C, Coke, Snow, Flake, Candy, Crack, Blow, Rock
Methamphetamines Crystal, Meth, Ice, Glass
MDMA Ecstasy, E, Adam, XTC, X
Opiates Heroin, H, Hairy hombre, horse, Jones, Scag
Marijuana (THC) Pot, Weed, Herb, Bud, MJ, Doobie, Reefer, Grass joint, Homegrown, Spliff
Phencyclidine Angel dust, hog, Killer weed.

5.  How long can the drugs be detected in urine?

Answer

The following are guidelines only. The times can vary significantly from these estimates depending on how long the person has been taking the drug, amount of drug they use, or the person’s metabolism.

Drug Detection Times
Minimum Maximum
Amphetamines/ Methamphetamines (Speed/Uppers) 4-6 hours 2-3 days
Cocaine (Crack) 2-6 hours 2-3 days
Heroin (Opiates) 2-6 hours 1-3 days
Marijuana (Pot) 1-3 hours 1-30 days
Phencyclidine (Angel Dust/PCP) 4-6 hours 7-14 days

6.  How accurate is the test?

Answer

The test is sensitive to the presence of drugs in the urine. This means that if drugs are present, you will usually get a preliminary non negative result. If you get a preliminary non negative result, you should send the urine sample to our laboratory for a second, more accurate test.

It is very important to send the urine sample to the lab, because the drug of abuse urine screening may give a non negative result when no drugs are actually present. Certain foods, food supplements, beverages, diet pills, or over-the-counter medicines can cause a reaction with the tests. Laboratories use a very reliable test, with very few errors, to determine whether or not your sample contains drugs.

Many things can affect the accuracy of this test, including but not limited to:

  • The way you did the test
  • The way you stored the test or urine
  • Any prescription or over-the-counter drugs the person may have taken before the test


55 consumers participated in a field study. The results of the study are summarized below. All 14 incorrect results are at drug concentrations at 50% ~ 150% of the cutoffs.

Drug Cutoff Conc. (ng/ml) # Test Result Interpretation
Correct Incorrect
 AMP 1000 220 217 3
 BAR 200 220 219 1
 BZD 300 220 217 3
 COC 300 220 219 1
 MET or mAMP 1000 220 219 1
 MOR 2000 220 217 3
 MTD 300 220 220 0
 PCP 25 220 220 0
 THC 50 220 219 1
 TCA 1000 220 219 1
 MDMA 500 220 220 0

7.  If the test results are negative, can you be sure that the person did not take drugs?

Answer

No; there are several factors that can make the test results negative even though the person is using drugs. Because you may have tested for the wrong drugs. You may not have tested the urine when it contained drugs. It takes time for drugs to appear in the urine after a person takes them, and they do not stay in the urine indefinitely; you may have gotten the urine too soon or too late.

  • The person knowingly added something to the urine to prevent it from reacting with the test chemicals.
  • The chemicals in the test went bad because they were stored incorrectly or they passed their expiration date.
  • If you get a negative result, but still suspect drug abuse, you can test again at a later time.
  • You should also consider testing other types of drugs.
  • Talk to our experts if you need more help deciding what steps to take next.

8.  What is false positive result?

Answer

A false positive result is a screening test read positive when the drug or drug metabolite is not present or its concentration is less than the cutoff level.
9.  What does Non Negative mean?

Answer

The Multi-Drug Urine Test is a screening test. It is the first step in a two-step process. Screening tests are not as accurate as laboratory test. It is possible to get a non negative result when the person did not take drugs. For example, some medicines and food may cause the screening tests to incorrectly read as a non negative. Although this is rare, things such as diet pills, inhalers and cough syrup can cause a false positive result. Consult with our experts to better understand how medications may interfere with this test.
10.  Does a non negative screen test mean that you have found drugs of abuse?

Answer

No. Wait until you get the laboratory’s result. Remember that many factors may cause a false positive result in the home test. It is important to send any sample giving non negative results to the laboratory for further evaluation.
11.  What if the lab test confirms a positive result?

Answer

The lab uses very accurate and reliable equipment to run the tests. If the lab reports a positive result, it means the drug was present in the urine sample. But do not assume the urine sample came from a drug abuser.

Consider all amphetamine results carefully, even those from the lab. Some over-the-counter medications contain amphetamines that cannot be distinguished from illegally abused amphetamines.

If you received a positive result and you do not believe the test, consult your doctor. They have your medical history and they can provide you with detailed information.
If a positive result was confirmed, you can consult our office to identify an MRO, Medical Review Officer who will help you.