OPAM Workshop: Medical Review Officer Training Course: Toxicology Testing and the MRO, A Physician's Role in the Prevention and Treatment of Substance Abuse-285274

Video Transcription

Video Summary

Barry Sample presents an insightful discussion on drug test subversion techniques, focusing on urine drug tests. Having retired after 40 years in the drug testing industry, Sample explains how individuals attempt to manipulate test results through dilution, substitution, and adulteration of urine samples. He highlights the growing information on how to pass drug tests, with internet search results peaking at 2.2 million hits recently.<br /><br />Sample details various products and tactics employed by individuals, including using substances like bleach and consumer products to alter urine. Although laboratory detection has improved, altering techniques evolve, making detection a moving target. Particularly concerning is the adaptability of products like "UrinLuck" and "Clear," which have gone through multiple versions to circumvent testing methods.<br /><br />He also explores the effectiveness of specimen validity testing, emphasizing that newer products can still occasionally evade detection. Sample suggests diversifying testing methods, such as incorporating hair and oral fluid tests, which face their own subversion products—though largely ineffective thus far.<br /><br />Federal actions, such as Operation Pipe Dreams and TrueTest, have targeted sellers of drug test masking products, resulting in seizures and shutdowns. The presentation underscores the persistent challenge both for testers and regulators as subversion methods and products continue to evolve.

Keywords

drug test subversion

urine drug tests

dilution

substitution

adulteration

specimen validity testing

UrinLuck

Operation Pipe Dreams