Can your allergy medicine cause a failed drug test?

Can your allergy medicine cause a failed drug test?

Yes, your allergy medicine can cause a failed drug test because of its potential of making your drug test false positive for Amphetamines. Some of the most common anti-allergy meds that can cause such a problem include (1):

Why do allergy medications give false positive drug test results? 

The most common reason why your OTC anti-allergy medication can give false positive results is the method of screening. The most common and primary method of drug test is urine immunoassay, in which a sample of urine is taken. 

If there is a drug present in the urine, it binds with the antibodies during the assay and gives a positive result. Now, these OTC or prescription anti-allergy medications can mistakenly react with the said antibodies and give false positive results. 

What to do if you get false positive results? 

If you have gotten a false positive after the urine immunoassay, talk to the drug testing authority about using a medication that can cause a false positive. It is always best to inform the authorities about your current medications, even OTC meds that you frequently. 

This can help them understand the chances of a false positive showing up in your test results. It is also preferred to opt for more selective screening procedures like Gas Chromatography – Mass spectroscopy (GC-MS) (2). This way the test would identify the ‘actual’ product causing the false positive and you’ll get all clear. 

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References

1.-

Alyson Schwebach, Jennifer Ball. Urine Drug Screening: Minimizing False Positives and False Negatives to Optimize Patient Care. US Pharm. 2013;38(12):1-6. Available from: https://www.uspharmacist.com/article/urine-drug-screening-minimizing-false-positives-and-false-negatives-to-optimize-patient-care

2.-

Ramoo B, Funke M, Frazee C, Garg U. Comprehensive Urine Drug Screen by Gas Chromatography/Mass Spectrometry (GC/MS). Methods Mol Biol. 2016;1383:125-31. doi: 10.1007/978-1-4939-3252-8_15. PMID: 26660182. Available from: https://pubmed.ncbi.nlm.nih.gov/26660182/