Nurse Questions Nurse

What can cause false positive results for cocaine and Fentanyl on an umbilical cord drug screen?

What can cause false positive results for cocaine and Fentanyl on an umbilical cord drug screen? Also, what can cause amphetamines to come up as negative when I take Adderall on a daily basis? I can't figure out how this is possible for my son to test positive on his umbilical cord drug screen seeing as I don't use any illicit drugs. PLEASE help me figure this out. I don't use drugs and I don't want to lose my baby forever to the state. Thank you so very much, in advance.

Female | 35 years old
Medications: adderal instant release, adderal extended release, Ativan, Alprazolam extended-release, levothyroxine, Vistaril, Reglan, Zofran, effexor, and medical marijuana.

2 Answers

False positive result is a term used to indicate a result suggesting a disease present when there is none and a negative false positive is the reverse. It occurs when the screening test give a positive or reactive result and the confirmation test reverses that finding with a negative or undetermined results. False positive test is only up to 5% of total test performed in any laboratory. Now, you are taking Adderall as per your claim. Medications causing false positive drugs in urine test are fluoxetine, selegiline, ranitidine, nefazodone, brompheniramine, Chlorpromazine among others. Addreral can cause a patient or newborn umbilical cord test to be positive for amphetamine but not methamphetamine. Medication that causes false positive urine drug screen are dextromethorpham, dyphenhydramene, doxylanine, ibuprophen, imipramine, ketamine, meperidine veniafaxine, bupropion, methylenedioxpyrolvalerone (MDPV) and tramadol. Now, you are taking medical marijuana plus other medications that can cause false positive. For example, you are taking Fentanyl; it can cause false positive for codeine, an opiate and common pain reliever. To tramadol also as well as diphenhydramine. Hope this can help you. Thank you.
Recommend repeat testing for confirmation.