Efficacy of Two Commercial Products for Altering Urine Drug Test Results

Abstract Objective: We have become aware of several commercial products that, when orally ingested, will purportedly not only eliminate "toxins" from a person's system, but will also correct any Urinary imbalances caused by excessive water consumption. Method: Unblinded study of one v...

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Veröffentlicht in:Clinical toxicology (Philadelphia, Pa.) Pa.), 1997, Vol.35 (6), p.637-642
Hauptverfasser: Coleman, Daniel E., Baselt, Randall C.
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container_title Clinical toxicology (Philadelphia, Pa.)
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creator Coleman, Daniel E.
Baselt, Randall C.
description Abstract Objective: We have become aware of several commercial products that, when orally ingested, will purportedly not only eliminate "toxins" from a person's system, but will also correct any Urinary imbalances caused by excessive water consumption. Method: Unblinded study of one volunteer subject, tested weekly × 4 for 24 hour urine elimination of test drug under conditions of control, control plus 1200 mL water, Quick Flush®, and Eliminator®. Results: Each of the treatment protocols studied caused reductions of drug or metabolite concentrations as measured by gas chromatography-mass spectrometry in urine specimens collected up to 24 hours after ingestion of amphetamine, 9-carboxy-l1-nor-delta-9-THC, benzoylecgonine, or codeine, yet the radioimmunoassay screening results demonstrated very little effect. Water alone was approximately as effective as the two commercial products in reducing the metabolite level. None of the treatment protocols employed in this study altered urinary pH, specific gravity, or creatinine concentration outside the normally accepted physiological range. Conclusions: Attempts to conceal drug abuse by water dilution are most likely to play a substantial role when concentrations are at or near the detection threshold for a particular assay such as the terminal stages of drug elimination
doi_str_mv 10.3109/15563659709001246
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Method: Unblinded study of one volunteer subject, tested weekly × 4 for 24 hour urine elimination of test drug under conditions of control, control plus 1200 mL water, Quick Flush®, and Eliminator®. Results: Each of the treatment protocols studied caused reductions of drug or metabolite concentrations as measured by gas chromatography-mass spectrometry in urine specimens collected up to 24 hours after ingestion of amphetamine, 9-carboxy-l1-nor-delta-9-THC, benzoylecgonine, or codeine, yet the radioimmunoassay screening results demonstrated very little effect. Water alone was approximately as effective as the two commercial products in reducing the metabolite level. None of the treatment protocols employed in this study altered urinary pH, specific gravity, or creatinine concentration outside the normally accepted physiological range. 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Method: Unblinded study of one volunteer subject, tested weekly × 4 for 24 hour urine elimination of test drug under conditions of control, control plus 1200 mL water, Quick Flush®, and Eliminator®. Results: Each of the treatment protocols studied caused reductions of drug or metabolite concentrations as measured by gas chromatography-mass spectrometry in urine specimens collected up to 24 hours after ingestion of amphetamine, 9-carboxy-l1-nor-delta-9-THC, benzoylecgonine, or codeine, yet the radioimmunoassay screening results demonstrated very little effect. Water alone was approximately as effective as the two commercial products in reducing the metabolite level. None of the treatment protocols employed in this study altered urinary pH, specific gravity, or creatinine concentration outside the normally accepted physiological range. Conclusions: Attempts to conceal drug abuse by water dilution are most likely to play a substantial role when concentrations are at or near the detection threshold for a particular assay such as the terminal stages of drug elimination</description><subject>Amphetamine - urine</subject><subject>Biological and medical sciences</subject><subject>Cocaine - analogs &amp; derivatives</subject><subject>Cocaine - urine</subject><subject>Codeine - urine</subject><subject>Creatinine - urine</subject><subject>Dronabinol - urine</subject><subject>Drug addictions</subject><subject>Drug and Narcotic Control - methods</subject><subject>Gas Chromatography-Mass Spectrometry</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Radioimmunoassay</subject><subject>Street Drugs - urine</subject><subject>Substance Abuse Detection - methods</subject><subject>Substance-Related Disorders - urine</subject><subject>Toxicology</subject><subject>Urinalysis - methods</subject><issn>1556-3650</issn><issn>0731-3810</issn><issn>1556-9519</issn><issn>1097-9875</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMofv8AD0IO4m01aZo0QS_L-gkLiuyeS5pOtJI2mrTI_nsjWwURvCRh5nmHyYPQESVnjBJ1TjkXTHBVEEUIzXKxgXa_ahPFqdoc3wkgO2gvxldCmMwV3UbbKhVzxnbR3bW1jdFmhb3Fiw-PZ75tIZhGO_wYfD2YPmLrA566HkLTPeNlOgFfheEZLyD2-Ani4Pp4gLasdhEOx3sfLW-uF7O7yfzh9n42nU9MLmg_4bIW0orC0KwilIO1CgQlktRcMmG0zExqS1YoXlUapKwNZAWDKmPEElOwfXS6nvsW_PuQFijbJhpwTnfgh1hSkfG8kDKBdA2a4GMMYMu30LQ6rEpKyi975R97KXM8Dh-qFuqfxKgr9U_Gvo5GOxt0Z5r4g2Uk50l2wi7XWNMlda3-8MHVZa9XzofvDPtvi4tf8RfQrn8xOkD56ofQJb3__OET04ebKQ</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Coleman, Daniel E.</creator><creator>Baselt, Randall C.</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><general>Dekker</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>1997</creationdate><title>Efficacy of Two Commercial Products for Altering Urine Drug Test Results</title><author>Coleman, Daniel E. ; Baselt, Randall C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-58d68f67c12b015eff9e61080d5836ca82c8f683795bbae88dce273eb230f0c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Amphetamine - urine</topic><topic>Biological and medical sciences</topic><topic>Cocaine - analogs &amp; derivatives</topic><topic>Cocaine - urine</topic><topic>Codeine - urine</topic><topic>Creatinine - urine</topic><topic>Dronabinol - urine</topic><topic>Drug addictions</topic><topic>Drug and Narcotic Control - methods</topic><topic>Gas Chromatography-Mass Spectrometry</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Radioimmunoassay</topic><topic>Street Drugs - urine</topic><topic>Substance Abuse Detection - methods</topic><topic>Substance-Related Disorders - urine</topic><topic>Toxicology</topic><topic>Urinalysis - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coleman, Daniel E.</creatorcontrib><creatorcontrib>Baselt, Randall C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Clinical toxicology (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coleman, Daniel E.</au><au>Baselt, Randall C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Two Commercial Products for Altering Urine Drug Test Results</atitle><jtitle>Clinical toxicology (Philadelphia, Pa.)</jtitle><addtitle>J Toxicol Clin Toxicol</addtitle><date>1997</date><risdate>1997</risdate><volume>35</volume><issue>6</issue><spage>637</spage><epage>642</epage><pages>637-642</pages><issn>1556-3650</issn><issn>0731-3810</issn><eissn>1556-9519</eissn><eissn>1097-9875</eissn><abstract>Abstract Objective: We have become aware of several commercial products that, when orally ingested, will purportedly not only eliminate "toxins" from a person's system, but will also correct any Urinary imbalances caused by excessive water consumption. Method: Unblinded study of one volunteer subject, tested weekly × 4 for 24 hour urine elimination of test drug under conditions of control, control plus 1200 mL water, Quick Flush®, and Eliminator®. Results: Each of the treatment protocols studied caused reductions of drug or metabolite concentrations as measured by gas chromatography-mass spectrometry in urine specimens collected up to 24 hours after ingestion of amphetamine, 9-carboxy-l1-nor-delta-9-THC, benzoylecgonine, or codeine, yet the radioimmunoassay screening results demonstrated very little effect. Water alone was approximately as effective as the two commercial products in reducing the metabolite level. None of the treatment protocols employed in this study altered urinary pH, specific gravity, or creatinine concentration outside the normally accepted physiological range. Conclusions: Attempts to conceal drug abuse by water dilution are most likely to play a substantial role when concentrations are at or near the detection threshold for a particular assay such as the terminal stages of drug elimination</abstract><cop>Monticello, NY</cop><pub>Informa UK Ltd</pub><pmid>9365433</pmid><doi>10.3109/15563659709001246</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects Amphetamine - urine
Biological and medical sciences
Cocaine - analogs & derivatives
Cocaine - urine
Codeine - urine
Creatinine - urine
Dronabinol - urine
Drug addictions
Drug and Narcotic Control - methods
Gas Chromatography-Mass Spectrometry
Humans
Male
Medical sciences
Radioimmunoassay
Street Drugs - urine
Substance Abuse Detection - methods
Substance-Related Disorders - urine
Toxicology
Urinalysis - methods
title Efficacy of Two Commercial Products for Altering Urine Drug Test Results
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