Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review
Advanced heart failure patients commonly suffer from ventricular arrhythmias which can be managed by antiarrhythmic drugs like mexiletine. These ventricular arrhythmias can be complicated by illicit drug use which alter outcomes and can potentially impact the patient-physician relationship through c...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/7134394 |
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| author | Sumit Sohal Mina Sous Gauri Pethe Shanmugha V. Padmanabhan Rajesh Akbari Shahriar Dadkhah |
| author_facet | Sumit Sohal Mina Sous Gauri Pethe Shanmugha V. Padmanabhan Rajesh Akbari Shahriar Dadkhah |
| author_sort | Sumit Sohal |
| collection | DOAJ |
| description | Advanced heart failure patients commonly suffer from ventricular arrhythmias which can be managed by antiarrhythmic drugs like mexiletine. These ventricular arrhythmias can be complicated by illicit drug use which alter outcomes and can potentially impact the patient-physician relationship through countertransference. However, mexiletine can lead to false positive urine drug screen testing for amphetamine, and these false-positive urine drug screen test results can affect the decision-making process. Health care providers should be aware of this fact and should either use confirmatory testing or look for confounding compounds in patients who deny using illicit substances and have a positive urine drug screen. Our patient is 64 years old who arrived at the emergency department after experiencing a shock by his intracardiac defibrillator. The patient tested positive for amphetamine on his urine drug screen and was later ruled out by confirmatory quantitative testing. |
| format | Article |
| id | doaj-art-cc7326d517814c9a93712fb57ffef0d8 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-cc7326d517814c9a93712fb57ffef0d82025-02-03T05:43:41ZengWileyCase Reports in Medicine1687-96352021-01-01202110.1155/2021/7134394Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case ReviewSumit Sohal0Mina Sous1Gauri Pethe2Shanmugha V. Padmanabhan3Rajesh Akbari4Shahriar Dadkhah5Division of Cardiovascular DiseasesDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDivision of Cardiovascular DiseasesAdvanced heart failure patients commonly suffer from ventricular arrhythmias which can be managed by antiarrhythmic drugs like mexiletine. These ventricular arrhythmias can be complicated by illicit drug use which alter outcomes and can potentially impact the patient-physician relationship through countertransference. However, mexiletine can lead to false positive urine drug screen testing for amphetamine, and these false-positive urine drug screen test results can affect the decision-making process. Health care providers should be aware of this fact and should either use confirmatory testing or look for confounding compounds in patients who deny using illicit substances and have a positive urine drug screen. Our patient is 64 years old who arrived at the emergency department after experiencing a shock by his intracardiac defibrillator. The patient tested positive for amphetamine on his urine drug screen and was later ruled out by confirmatory quantitative testing.http://dx.doi.org/10.1155/2021/7134394 |
| spellingShingle | Sumit Sohal Mina Sous Gauri Pethe Shanmugha V. Padmanabhan Rajesh Akbari Shahriar Dadkhah Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review Case Reports in Medicine |
| title | Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review |
| title_full | Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review |
| title_fullStr | Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review |
| title_full_unstemmed | Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review |
| title_short | Mexiletine and False Positive Urine Drug Screen for Amphetamine: A Case Review |
| title_sort | mexiletine and false positive urine drug screen for amphetamine a case review |
| url | http://dx.doi.org/10.1155/2021/7134394 |
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