Failed prehire drug screen

Pur48Ted · Feb 25, 2008

MedicineMan said: ↑

Get the other sample tested. I don't think it is done automaticly.

Why didn't you already have the other sample tested? Is it because you know it will test positive too?

Like mentioned if this is a company that uses dac then it's on your dac gauranteed. I'm not real familiar with the guidlines as I don't much worry about this but like stated earlyer I believe they all go to DOT anyways so you either have to get the split sample tested and it comes back positive or it comes back negative. if it is positive you better start looking for another line of work.
yes, it is that serious
and you may want to change your user name, you don't seem that lucky to me
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http://www.fmcsa.dot.gov/rules-regulations/topics/drug/engtesting.htm

[FONT=Arial,Helvetica,sans serif] WHAT ABOUT DRUG TESTING? [/FONT]
The drug testing rules cover the same drivers as the alcohol testing rules. The types of tests required are: pre-employment; reasonable suspicion; post-accident; random; return-to-duty; and follow-up.

[FONT=Arial,Helvetica,sans serif] HOW IS DRUG TESTING DONE? [/FONT]
Drug testing is conducted by analyzing a driver's urine specimen. The analysis is performed at laboratories certified and monitored by the Department of Health and Human Services (DHHS). The list of DHHS approved laboratories is published monthly in the Federal Register. The driver provides a urine specimen in a location that affords privacy and the "collector" seals and labels the specimen, completes a chain of custody document, and prepares the specimen and accompanying paperwork for shipment to a drug-testing laboratory. The specimen collection procedures and chain of custody ensure that the specimen's security; proper identification and integrity are not compromised. The Omnibus Transportation Employee Testing Act of 1991 requires that drug testing procedures for commercial motor vehicle drivers include split specimen procedures. Each urine specimen is subdivided into two bottles labeled as a "primary" and a "split" specimen. Both bottles are sent to a laboratory. Only the primary specimen is opened and used for the urinalysis. The split specimen bottle remains sealed and is stored at the laboratory. If the analysis of the primary specimen confirms the presence of illegal, controlled substances, the driver has 72 hours to request the split specimen be sent to another DHHS-certified laboratory for analysis. This split specimen procedure essentially provides the driver with an opportunity for a "second opinion".

WHAT DRUGS ARE TESTED FOR?
All urine specimens are analyzed for the following drugs:

Marijuana (THC metabolite)

Cocaine

Amphetamines

Opiates (including heroin)

Phencyclidine (PCP)

The testing is a two-stage process. First, a screening test is performed. If it is positive for one or more of the drugs, then a confirmation test is performed for each identified drug using state-of-the-art gas chromatography/mass spectrometry (GC/MS) analysis. GC/MS confirmation ensures that over-the-counter medications or preparations are not reported as positive results.
WHO REVIEWS AND INTERPRETS THE LABORATORY RESULTS?
All drug test results are reviewed and interpreted by a physician (Medical Review Officer (MRO)) before they are reported to the employer. If the laboratory reports a positive result to the MRO, the MRO contacts the driver (in person or by telephone) and conducts an interview to determine if there is an alternative medical explanation for the drugs found in the driver's urine specimen. If the driver provides appropriate documentation and the MRO determines that it is legitimate medical use of the prohibited drug, the drug test result is reported as negative to the employer.

WHAT DRUG USE IS PROHIBITED?
The drug rules prohibit any unauthorized use of the controlled substances. Illicit use of drugs by safety-sensitive drivers is prohibited on or off duty. The FMCSA has some additional rules that prohibit the use of legally prescribed controlled substances (such as barbiturates, amphetamines, morphine, etc.) by safety-sensitive drivers involved in interstate commerce.

[FONT=Arial,Helvetica,sans serif] WHAT ARE THE CONSEQUENCES OF A POSITIVE DRUG TEST? [/FONT]
A driver must be removed from safety-sensitive duty if he/she has a positive drug test result. The removal cannot take place until the MRO has interviewed the driver and determined that the positive drug test resulted from the unauthorized use of a controlled substance. A driver cannot be returned to safety-sensitive duties until he/she has been evaluated by a substance abuse professional, has complied with recommended rehabilitation, and has a negative result on a return-to-duty drug test. Follow-up testing to monitor the driver's continued abstinence from drug use is also required.
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http://www.passyourdrugtest.com/false-positives.htm

Medications & Substances Causing False Positives

According to a report by the Los Angeles Times New Service, a study of 161 prescription and over the counter medications showed that 65 of them produced false positive results in the most widely administered urine test. Ronald Siegel, a psychopharmacologist at UCLA said 'The widespread testing and reliance on tell-tale traces of drugs in the urine is simply a panic reaction invoked because the normal techniques for controlling drug use haven't worked very well. The next epidemic will be testing abuse."

Byrd Labs has in its possession an internal document from the Syva Company, makers of the widely used EMIT test. This document, leaked by a disillusioned company employee, lists more than 250 over-the-counter medications and prescription drugs that can cause false positives.

Substances that cause False Positive Drug Test Results

THC - Substances or Conditions which can cause false positives
Dronabinol (Marinol)
Ibuprofen; (Advil, Nuprin, Motrin, Excedrin IB etc)
Ketoprofen (Orudis KT)
Kidney infection (Kidney disease, diabetes) Liver Disease
Naproxen (Aleve)
Promethazine (Phenergan, Promethegan)
Riboflavin (B2, Hempseed Oil)

Amphetamines - Substances or Conditions which can cause false positives
Ephedrine, pseudoephedrine, propylephedrine, phenylephrine, or desoxyephedrine
(Nyquil, Contact, Sudafed, Allerest, Tavist-D, Dimetapp, etc)
Phenegan-D, Robitussin Cold and Flu, Vicks Nyquil
Over-the-counter diet aids with phenylpropanolamine (Dexatrim, Accutrim)
Over-the-counter nasal sprays (Vicks inhaler, Afrin)
Asthma medications (Marax, Bronkaid tablets, Primatine Tablets)
Prescription medications (Amfepramone, Cathne, Etafediabe, Morazone,phendimetrazine, phenmetrazine, benzphetamine, fenfluramine, dexfenfluramine,dexdenfluramine,Redux, mephentermine, Mesocarb, methoxyphenamine, phentermine,amineptine, Pholedrine, hydroymethamphetamine, Dexedrine, amifepramone, clobenzorex,fenproyorex, mefenorex, fenelylline, Didrex, dextroamphetamine, methphenidate, Ritalin,pemoline, Cylert, selegiline, Deprenyl, Eldepryl, Famprofazone) Kidney infection, kidney disease, Liver disease, diabetes

Opiates - Substances or Conditions which can cause false positives
Poppy Seeds
Tylenol with codeine
Most prescription pain medications
Cough suppressants with Dextromethorphan (DXM)
Nyquil
Kidney infection, Kidney Disease
Diabetes, Liver Disease

Ecstacy - Substances or Conditions which can cause false positives
Ephedrine, pseudoephedrine, propylephedrine, phenylephrine, or desoxyephedrine
(Nyquil, Contact, Sudafed, Allerest, Tavist-D, Dimetapp, etc)
Phenegan-D, Robitussin Cold and Flu, Vicks Nyquil
Over-the-counter diet aids with phenylpropanolamine (Dexatrim, Accutrim)
Over-the-counter nasal sprays (Vicks inhaler, Afrin)
Asthma medications (Marax, Bronkaid tablets, Primatine Tablets)
Prescription medications (Amfepramone, Cathne, Etafediabe, Morazone,phendimetrazine, phenmetrazine, benzphetamine, fenfluramine, dexfenfluramine, dexdenfluramine,Redux, mephentermine, Mesocarb, methoxyphenamine, phentermine, amineptine, Pholedrine, hydroymethamphetamine, Dexedrine, amifepramone, clobenzorex, fenproyorex, mefenorex, fenelylline, Didrex, dextroamphetamine, methphenidate, Ritalin, pemoline, Cylert, selegiline, Deprenyl, Eldepryl, Famprofazone) Kidney infection, kidney disease
Liver disease, diabetes

Cocaine - Substances or Conditions which can cause false positives
Kidney infection (kidney disease)
Liver infection (liver disease)
Diabetes
Amoxicillin, tonic water

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Among the items reported as causing false positive test results are:
Pain relievers such as Advil, Nuprin, Motrin and menstrual cramp medications like Midol and Trendar. All drugs containing the widely used pain reliever Ibuprofen are known to cause positive samples for Marijuana. Non-steroidal anti inflammatories such as Naproxyn have cross reacted in blind tests. These are often prescribed for runners, sports injuries to joints, and those suffering from arthritis.

Syva labs has recently reworked its Cannabinoid test and claims to have eliminated this problem. But a Science magazine article (July 8, 1988 ) lists Ibuprofen as cross reactive. Under the new government guidelines THC testing levels will be reduced to 50 nanograms. Many more THC false positives can be expected in 1994.

Dristan Nasal Spray, Neosynephren, Vicks Nasal Spray, Sudafed, etc. and others containing ephedrine or pnenypropanolamine. Over the counter appetite suppressants which contain propanolamine. Most common nasal decongestants can cause a positive reading for Amphetamines. As the cross reactive list suggests at the back of this booklet, amphetamine false positives are the most common. Recent articles in the Journal of Clinical Chemistry ,Vol. 38 No.12 1992 and Vol. 39 No.3 1993 warn that medications containing chloropromazine, fluspirilene, and others may yield a positive when tested for amphetamines.

Vicks Formula 44M containing Dextromethorphan, and Primatene-M containing perylamine as well as the pain reliever Demerol, and prescription anti-depressant Elavil test positive for opiates up to three days. Even Quinine water can also cause a positive reading for opiates.

Poppy Seeds such as the ones on a bagel from your favorite deli, etc. The journal of Clinical Chemistry Vol.33 No.6, 1987 reports: "the quantities of poppy seed ingested in this study (25 and 40 g) may be expected to be contained in one or two servings of poppy seed cake. Therefore, poppy seeds represent a potentially serious source of falsely positive results in testing opiate abuse." Clinical Chemistry goes on to conclude: Not only is it difficult to distinguish heroin or morphine abuse from codeine, but dietary poppy seeds can give a strong positive result for urinary opiate of several days duration that is confirmed by GC/MS analysis".

Nyquil Nighttime Cold Medicine will test positive for Methadone up to two days.

Antibiotics. Certain newly developed antibiotics have cause positive samples urine tests. Ampicillin is suspect. Amoxicillin has caused positives for cocaine.

Diazepam tests positive for PCP as well as the ingredient in some cough medicines, Dextromethorophan.

Your own enzymes. A small fraction of the population excrete large amounts of certain enzymes in their urine which can produce a positive drug test. Dr. John Morgan of the Dept. of Pharmacology of New York City University writes: "A false positive test could occur in some individuals because they excrete unusually large amounts of endogenons lysozyme or malate dehydrogenase." Dr. Morgan judges that natural enzyme interference may run as high as 10% of positive samples.

Black Skin. This is not a joke! Those of African origin, certain Orientals, or pacific Islanders might test positive for marijuana. Dr. James Woodford, a toxicologist associated with Emory University labs hypothesized the pigment melanin which protects the skin from the sun, approximates the molecular structure of the THC metabolite to cross react on the marijuana urine test. Dark skinned Caucasians such as those from the subcontinent of India could also read positive on marijuana tests. The body eliminates some melanin in a dark person's urine sample.

Passive marijuana inhalation. If you attend a rock concert or ride in a car where marijuana is smoked nearby, even if you do not partake, the second hand marijuana that you might inhale may give your test a positive result for several days.
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truckin916 · Feb 25, 2008

MedicineMan said: ↑

I believe they all go to DOT anyways
Click to expand...

I didn't think about that. It's a DOT reportable event I believe. If that's the case you won't have to worry about your DAC because you'll probably lose your CDL for a year....at least that is how they do it in CA.

Pur48Ted · Feb 25, 2008

MedicineMan said: ↑

...and you may want to change your user name, you don't seem that lucky to me...
Click to expand...

And you're a real doctor?
talking about user-names....

bullhaulerswife · Feb 25, 2008

truckin916 said: ↑

I didn't think about that. It's a DOT reportable event I believe. If that's the case you won't have to worry about your DAC because you'll probably lose your CDL for a year....at least that is how they do it in CA.
Click to expand...

Well, if thats the case, then he definitely needs a lawyer. Because I'd fight this tooth and nail, if he has two consecutive negatives, and one was collected as a backup to the positive one, then its wrong for the DOT to remove someones license for a faulty result.

I can't believe that they can report, and remove without conclusive results from the spit specimen. Thats just wrong.

Pur48Ted · Feb 25, 2008

bullhaulerswife said: ↑

Well, if thats the case, then he definitely needs a lawyer. Because I'd fight this tooth and nail, if he has two consecutive negatives, and one was collected as a backup to the positive one, then its wrong for the DOT to remove someones license for a faulty result.

I can't believe that they can report, and remove without conclusive results from the spit specimen. Thats just wrong.
Click to expand...

If the second (split) specimen for the initial pre-hire test is negative, than the preceding test must also be counted as negative, because there is always a possibility of a false positive on the initial test, AND the purpose of the SECOND (out of the split-samples) is to RULE OUT a false positive.

MedicineMan · Feb 25, 2008

yup, if the second went negative he's good.

hey.. my name say nothing about doctor!

e-tee · Feb 25, 2008

Marijuana (THC metabolite)

Cocaine

Amphetamines

Opiates (including heroin)

Phencyclidine (PCP)

Does anyone know (for sure) if these are the only drugs tested for?

myminpins · Feb 25, 2008

IBUPROFEN can cause a false positive?!?!?!!! Wow, I'd never have thought that!!! It's my drug of choice for my headaches - but I'll definitely keep that in mind if Mike ever has to have another drug test (since it's around, he uses it, too, on the occasional times he has a headache).

Thanks for the info.

And, yes, you can definitely test positive if you are around someone who is smoking weed. If you inhale the smoke in the room, it gets into your system. You can get high and definitely will test positive for THC.

MedicineMan · Feb 25, 2008

it CAN cause a flase positive. not that it will. I take it by the handfull for my back. I'm almost always on some and never had a positive

myminpins · Feb 25, 2008

Thanks, MM. Good to know. I do, too, for headaches at times. Do be careful - it's very hard on the liver when taken in large quantities for long periods of time.

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