Annals of Emergency Medicine
Volume 50, Issue 5 , Pages 591-592 , November 2007

Consequences of Attempts to Mask Urine Drug Screens

  • Kennon Heard, MD

      Affiliations

    • Rocky Mountain Poison and Drug Center, University of Colorado School of Medicine, Denver, CO
    • Division of Emergency Medicine, University of Colorado School of Medicine, Denver, CO.
    • Corresponding Author InformationAddress for correspondence: Kennon Heard, MD, University of Colorado Health Sciences Center, Division of Emergency Medicine, 4200 E 9th Ave B215, Denver, CO 80262; 303-739-1264, fax 303-739-1425
    • ,
  • Carrie D. Mendoza, MD

      Affiliations

    • Rocky Mountain Poison and Drug Center, University of Colorado School of Medicine, Denver, CO

References 

  1. Finkel KW. Water intoxication presenting as a suspected contaminated urine sample for drug testing. South Med J. 2004;97:611–613
  2. Gardner JW, Gutmann FD. Fatal water intoxication of an Army trainee during urine drug testing. Mil Med. 2002;167:435–437
  3. United States Government Accountability Office. Testimony of Robert J. Kramer, managing director, Office of Special Investigations. Products to defraud drug use screening tests are widely available [US Government Accountability Office Web site]. Available at: http://www.gao.gov/htext/d05653t.html. Accessed January 2, 2007.
  4. Gombos J. Drug testing FAQ: fooling the bladder cops [Erowid Web site]. Available at: http://www.erowid.org/psychoactives/testing/testing_faq.shtml. Accessed January 2, 2007.
  5. Bryant SM, Kolodchak J. Serotonin syndrome resulting from an herbal detox cocktail. Am J Emerg Med. 2004;22:625–626
  6. Mittal M, Florin T, Perrone J, et al. Toxicity from the use of niacin to beat urine drug screening. Ann Emerg Med. 2007;50:587–590
  7. Centers for Disease Control and Prevention. Use of niacin in attempts to defeat urine drug testing–five states, January-September 2006. MMWR. 2007;56:365–366

 Supervising editor: Richard C. Dart, MD, PhDFunding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Dr. Herd was supported by a training grant from the National Institute on Drug Abuse (DA 620573).Publication dates: Available online May 9, 2007.Reprints not available from the authors.

PII: S0196-0644(07)00448-9

doi: 10.1016/j.annemergmed.2007.04.003

Annals of Emergency Medicine
Volume 50, Issue 5 , Pages 591-592 , November 2007

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