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Q: drug testing methamphetamines ( Answered 4 out of 5 stars,   1 Comment )
Subject: drug testing methamphetamines
Category: Miscellaneous
Asked by: dale08-ga
List Price: $20.00
Posted: 19 Feb 2005 10:44 PST
Expires: 21 Mar 2005 10:44 PST
Question ID: 477142
I turned in a huge tampering with adderall at work and it was 100% not
even associated with me.
 I even requested a mandatory drug screen.  To my shock my urine sample
came back positive for methamphetamines and I do not do any of this of
any kind. I have been taking Provigil and have taken some cold
medicine and the day before I had a allergic reaction to a nut and had
to use my epi pen, benadryl, and predisone  and my inhaler as part of
treatment for this.  I am also on herbal life vitamins.  Does anyone
know why this could of came back positive.  I am a nurse and could
lose my license.  I have only a few days to prove this can any one
Does anyone know why this could happen?
Subject: Re: drug testing methamphetamines
Answered By: cynthia-ga on 20 Feb 2005 07:59 PST
Rated:4 out of 5 stars
Hi dale,

First off, some very common cold meds can cause a false positive for meth.

Secondly, I think it's the Provigil.  I took Cylert (active ingredient
pemoline) for 6 years and had the same problem once, positive for
amphetimines. Provigil (modafinil), Cylert (pemoline), Adipex
(phentermine), Preludin (phendimetrazine), ...Ritalin, Didrex,
pondimin, fenfluramine, bontril, ...there are others ...all are
central nervous system stimulants that *technically* are molecularly,
structurally *related* to cocaine.  All are very similar.  They even
produce nearly identical effects as amphetamines do, just to a lesser
degree --depending on which one you're using.  ALL can test positive
for amphetamines.

Thirdly, In my opinion, between the cold meds, epi pen, benadryl,
predisone, and especially --the Provigil, you had virtually NO chance
of coming back clean.

PROVIGIL, IMMEDIATELY FOR ASSISTANCE.  You need an advocate.  Enlist
your Doctor's help.  He can dictate a letter to be typed on his
letterhead stating what I have said in very clear terms. That, with an
old prescription bottle for the Provigil, your (saved?) receipts for
the cold meds and benadryl, everything mentioned above, you should be
fine.  Receipts must of course be dated BEFORE the drug test...


Medications & Substances Causing False Positives
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

Read this page for more info:

Drugs for FALSE positive on Meth
..."Dristan Nasal Spray, Neosynephren, Vicks Nasal Spray, Sudafed,
etc... and others containing ephedrine or pnenypropanolamine. Over the
counter appetite suppressants which contain Amphetamines. As the cross
reactive list suggests at the back of the book, 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 yeild a positive when tested for amphetamines..."

The Book mentioned:

"UR-INE Trouble" by Kent Holtorf, M.D.
An Editorial Review - James Connor, Criminal Defense Attorney, Hudson, New York
..."UR-INE TROUBLE was an extremely valuable resource in my
cross-examination on the accuracy of the county probation department's
urine drug-screening device and techniques. The information contained
in the book helped a young man maintain his freedom after he was
mistakenly accused of using drugs following a routine urine screen
while on probation..."

If it's not available at, try this phone number: 
1-800-247-6553 To Order

Positivelynegative - By Kathy Young --an article
DRUGS Although popular with employers, drug tests may not be all that
reliable, contends one UCLA graduate

This is interesting:

Kelli White Failed to Pass a Drug Test (October 24, 2003)
..."USA star sprinter Kelli White's two gold medals are in jeopardy
pending a decision by the U.S. Anti-Doping Agency as a result of her
positive drug test. Kelli White's medication for a sleep disorder
contained modafinil, a banned drug substance, which caused her to not
pass a drug test mandated by the US Gaming Committee. At first, Kelli
White not able to pass a drug test caused a little furor amongst the
media, but little did anyone (well, most anyway) realize, Kelli White
being unable to pass a drug test would spark the biggest drug use &
drug testing scandal in the history of professional athletics. Suffice
to say, the storm has just began..."

If you need more info, PLEASE don't hesitate to ask via the "Request
For Clarification" feature.  We'll get this fixed for you.


Search strategy:
meth "false positive"

Request for Answer Clarification by dale08-ga on 21 Feb 2005 10:44 PST
Cynthia Thanks for the comments.  I went to my family doctor this
morning and he stated it may be the provigil but wasn't 100%
satisisfied.  He agreed to do some checking into this.  My Neurologist
is the on that prescribed the Provigil so I will schedule an
appointment ASAP.  Since I work for the State they have given me a
time limit.  The Adderall tampering was done when I was out of town
and they can't pin this on me.  I tried to tell the MRO about the
Provigil and he said that they do not have the same chemistry of
street Meth.  I know it has to be A Doctor to provide evidence.  The
receipts for the cold meds are long gone but could they be able to
tell when this was bought by the bar code on the bottles.  Who ever
thought I would need to save a receipt on OTC meds.  I had these from
previous colds bought for the family.  I do have all the presriptions
for the others.  Any other suggestions?

Clarification of Answer by cynthia-ga on 21 Feb 2005 18:23 PST
Suggestion #1)

Contact labs in your area that do drug testing and find one that does
HAIR Analysis.  Go into the lab and self/prepay for a Hair Test.  Tell
the lab exactly what the problem is, and take your meds and OTC
bottles with you.  Hair tests are extremely difficult to beat, and are
much more reliable. The test will show what drugs you have been taking
for the entire length of your hair, at 1/2 inch per month (6" = 12
months).  Pay for a highly sensitive test, if you have a choice.  This
will take a few days, 3-5, so do it right away.  Cost will be about
$100-$150.  Get the results and take them to your Neurologist to
bolster your claim and get the letter.

To make it easier for your Dr, make lists of all the drugs in the OTC
meds, and another with the KNOWN OTC drugs that *can* cause false
positives.  Do this so s/he doesn't have to scan the labels.

When you take these lists to your Neurologist, take the bottles of
everything with you.  Make it a simple task for the Dr. to follow
through for you.  The problem is Provigil may not be entirely at
fault, since it's combined with several other drugs.

Suggestion #2) 

Make a list of the OTC drugs you were taking, and another list of all
the prescribed meds you were taking, and attempt to get the author of
the book above "UR-INE Trouble" to assist you.

Ask him, via fax to look at the list and advise you which interactions
or combinations would cause this result.  He *might* respond.  You
want any reply  stating that it is possible and likely that some
combination of these items cause a false positive.  A fax back should
be fine, be sure to get a time stamp on your outgoing fax (turn on the
'sent fax receipt' function on your fax machine)

Here's his contact info from the Internet.

Kent Holtorf, M.D.
Hormone and Longevity Medical Center
(310) 375-2705   

Call the number and tell the supervisor a short version of your
problem, enough to get the person to tell you if he is in town, and
when he may be able to read your fax.

Buy two copies of his book, and give one to your supervisor.

This next link might help you:


Suggestion #3) 

Contact the lab that did your test.  You might have to go through your
supervisor.  Tell them your problem.  Ask them if they have any of the
sample left, if so, ask to have it retested with a more sensitive
test.  Give THEM your  lists and ask them to eliminate those drugs. 
If they can't isolate and remove them from the results, get a WRITTEN
statement to that effect.


~~Post back and let me know how you're doing.

How long is your time limit?


Request for Answer Clarification by dale08-ga on 21 Feb 2005 19:08 PST
Cynthia   Thanks for all this information.  I hope it all works out
because the ones who were suffering were children who thought they
were getting there ADHD meds and not knowingly were not.  I opened a
big hornets nest.  I put my job on the line (not knowing I was) but at
least I can sleep knowing that this tampering was discovered and these
kids are being treated properly now.  Its now putting my nursing
license in jeopardy but I don't regret going with my "gut feeling".  I
just hope I can now focus on clearing my innocence on a false test. 
Thanks you again and I will continue to keep you posted on the out

Clarification of Answer by cynthia-ga on 21 Feb 2005 19:50 PST
Thanks dale, so much, for the 4 stars, and the Generous Tip!  It's not
possible to change ratings...

Please be sure to update with your progress.  I'd like to use this
link in the future, no matter what the outcome, it certainly documents
the perils of drug testing.  Your process could help someone else with
a similar problem, in the future.

If you post back in the Clarification area, I will see it right away. 


Request for Answer Clarification by dale08-ga on 22 Feb 2005 10:08 PST
Thanks again I wou;d of gave you 5 stars knowing that.  So far I am
having no luck with my Urologist.  He doesnot want to comment on
possible false neg test due to him not being a expert in drug testing
field.  I still having and treated for UTI/kidney infection since xmas
day.  I hope i don't get to exhausted and fustrated while tring to
prove my innoncence,
dale08-ga rated this answer:4 out of 5 stars and gave an additional tip of: $25.00
I will give it 5 stars if all research is available.  Thanks for this
website.  I just accidentally stumbled on it yesterday

Subject: Re: drug testing methamphetamines
From: cynthia-ga on 21 Feb 2005 18:42 PST
One more suggestion. 

Prepare for the worst possible outcome.

Keep a log of everything you are doing to attempt to rectify this
problem.  Document your actions.  Use a Composition Book, where the
pages cannot be torn out.  Date every page and entry.  Don't ever tear
out a page, if you make a mistake, cross it out.  You can start from
today, and recap events up-to-today, just state you are recapping
events and go on from there.  The diary of these events will then be
admissable in court.


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