Drug library

Drug test library: 76 compounds explained

Every compound in the LabX 76-drug LC-MS/MS confirmation panel, explained in plain language β€” what it is, how it is used in medicine, the laboratory cut-off, the approximate detection window and whether a standard 12-panel screen picks it up.

Pick a compound below or start with the full confirmation panel list. Compounds are grouped into the same nine families the laboratory uses. Many entries are metabolites β€” compounds the body makes from a drug β€” which laboratories measure because they last longer or show the drug was actually processed by the body. For definitions, see the glossary; for quick answers, see LabX answers.

Opioids and their metabolites

Prescription opioid pain medicines, heroin markers and the compounds the body makes from them. Measuring metabolites alongside parent drugs shows a drug was actually processed by the body.

  • 6-MAM β€” breakdown product specific to heroin
  • Codeine β€” opioid prescribed for pain and cough; partly converted to morphine
  • Morphine β€” opioid pain medicine; also formed from heroin and codeine
  • Hydrocodone β€” opioid pain medicine (Norco, Vicodin)
  • Norhydrocodone β€” breakdown product of hydrocodone
  • Hydromorphone β€” opioid pain medicine (Dilaudid); minor hydrocodone metabolite
  • Oxycodone β€” opioid pain medicine (OxyContin, Percocet)
  • Noroxycodone β€” breakdown product of oxycodone
  • Oxymorphone β€” opioid pain medicine; minor oxycodone metabolite
  • Tramadol β€” opioid-type pain medicine (Ultram)
  • O-desmethyltramadol β€” breakdown product of tramadol
  • Tapentadol β€” opioid-type pain medicine (Nucynta)
  • N-desmethyltapentadol β€” breakdown product of tapentadol
  • Meperidine β€” opioid pain medicine (Demerol)
  • Methadone β€” opioid used in addiction treatment and for pain
  • EDDP β€” breakdown product of methadone

Fentanyl and novel opioids

Fentanyl and its metabolite, plus the main alkaloids in kratom. These are not reliably found by general opiate screens, which is why confirmation measures them directly.

  • Fentanyl β€” synthetic opioid; prescribed and found in the illicit supply
  • Norfentanyl β€” breakdown product of fentanyl
  • Mitragynine β€” main active alkaloid in kratom
  • 7-OH-mitragynine β€” breakdown product of mitragynine (kratom)

Opioid treatment and reversal

Medicines used to treat opioid and alcohol use disorder or to reverse an overdose, with their metabolites, as monitored in treatment programs.

Stimulants

Prescription ADHD and weight-management stimulants, a common decongestant, and illicit stimulants including the cocaine metabolite benzoylecgonine and MDMA.

Benzodiazepines and Z-drugs

Prescription sedatives and sleep medicines and their metabolites. Standard screens detect individual benzodiazepines unevenly, so confirmation identifies each one.

  • Alprazolam β€” benzodiazepine (Xanax)
  • Alpha-OH-alprazolam β€” breakdown product of alprazolam (Xanax)
  • 7-Aminoclonazepam β€” breakdown product of clonazepam (Klonopin)
  • Lorazepam β€” benzodiazepine (Ativan)
  • Nordiazepam β€” breakdown product of diazepam (Valium) and related benzodiazepines
  • Oxazepam β€” benzodiazepine; also a diazepam metabolite
  • Temazepam β€” benzodiazepine sleep medicine (Restoril)
  • Zolpidem β€” metabolite of zolpidem (Ambien), measured as zolpidem PCA

Antidepressants

Commonly prescribed antidepressants and their metabolites. They are not part of standard drug screens and are identified when a clinician needs a full medication picture.

Antipsychotics and mood

Medicines prescribed for psychiatric conditions and anxiety, identified by confirmation when a medication list needs to be checked.

Muscle relaxants, sedatives and analgesics

Muscle relaxants, barbiturates, nerve-pain medicines and acetaminophen, several of which are monitored in pain management and treatment programs.

Dissociatives, adulterants and exposure markers

Dissociative drugs, the street-supply adulterant xylazine, and markers of cannabis and alcohol exposure.

  • PCP β€” phencyclidine, dissociative drug
  • Ketamine β€” dissociative anesthetic
  • Norketamine β€” breakdown product of ketamine
  • Xylazine β€” veterinary sedative found as a fentanyl adulterant
  • THC β€” cannabis (measured as the THC-COOH metabolite)
  • ETS β€” ethyl sulfate, a marker of recent alcohol use

Common questions

What is in the LabX drug library?

One page for each of the 76 compounds in the LabX LC-MS/MS confirmation panel, explaining what the compound is, its general medical use, the laboratory cut-off, the approximate detection window and whether the 12-panel screen covers it.

Where do the cut-offs come from?

Each cut-off is the lower limit printed on the laboratory's own urine confirmation report. A compound is reported as detected at or above that concentration.

Can I use a detection window to find out when a drug was taken?

No. Windows are approximate and vary with dose, frequency, metabolism and hydration. A laboratory result shows whether a compound was present at collection, not when it was taken.

Which drug test does LabX offer?

LabX offers a 12-panel drug test on urine or fingerstick blood, with optional laboratory confirmation of all 76 compounds.

12-panel drug test with optional 76-drug confirmation

At-home drug tests and test kits are not currently available to addresses in New York, New Jersey, Rhode Island or California.

Order a drug test β†’

Talk to a licensed physician. LabX Diagnostics and Vantage provide laboratory testing only. The information on this page is educational and is not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about test results, symptoms or medicines, and before making any health decision. If you think you may have a medical emergency, call 911. Read our medical disclaimer.

Medical disclaimer. LabX Diagnostics and Vantage provide laboratory testing only. Test results and information on this site are for informational purposes and are not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about your results and before making any health decision. If you think you may have a medical emergency, call 911. Read the full disclaimer.

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