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Drugs Of Abuse and General Vaccinations Matrix

At EBI, we understand that education is critical when making decisions regarding your Drug Testing and Occupational Healthcare management program.  We strive to provide our clients and the screening industry with as much information as possible to lend a hand in general education.  The informational tables provided herein refer to general terminology as they relate to various drugs of abuse and general vaccination information.  The information provided within our website is public information and is provided as a reference source only should never be considered as medical or legal advice.  Always consult a medical professional or legal counsel before making any decisions as it relates to the information provided.  

Drugs of Abuse Reference Guide

 

DRUG/FAMILY

AVAILABILITY

COMMON

SLANG

USE

DETECTION TIMES

PHYSICAL SYMPTOMS

DANGERS

Amphetamines

(Amphetamines/

Methamphetamine

By prescription only

Altimine

Asenlix [Mex]

Appetzugler [Ger]

Benzedrine

Captagon

Desoxyn

Dexedrine

Didrex

Eldepryl [US]

Envitrol

Fenisic, Esbelcaps [Mex]

Geodowin

Methamphetamine

Methedrine

Phencamine

Plurimen

Segontin

Sydnocarb

Vick’s Inhalers

 

 

Benny

Black beauties Bumblebees Copilots

Crank

Footballs

Hearts

Jelly Beans

Meth

Pep pills

Speed

Ups

Uppers

White Cross

 

To increase alertness and activeness.  

Diet Pills

Stimulant

Urine: 1 to 3 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: 24 to 36 hours

 

Anxiety

Irritability

Loss of appetite

Mood elevation

Rapid speech

Tremors

 

Disorientation

Fatigue

Increase in blood pressure

Paranoia

Possible hallucinations Severe depression

 

Barbiturates

By Prescription Only

Amobarbital

Butalbital

Butisol

Fioricet

Fiorinal

Phenobarbital

Secobarbital

 

Barbs

Bluebirds Blues

Downers

M&M’s

Red Devils

Yellow Jackets

 

Sedation

Seizure control

Urine: 1 to 3 days (short acting)

Except

Phenobarbital:

1 to 3 weeks

Decreased alertness and muscle control

Depression

Drowsiness

Intoxication and slurred speech

 

Emotional instability

Possible overdose and death, especially when mixed with alcohol

Rigidity and painful muscle contraction

 

Benzodiazepines

By Prescription Only

Chlorazepate

Dalmane Diazepam

Flurazepam

Librium

Medazapam

Nordiazepam

Oxazepam

Serax

Temazepam

Valium

Xanax

 

Downers

Reduce Anxiety

Urine: 1 to 14 days

Oral fluid: 1 to 2 days

Disorientation

Drunken behavior without odor of alcohol

Slurred speech

 

Cold and clammy skin

Coma

Dilated pupils

Possible death

Shallow respiration

Weak and rapid pulse

 

 

Cannabinoids

(Marijuana)

Marinol

Marijuana

Dope

Ganja

Grass

Mary Jane

Pot

Reefer

Sinsemilla Smoke

Weed

 

Psychoactive

Urine:

(Occasional use):

1 to 3 days

(Habitual/chronic use): Up to 30 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: Less than 24 hours

Altered perception

Craving for sweets

Dilated pupils

Increased appetite Lack of concentration and coordination

Laughter

Anxiety

Impaired short-term memory

Increased heart rate

Lung damage

Possible psychosis with chronic use

Psychological dependence

 

Cocaine & Metabolite

Cocaine, used as a vasoconstruc-tive anesthetic in otolaryngology,

ophthalmology, and dentistry

TAC (tetracaine, adrenaline, and cocaine mixture) used in some

emergency rooms for suturing

 

Cocaine

Big C

Blow

Coke

Crack

Flake

Lady

Nose Candy Rock

Roxanne

Snow

Snowbirds

White

 

Stimulant

Urine: 1 to 3 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: 24 to 36 hours

Irritability

Nervousness

Short-lived euphoria changing to depression

Tightness of muscles

Anxiety

Fever

Possible death from convulsions or respiratory arrest

Shallow breathing

Tremors

 

Methadone

Prescription Available

Dolophine

Metadose

Done

Dolls

Narcotic Analgesic

Urine: 1 to 3 days

Constricted pupils

Drowsiness

Euphoria

Nausea

Respiratory depression

 

Clammy skin

Coma

Convulsions

Possible death

Slow and/or shallow breathing

 

Methaqualone

 

Methaqualone

Lemmon

Ludes

Mequin

Quaalude

Sopor

 

 

 

Urine: 1 to 7 days

Confusion

Dizziness

Feeling of well being

Later hangover

Loss of coordination

Sleepiness

Anxiety

Insomnia

Opiates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Opiates (cont.)

Prescription available

Available OTC in Canada and certain other countries

Morphine:

M

Miss Emma

Codeine:

School Boy

Hydrocodone:

Vicodin

Hydromorphone:

Dilaudid

Oxycodone:

Percocet

Percodan

Oxycotin

Oxymorphone: Mumorphan

 

Codeine:

-Aceta-minophen with Codeine®

-Actifed with Codeine Cough Syrup®

-Ambenyl Cough Syrup®

-Aspirin with Codeine®

-Broncholate CS®

-Brontex®

-Calcidrine Syrup®

-Capital with Codeine Suspension®

-Codalan Tablets®

-Codiclear DH Syrup®

-Codeine phosphate®, sulfate

-Codimal PH®, DH, DM, LA®

-Deconsal C

-Dimetane-DC Cough Syrup®

-Empirin with Codeine®

-Fiorcet with Codeine®

-IoTuss Liquid®

-Isoclor Expectorant®

- Naldecon CX Liquid®

-Novahistine DH®

-Nucofed®

Heroin

Narcotic Analgesic

Urine: 1 to 3 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: 24 to 36 hours

 

 

Euphoria

Insensitivity to pain

Itchiness

Nausea

Running nose

Sedation

Vomiting

Watery eyes

 

Hepatitis

Lethargy

Possible death

Slow and shallow breathing

Weight loss

 

Phencyclidine

Prescription not available

PCP

Angel Dust

Devil Stick

Dummy Dust

Wack

Dissociate Anesthetic

[veterinary]

Distortion of Senses

Urine:

(Occasional use):

1 to 5 days

(Habitual/chronic use): Up to 30 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: 24 to 36 hours

 

 

Anxiety

Mood and perception alteration

Nausea

Panic

Paranoia

Suicidal urge

Tremors

 

Flashbacks

Hallucinations

Possible emotional instability and psychosis

Unpredictable behavior

 

Propoxyphene

By Prescription Only

Darvocet

Darvon N

Dolene

 

 

Urine: 1 to 3 days

Asthenia

Dizziness

Drowsiness

Dysphoria

Euphoria

Headache

 

 

Convulsions

Respiratory depression Skin rash and other allergic reactions occur occasionally and may be accompanied by drug fever and mucosal lesions

Stupor or coma

 

Alcohol, Urine—

Depressant liquid medications containing ethyl alcohol, as well as alcoholic beverages

 

OTC

Beer

Liquor

Wine

 

 

Varies on metabolism

 

 

MDMA

 

 

Ecstasy

Adam

XTC

X

Hug Drug

Beans

Love Drug

Lover’s Speed

Euphoria

Urine: 2 to 4 days

Hair: Up to 90 days (depending on length of hair)

Oral Fluid: 24 to 36 hours

 

Diaphoresis

Entactogenic effects

Hypertension

Hyperthermia

Mydriasis

Stimulant

Tachycardia

Visual hallucinations

OxyCodone (Opiate)

By Prescription Only

OxyContin

Hillbilly Heroin

Killers

O's

OC's

Oceans

Oxies

OXY

OXY's

OxyCoffins

OxyCotton

 

 

Narcotic Analgesic

Urine: 1 to 3 days

Oral Fluid: 24 to 36 hours

 

Clouding of mental functions

Cold and clammy skin

Coma

Confusion

Dizziness

Loss of consciousness

Nausea

Reduced vision

Seizures

Slow breathing (respiratory depression)

Small pupils

Tiredness

Vomiting

Weakness

 

 

 

 

 

 

General Vaccinations Matrix

 

VACCINE

DOSES

REQUIRED SCHEDULE

CONTRAINDICATIONS*

NOTES

DTap (Diphtheria, Tetanus and Acellular Pertusis-Whooping Cough)

?

Four doses given at two, four, six, and 15-18 months of age.  A fifth shot, or booster dose, is recommended at 4-6 years of age, unless the fourth dose was given late (after the fourth birthday).

Headache, generalized body aches, and tiredness.

Pertussis and Diphtheria are not available as a single vaccine.

Hepatitis A (HAV)

1.0 mL IM

Two doses recommended at 6-12 months apart

 

OR

Positive titer

Anaphylactic reactions to alum or the preservative 2-phenoxyethanol

Twinrix is a combined Hep A and Hep B vaccination and is administered in 3 vaccinations at 0,1,6 months

Hepatitis B (HBV)

0.5 mL IM

Three doses recommended at 0, 1 and 6 months.  

OR

Positive titer

Anaphylactic reaction to baker’s yeast

Pregnancy should not be considered a contraindication to vaccination of women

Confirmation of positive titer 1-2 months after completion of the 3-dose series.  

Twinrix is a combined Hep A and Hep B vaccination and is administered in 3 vaccinations at 0,1,6 months

Influenza (Flu)

0.5 mL IM

Annually (fall) with current vaccine

Allergy to egg

The live nasal spray vaccine may only be used in healthy, non-pregnant persons age 2 through 49 years.  Children younger than age two years, persons age 50 and older, and anyone with a chronic medical condition (listed above) should receive inactivated influenza vaccine (injectable), NOT live influenza vaccine.

Measles, Mumps and Rubella (MMR)

0.5 mL SQ

Completion of basic two dose series

OR

Positive titers for Measles, Mumps and Rubella

See note

Pregnancy.  Anaphylactic reactions to neomycin or gelatin.  Known immunodeficiency

Regardless of age, all Health Care Workers (HCWs) are recommended to have two doses unless they can produce laboratory evidence of immunity (i.e., positive titers for Measles, Mumps, AND Rubella)

Mumps

?

First dose recommended between 12 – 15 months of age.  Second dose administered between 4 – 6 years of age.

Fever, rash, temporary joint pain, and may cause thrombocytopenia (low platelet count).

 

Pregnant women should not receive the MMR vaccine, and pregnancy should be avoided for four weeks following vaccination with MMR.

It is recommended that it be given as part of the MMR vaccine.  Two doses of MMR/MMRV are recommended for all children and certain adults at risk of measles or mumps exposure.

Poliovirus (IPV)

0.5 mL SC or IM

Completion of basic childhood series


AND

One single lifetime "booster" dose as an adult (>18 y.o.)

Anaphylactic reaction to neomycin, polymycin B or streptomycin

Only the injectable form is available.  

Polio titers are NOT acceptable (per CDC guidance)

Rubella (German Measles)

?

First dose recommended between 12 – 15 months of age.  Second dose administered between 4 – 6 years of age

Fever, rash, temporary joint pain, and may cause thrombocytopenia (low platelet count).

 

Pregnant women should not receive the MMR vaccine, and pregnancy should be avoided for four weeks following vaccination with MMR.

Approximately 95% of individuals become immune to rubella after a single dose of vaccine.  The second dose of MMR vaccine is intended to produce immunity in the 5% of persons who did not respond to the first dose.

Rubeola (Measles)

0.5 mL

The measles vaccine is part of the measles-mumps-rubella immunizations (MMR) given at 12 to 15 months of age and again at 4 to 6 years of age.  Measles vaccine is not usually given to infants younger than 12 months old.  But if there's a measles outbreak, the vaccine may be given when a child is 9 months old, followed by the usual MMR immunization at 12–15 months.

Fever, rash, temporary joint pain, and may cause thrombocytopenia (low platelet count).

 

Measles vaccine should not be given to pregnant women, or to kids with active tuberculosis, leukemia, lymphoma, or people whose immune systems are suppressed for some reason.

Most adults need only one measles vaccination, but if the adult works with patients or if the adult is exposed to a measles outbreak, a second dose of measles vaccine is recommended.

Tetanus-diptheria (Td)

0.5 mL IM

Completion of basic three dose series

Booster every 10 years

Neurological reactions following a prior dose.  Previous episode of Guillan-Barre syndrome (GBS) occurring within 6 weeks of vaccination

Td is close to 100% effective for persons receiving the correct primary series (as a child or adult) and a routine booster dose every ten years.  It is felt that Tdap vaccine will provide the same level of protection.

Varicella (Chickenpox)

0.5 mL SC

Two doses 4-8 weeks apart

Completion of basic series OR medical documentation of chickenpox illness OR positive titer

Pregnancy.  Anaphylactic reaction to neomycin and gelatin.  Infection with HIV

Known immunodeficiency

Serologic screening should be done for HCWs who have not received the vaccination series

 

 

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