Will Phentermine show up on a drug test?

Will Phentermine show up on a drug test?

No, Phentermine is not likely to show up on a drug test. However, it can cause a false positive for Amphetamines because of how the medication works, which is why it may show up as Adderall in some drug tests. However, Phentermine itself is not a controlled drug. 

Phentermine stays in your system for about 20-24 hours, depending on your body’s physiology (1). It will most likely not get detected as Phentermine unless the urine test is specifically done to check the levels of Phentermine. 

A normal drug test will not detect it, but as I said, it could cause a false positive for Amphetamines. If such a thing happens, it’s recommended to go for more selective techniques, like Gas chromatography-Mass spectrometry, to deliver accurate results (2). 

How is Phentermine different from drugs that show up on a drug test?

Phentermine is different from drugs that show up on a drug test because it is not a substance that typically triggers a positive result in standard drug screenings. Phentermine is a prescription medication used for short-term weight loss management (3).

It works as an appetite suppressant by affecting the central nervous system and increasing the release of certain neurotransmitters like norepinephrine, which reduce hunger sensations (3).

Unlike drugs such as Opioids, Benzodiazepines, or THC found in marijuana, Phentermine does not interact with the same receptors in the brain that are targeted by those substances (4). 

Therefore, it is less likely to show up on a standard drug test and does not produce the same psychoactive effects or potential for addiction.

How to prevent Phentermine from causing a false positive for Amphetamines?

To prevent Phentermine from causing a false positive for Amphetamines in a drug test, it’s important to inform the testing facility or healthcare provider about the medications you are taking beforehand.

Specifically, mention that you are on Phentermine, and provide them with any necessary documentation or prescription details. If the test results do show a false positive, request further confirmatory testing to accurately identify the substances in your system.

The confirmatory test can distinguish between Phentermine and illegal drugs like Amphetamines, ensuring a correct result.

Final words

To sum up, Phentermine does not typically show up on a drug test, but it may cause a false positive for Amphetamine in some cases. 

If you are concerned about drug testing or potential interactions with other medications you may be taking, it is crucial to discuss these concerns with your healthcare provider before starting phentermine or any new medication

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References

1.-

PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 4771, Phentermine; [cited 2023 July 19]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Phentermine

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. https://pubmed.ncbi.nlm.nih.gov/26660182/

3.-

Johnson DB, Quick J. Topiramate And Phentermine. 2023 Mar 27. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29489234. https://www.ncbi.nlm.nih.gov/books/NBK482165

4.-

McNeil SE, Chen RJ, Cogburn M. Drug Testing. 2023 Jan 16. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29083751. https://www.ncbi.nlm.nih.gov/books/NBK459334/