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Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12816
Experience:  Emergency Medicine and Family Practice for over 26 years
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Will a standard 5 panel hair follicle test detect demerol or

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Will a standard 5 panel hair follicle test detect demerol or fentanyl use?
The standard 5 panel drug tests are designed to detect only a few opiates:
  • codeine
  • morphine
  • 6-acetyl morphine (the metabolite that is used to detect heroin use)
They do not detect the synthetic opiates such as demerol or fentanyl. If you are using these medications without a physician prescription, you should be aware that more employers and drug testing programs are adding additional tests to their panels.
Customer: replied 6 years ago.

Your answer pertains to the standard urine NIDA 5 tests. Those indeed may miss demerol and fentanyl in particular, though may give a positive, general qualitative opioid result. The question relates to standard hair follicle testing and subsequent confirmatory testing. Will (1) basic hair follicle testing result in a qualitative positive opiod result, and (b) will such a positive trigger a GS/MS confirmation test, result in testing for metabolites of demerol and fentanyl as opposed to only the ones you mentioned?

 

The specific lab in question is: OMEGA Laboratories' hair follicle testing. After reviewing their brief on-line info (simply google Omega Laboratoties), what is your best guess / analysis?

The metabolites that are tested are exactly the same; codeine, morphine and 6-AM. The drugs that you mention do NOT metabolize to any of these substances. It does not matter if the testing is done on hair, saliva or urine - the metabolites being tested determines the drugs that will be identified.

From the FAQ section of their website:
What drugs are included in a standard Hair Drug Test?
Cocaine, marijuana, opiates (Codeine, Morphine & 6-monoacteyl morphine), methamphetamine, (Meth/amphetamine & Ecstasy), and phencyclidine (PCP). These five drug classes are mandated for testing by the Federal Government.
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