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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes False Positive Results For THC In Urine Test?

My 21 year old son just got the results back from a Ameritox urine test and it has a false positive for THC even though he smoked it 1 time at age 18 & hated it because of the sleepy feeling it gave him. We have always been honest with each other every since he learned to talk because I promised to not judge him based on an honest reply. He did tell me he thinks he used to much Robitussin the night before that drug test because he still has a bad cold & he said it put him to a great nights sleep. How could he have gotten this false positive from both the in-office & the Ameritox test. My Dr. doesn t even belieave these resultes because he s always honest with the Dr. too. Please help with this puzzel if possible. (Lost In Tennessee.)
Fri, 31 Jul 2015
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General & Family Physician 's  Response
Hi there and thank you for your question.

I can understand that this is a concerning situation for you as your son's history doesn't make sense with a positive THC test.

The good news is that there are indeed two main classes of medications that can cause false positive results regarding THC. These are your non-steroidal anti-inflammatories (NSAIDS) such as ibuprofen and naproxen and your proton pump inhibitors (PPI) such as omeprazole, pantoprazole, etc. NSAIDS are commonly used for pain, fever and swelling and PPI's are used to reduce acid production in the stomach for patients suffering from acid reflux.

You mentioned that he was struggling with a cold so he may have used medication that contains ibuprofen in it. The only issue you may run into is that these tests have been developed to be as precise as possible and to exclude as many false positive results as possible.

I would suggest speaking to your son to try and exclude those medications, if he has used them, for about a week and then repeat the toxicology screen. If it still comes up positive for THC then you'll need to speak to him and just remind him that you're his mother and that he knows he can trust you and you won't be upset with him.

Just to play devil's advocate, if he did use marijuana, he may just be embarrassed to tell you and feel that he's taken advantage of your trust and he's upset with himself now.

I hope this helps you and good luck.
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What Causes False Positive Results For THC In Urine Test?

Hi there and thank you for your question. I can understand that this is a concerning situation for you as your son s history doesn t make sense with a positive THC test. The good news is that there are indeed two main classes of medications that can cause false positive results regarding THC. These are your non-steroidal anti-inflammatories (NSAIDS) such as ibuprofen and naproxen and your proton pump inhibitors (PPI) such as omeprazole, pantoprazole, etc. NSAIDS are commonly used for pain, fever and swelling and PPI s are used to reduce acid production in the stomach for patients suffering from acid reflux. You mentioned that he was struggling with a cold so he may have used medication that contains ibuprofen in it. The only issue you may run into is that these tests have been developed to be as precise as possible and to exclude as many false positive results as possible. I would suggest speaking to your son to try and exclude those medications, if he has used them, for about a week and then repeat the toxicology screen. If it still comes up positive for THC then you ll need to speak to him and just remind him that you re his mother and that he knows he can trust you and you won t be upset with him. Just to play devil s advocate, if he did use marijuana, he may just be embarrassed to tell you and feel that he s taken advantage of your trust and he s upset with himself now. I hope this helps you and good luck.