4M Healthcare provides individualized analysis of urine samples with industry leading high complexity instrumentation. The laboratory utilizes this instrumentation for sample validity testing and for confirmation analysis. In addition, the laboratory also has a fully integrated Laboratory Information System (LIS) for accessioning samples, importing data, and distributing reports.
DRUG CLASS
BRAND NAME
DRUG & METABOLITE
DETECTION WINDOW
Opiates
Codeine
Tylenol®3, Tylenol®4,
Tylenol® 5
Codeine > Morphine > Hydrocodone > Hydromorphone
1‐4 days
Hydrocodone
Vicodin®, Lorcet®, Lortab®, Hycodan®, Norco®, Vicoprofen®
Hydrocodone > Hydromorphone > Norhydrocodone
1‐4 days
Morphine
Kadian®, MS Contin®, MSIR®, Avinza®
Morphine > Hydromorphone
1‐4 days
Hydromorphone
Dilaudid®
Hydromorphone
1‐4 days
Semi‐Synthetic Opiates
Oxycodone
Tylox®, Percocet®, Percodan®, Oxycontin®, OxyIR®, Roxicodone®
Oxycodone > Oxymorphone > Noroxycodone
1‐4 days
Oxymorphone
Opana®, Opana ER®
Oxymorphone
1‐4 days
Buprenorphine
Buprenex®, Suboxone®, Subutex®
Buprenorphine > Norbuprenorphine
1‐6 days
Synthetic Opiates
Methadone
Dolophine ®, Methadone®
Methadone > EDDP
1‐5 days
Fentanyl
Actiq®, Fentora®, Duragesic®
Fentanyl > Norfentanyl
1‐4 days
Meperidine
Demerol®
Meperidine > Normeperidine
1‐4 days
Tramadol
Ultram®, Ultracet®
Tramadol > ODM-Tramadol
1‐4 days
Tapentadol
Nucynta®, Palexia®
Tapentadol
1‐4 days
Benzodiazepines
Alprazolam
Xanax®
Alprazolam > Alphahydroxyalprazolam
1‐10 days
Temazepam
Restoril®
Temazepam > Oxazepam
1‐10 days
Diazepam
Valium®
Diazepam > Temazepam > Nordiazepam > Oxazepam
1‐10 days
Lorazepam
Ativan®
Lorazapam
1‐10 days
Antipsychotics
Aripiprazole
Abilify®
Aripiprazole
1‐5 days
Haloperidol
Haldol®
Haloperidol
1‐5 days
Quetiapine
Seroquel®
Quetiapine
1‐5 days
Risperidone
Risperdol®
Risperidone
1‐5 days
Amphetamines
Amphetamine
Adderall®, Benzedrine®, Dexedrine®
Amphetamine
1‐4 days
Methamphetamine
Desoxyn®, Selegiline ®, Didrex ®, Vick’s ® Inhaler
Methamphetamine > Amphetamine
1‐5 days
Sedatives
Zolpidem
Ambien®
Zolpidem
1‐2 days
Barbiturates
Butalbital
Fiorinal®, Fioricet®
Butalbital
1‐5 days
Phenobarbital
Belladonna®, Luminal®
Phenobarital
Up to 10 days
Secobarbital
Seconal®
Secobarbital
1‐3 days
Muscle Relaxants
Soma®, Equanil®
Carisoprodol > Meprobamate
Secobarbital
2‐7 days
Cyclobenzaprine
Flexeril®
Cyclobenzaprine
3‐4 days
Antipileptics
Gabapentin
Neurontin®
Gabapentin
2‐4 days
Pregabalin
Lyrica®
Pregabalin
2‐4 days
Anitdepressants
Amitriptyline
Elavil®, Endep®, Levate®, Novo‐tryptin®, Tryptanol®, Etrafon®, Triavil®
Amitriptyline > Nortriptyline
4‐5 days
Desipramine
Norpramin®, Pertofrane®
Desipramine
4‐5 days
Imipramine
Tofranil®
Imipramine > Desipramine
4‐5 days
Nortriptyline
Nortriptyline
4‐5 days
Illicits
Cocaine
N/A
Cocaine > Benzoylecgonine
1‐4 days
Heroin
N/A
6‐Monoacetylmorphine > Morphine
1 days
Marijuana
N/A
Carboxy‐THC (Metabolite)
3‐30 days
MDMA (Ecstacy)
N/A
MDMA > MDEA > MDA
1‐4 days
Phencyclidine (PCP)
N/A
Phencyclidine (PCP)
2-7 days
Synthetic Cannabinoids
N/A
AM-2201, JWH-018, XLR-11
1‐2 days
Bath Salts
N/A
Butylone, Ethylone, MDPV, Mephedrone
1‐3 days
Kratom
N/A
Mitragynine
1‐5 days
Alcohol
Alcohol
N/A
EtG > EtS
Up to 80 hrs
Additional Drugs
Methylphenidate
Ritalin®, Concerta®, Metadate®, Focalin®
Methylphenidate
1‐4 days
Naloxone
Narcan®
Naloxone
4‐5 days
Phentermine
Adipex®, Ionamin®, Qsymia®, Suprenza®
Phentermine
1‐4 days
Nicotine
N/A
Nicotine > Cotinine
1‐7 days