5 Ways Teens Might Cheat on Drug Tests

5 Ways Teens Might Cheat on Drug Tests—and How to Catch Them
These tricks are out there on the Web, so parents need to be informed

By Lindsay Lyon
Posted August 6, 2008

Google "beat drug test," and the search engine spits out page upon page of ploys and products that can make incriminating urine seem drug free. All it takes is a computer-savvy teen to access them. The ease of cheating, in fact, is one of at least seven reasons parents shouldn't try to test their kids for drug use. Instead, experts say, they should seek out a professional assessment.

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"Cheating remains the Achilles' heal of drug urine testing in all settings," says Robert DuPont, president of the Institute for Behavior and Health Inc. and former director of the National Institute on Drug Abuse. With increasing opportunities for testing—by prospective employers, schools, and parents—experts worry that teens may have more impetus than ever to try. Last week, at the American Association for Clinical Chemistry's annual meeting in Washington, D.C., toxicologist Amitava Dasgupta of University of Texas-Houston medical school demonstrated various ways that employees try to beat workplace drug tests—and how experts foil these schemes in the laboratory. There's nothing to stop kids from using the same tricks, and there's no guarantee that parents will be able to catch them at home.

Here are five ways—some of them downright dangerous—that teens may try to cheat drug tests. They're all described elsewhere on the Internet, so parents should be aware of them.

1. Tampering. A sprinkle of salt or a splash of bleach, vinegar, detergent, or drain cleaner is all that's needed to muck up a urine specimen. These and other household substances are all too often smuggled into the bathroom and used to alter the composition of urine, making the presence of some illegal substances undetectable, says Dasgupta. Same goes for chemical concoctions sold all over the Internet. Sometimes these additives or "adulterants" will cloud or discolor urine, easily casting suspicion on the specimen, but others leave the sample looking normal. Laboratory toxicologists employ simple tests to catch these cheats. For example, a few drops of hydrogen peroxide will turn urine brown if it's been mixed with pyridinium chlorochromate, an otherwise-imperceptible chemical designed to foil drug tests.

2. Water-loading. Gulping fluids before providing urine, a long-standing tactic, is still the most common way that teens try to beat tests, says Sharon Levy, a pediatrician and director of the Adolescent Substance Abuse Program at Children's Hospital Boston. Whether cheats use salty solutions to induce thirst, flushing agents that increase urine output, or just plain old H20, their aim is to water down drugs so they can't be detected. Some testing facilities may check urine for dilution and deem overly watery samples "unfit for testing." But consuming too much fluid too quickly can occasionally have dire consequences. "Water intoxication" reportedly killed a woman following participation in a radio show's water drinking contest, says Alan Wu, a professor of laboratory medicine at the University of California-San Francisco.

3. Switching drugs. Perhaps most alarming, says Levy, is that teens bent on defeating drug tests will sometimes switch their drug of choice to an undetectable (or harder to detect) substance that's considerably more hazardous. Inhalants, for example, include numerous types of chemical vapors that typically produce brief, intoxicating effects. "You don't excrete [inhalants] in your urine," says Levy, but "inhaling is acutely more dangerous than marijuana." Indeed, inhalants can trigger the lethal heart problem known as "sudden sniffing death" in otherwise healthy adolescents, according to the National Institute on Drug Abuse. The tragic case of young David Manlove is an example.

4. Popping vitamins. Perhaps it's because niacin (aka vitamin B3) is known to aid metabolism, or perhaps it's because Scientologists are said to take it in excess to flush their bodies of toxins. Whatever the reasons, some teens got the idea that extreme doses of this vitamin would erase any trace of their illicit drug use. Instead, it almost cost them their lives. In two separate incidents, emergency physician Manoj Mittal of Children's Hospital of Philadelphia has found adolescents who downed at least 150 times the daily recommended dose of niacin (15 mg) to cheat drug tests. (He described the cases last year in the Annals of Emergency Medicine.) Both kids were vomiting, had low blood sugar, and had "significant" liver toxicity when they arrived at the ER. And the niacin didn't even do what they'd intended; both tested positive for illicit drugs. "People might think that since [niacin] is a vitamin it's harmless," says Mittal. "But these cases suggest that our bodies have limits."

5. Swapping urine samples. Whether they use a friend's clean urine, synthetic pee, or even freeze-dried urine purchased online, some teens try to pass off foreign samples as their own, says Levy. The biggest tip-off is temperature. "Anything significantly lower than body temperature is suspicious," says Dasgupta, which is why some have tried to shuttle samples in armpits or taped to thighs to keep them warm. Possibly the oddest trick of all is a device marketed to those trying to beat witnessed drug collections, says Wu: a sort of prosthetic penis called the "Whizzinator" that claims to come equipped with clean urine "guaranteed" to remain at body temperature for hours, with the help of special heat pads. "Believe it or not, [the prosthesis] comes in different colors," says Wu.

Sue Scheff: Gateway Drugs and Teens

A Parent's Guide to Gateway Drugs

A gateway drug is a drug that opens the metaphorical gateway to more potent, dangerous drugs. Substances like alcohol, cigarettes and marijuana are considered gateway drugs. While many parents are tempted to say "it's only beer" or "its just pot", the danger in gateway drugs is their ability to convince the user that they can handle larger quantities or in many cases, stronger, more potent substances.

Click here for more information.

Sue Scheff: Inhalant Abuse - Parents Need to Learn More About it

Inhalant Abuse is an issue many parents are not aware of, they are very in tune to substance abuse regarding drugs and alcohol, however huffing seems to be a subject that is not discussed

enough.

Read about a Community Warning About Inhalant Abuse

Parents Univeral Resource Experts (Sue Scheff) Inhalant Abuse Among Teens and Pre-Teens

Inhalant Abuse is becoming a growing problem among teens and pre-teens. With parents, this is a very serious concern that parents need to become educated about.

As a parent advocate, I believe this subject cannot be ignored, and a matter that people need to learn more about.

Inhalant Abuse is a lesser-known form of substance abuse, but is no less dangerous than other forms.The Substance Abuse and Mental Health Service has reported that more than 2.1 million children in America experiment with some form of an inhalant each year and the Centers for Disease Control lists inhalants as second only to marijuana for illicit drug use among youth.

For more information on Inhalant Abuse visit www.inhalant.org - You could save a life today.

Sue Scheff: Smoking Pot and Lung Damage

By Connect with Kids

“This latest study shows that you have destruction of lung tissue, reduction of lung vital capacity and a decreased ability to exhale if you smoke marijuana. What’s probably the most disturbing part of this latest article is that it shows that a cigarette is really much less potent than a joint of marijuana.”

– Fadlo Khuri, M.D., oncologist

According to the latest Monitoring the Future report, more than 40 percent of 12-graders have experimented with marijuana. In fact, it is the most commonly-abused illegal drug. While parents, teachers and physicians have been warning kids about pot for years, new information shows it’s even more dangerous than we thought.

Andrew was 14 years old when he first tried pot.

“I didn’t even inhale it all the way, I just took it into my mouth, but I loved the taste. I knew that I liked it,” says Andrew Wolpa, 18.

From there he experimented with alcohol, painkillers, mushrooms and almost every drug -- except one.

“I never smoked cigarettes because those things will kill ya, you know,” says Wolpa.

But according to a study by the Medical Research Institute of New Zealand, smoking one marijuana joint is equal to smoking five cigarettes at the same time.

“This latest study shows that you have destruction of lung tissue, reduction of lung vital capacity and a decreased ability to exhale if you smoke marijuana. What’s probably the most disturbing part of this latest article is that it shows that a cigarette is really much less potent than a joint of marijuana,” says Fadlo Khuri, M.D., oncologist.

And he says smoking pot can lead to emphysema and lung cancer.

“That’s a real problem because we only cure about 15 to 17 percent of all the people who present with lung cancer nowadays. So this is a disease in which you have a 1-in-6 chance of surviving it for five years or longer,” says Khuri.

Khuri says that talking about painful and serious diseases is one way to persuade kids not to use marijuana.

“Confronting them with the data, showing them what the outcomes are with lung cancer and emphysema, with what some individuals would consider even moderate marijuana or cigarette use,” says Khuri.

Andrew says even though he’s in rehab, he’s not ready to quit.

“I don’t want to be clean yet. I’m not there,” says Wolpa.

Tips for Parents

From the Nemours Foundation:

Marijuana is the most widely used illegal drug in the United States. It is a dry, shredded green/brown mix of flowers, stems, seeds, and leaves of the plant Cannabis Sativa. A stronger form of marijuana called hashish (hash) looks like brown or black cakes or balls. Street names for marijuana include pot, herb, weed, grass, Jane, reefer, dope, and ganja.

Marijuana is typically smoked in cigarettes (joints or spliffs), hollowed-out cigars (blunts), pipes (bowls), or water pipes (bongs). Some people mix it into food or brew it as a tea.

Marijuana is just as damaging to your lungs as cigarettes – and some reports show that it is even worse. Steady users suffer coughs, wheezing, frequent colds, and respiratory infections, such as bronchitis.

There are more than 400 known chemicals in marijuana. A single joint contains four times as much cancer-causing tar as a filtered cigarette. (U.S. Department of Health and Human Services)

References

Nemours Foundation
U.S. Department of Health and Human Services