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Benzodiazepines (Urine) : Does This Test Have Other Names?
Benzodiazepines (Urine) : Does This Test Have Other Names?
Drug Information: Benzodiazepines are medications that are frequently prescribed for
the symptomatic treatment of anxiety and sleep disorders. They produce their effects via
specific receptors involving a neurochemical called gamma aminobutyric acid (GABA).
Alprazolam (Xanax)
Chlordiazepoxide (Librium)
Clonazepam (Klonopin)
Clorazepate (Tranxene)
Diazepam (Valium)
Lorazepam (Ativan)
Oxazepam (Serax)
Examples of common sedative-hypnotic medicines include:
Temazepam (Restoril)
Triazolam (Halcion)
Flurazepam (Dalmane)
Estazolam (ProSom)
In addition to medical use, benzodiazepines are sometimes used illegally. Chronic abuse of
benzodiazepines can lead to addiction, and combining these medicines with other
depressants like alcohol can be fatal. Street names for these medicines include "downers,"
"benzos," "nerve pills," "candy," and "tranks."
Why do I need this test?
Even if you have been prescribed these medicines, you may need this test if you are
showing signs of an overdose. Symptoms of overdose include confusion, slurred speech,
loss of muscular coordination, stupor, and unconsciousness. Benzodiazepines can also
cause low blood pressure, slow or shallow breathing, and cardiac arrest.
You may also have this test if a healthcare provider suspects you are abusing these
medicines or using them illegally.
If you appear confused, cannot be roused, have seizures, or lose muscle control, you may
also have this test as part of an overall urine toxicology screen to check for other commonly
abused drugs. These screens vary at different hospitals, but often include tests for cocaine,
opioids, amphetamines, barbiturates, benzodiazepines, and phencyclidine.
If you are conscious, able to talk with healthcare providers, and willing to cooperate, you
can provide information that helps providers figure out the best test for your case. For
example, if you are a victim of sexual assault, you may have this test to find out whether
someone slipped a benzodiazepine date rape drug, such as Rohypnol ("roofie"), into your
drink.
You might also be tested if providers think you have taken benzodiazepines accidentally or
in a suicide attempt.
A benzodiazepine overdose alone is unlikely to cause coma or severe heart or lung function
problems. If you have those symptoms, a healthcare provider may screen for other drugs
and test for causes of central nervous system depression that are not drug-related.
In addition to ordering a urine test, a healthcare provider may also order a blood test for
benzodiazepines. In some cases, it may be more practical to take a blood sample than a
urine sample. Blood tests are also harder for a patient to alter to hide drug abuse.
Exactly which lab tests you have depends on your physical exam and information about
your condition that you are willing and able to provide.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses to do
the test. Even if your test results are different from the normal value, you may not have a
problem. To learn what the results mean for you, talk with your healthcare provider.
A positive test result means that the test found the medicine's metabolite in your urine at the
time the urine sample was taken. The amount found is called the threshold concentration.
This means there was enough metabolite to measure. It does not mean the amount was
enough to show you are actively using the medicine--or "under the influence." The time it
takes for a substance to show up in the urine varies by medicine. It can show up within
minutes of taking the medicine, and it can last for days.
The presence of benzodiazepines varies a lot by each medicine's half-life. Half-life means
the amount of time it takes for half of the medicine to be eliminated from the body.
Diazepam (Valium), for example, can be found for weeks after the last dose.
Although most benzodiazepines show up in standard urine tests, some don't. Alprazolam
(Xanax), clonazepam (Klonopin), temazepam (Restoril), and triazolam (Halcion) may not be
found in many of the common tests. Many benzodiazepine tests can find whether the
medicine is present, but can't give the amount.
Overdoses of fast-acting benzodiazepines like triazolam (Halcion) are more likely to cause
breathing problems and even death.
Tolmetin (Tolectin)
Naproxen (Aleve)
Etodolac (Lodine)
Fenoprofen (Nalfon)
Oxaprozin (Daypro)
Sertraline (Zoloft)