Preferred Drug Testing
P.O. Box 14
Worthington, Minnesota 56187
605-366-2994
Email:info@drugscreeningsupplies.com



AMP - Amphetamines
BAR - Barbiturates
BZ0 - Benzodiazepines
COC - Cocaine
MDMA - Ecstasy
THC - Marijuana
MTD - Methadone
MET - Methamphetamines
OPI300 - Opiates 300
OPI2000 - Opiates 2000
OXY - Oxycodone
PCP - Phencyclidine
PPX - Propoxyphene
TCA - Tricylic Antidepressants
















AMP - Amphetamines Amphetamines are drugs such as dextroamphetamine, benzedrine, and Ritalin. Amphetamines were originally developed to treat asthma, sleep disorders (narcolepsy) and hyperactivity. In 1920, a drug called "ephedrine" was used to treat asthma. In China, the ma huang plant (Ephedra vulgaris) had been used for centuries to treat people with asthma. It is no wonder that the plant worked...the ma huang plant contains ephedrine. In 1932, synthetic ephedrine was sold "over-the-counter" and was available without a prescription until 1954. During World War II, amphetamines were given to soldiers and pilots to keep them alert and to fight off fatigue.

BAR - Barbiturates Brand names: Amytal and Amytal Sodium, Soneryl, Prominal, Nembutal, Luminal, Tuinal. Street names: Angels (Amytal), Nembies (Nembutal), Chewies (Tuinal). Street use: Barbiturates can be swallowed but more often heavy users dissolve the powders in water and inject. Drug effect: Barbiturates are depressants or ?downers?. They work by depressing the activity of the entire nervous system. At low doses they decrease motor activity and produce sedation and drowsiness. Paradoxically they may produce excitement, elation and euphoria, slurred speech and general weariness. At high doses, barbiturates further decrease cognitive activity, distort judgement and provoke hypnosis. Higher doses produce anaesthesia. Dependency: Develops very rapidly as the level of the drug increases. Withdrawal: Symptoms appear within 24 hours of the last dose, peak about the second day and then fade over the next week. Symptoms include: restlessness, anxiety, and insomnia. Among heavy users there may be delirium and seizure. This is particularly likely to follow sudden withdrawal and so doses should be reduced gradually over time. Long-term use: Can lead to chronic inebriation, aggressive behaviour, impaired judgement and severe insomnia. Overdose risk: Although tolerance develops rapidly, the gap between a safe (for a heavy user) and lethal dose is very narrow and so accidental overdoses are very common. Large doses can lead to respiratory failure, coma and eventual death. Overdose risk increases if mixed with other drugs such as cocaine, alcohol and opiates. Risk in pregnancy: Large doses of some barbiturates in pregnancy have been associated with congenital malformations.

BZ0 - Benzodiazepines Benzodiazepines are among the most commonly prescribed depressant medications in the United States today. More than 15 different types of benzodiazepine medications exist to treat a wide array of both psychological and physical maladies based on dosage and implications.1 To be characterized as such, each benzodiazepine displays one or more of the following drug actions: anxiety relief, hypnotic, muscle relaxant, anti-convulsant, or an amnesiatic (mild memory-loss inducer). Due to their sedative properties, benzodiazepines have a high potential for abuse, especially when used with other depressants such as alcohol or opiates.2 Benzodiazepines are classified as Schedule IV in the Controlled Substances Act. Commonly prescribed benzodiazepines include Xanax© (alprazolam), Librium© (chlordiazepoxide), Valium© (diazepam), and Ativan© (lorazepam).3 Another benzodiazepine that has been the focus of a great deal of media attention is flunitrazepam, trade name Rohypnol©, which is known widely as "the date-rape drug" due to its involvement in many sexual assault cases in recent years.

COC - Cocaine Cocaine is a powerfully addictive stimulant drug. The powdered, hydrochloride salt form of cocaine can be snorted or dissolved in water and injected. Crack is cocaine that has not been neutralized by an acid to make the hydrochloride salt. This form of cocaine comes in a rock crystal that can be heated and its vapors smoked. The term "crack" refers to the crackling sound heard when it is heated.* Regardless of how cocaine is used or how frequently, a user can experience acute cardiovascular or cerebrovascular emergencies, such as a heart attack or stroke, which could result in sudden death. Cocaine-related deaths are often a result of cardiac arrest or seizure followed by respiratory arrest. Health Hazards Cocaine is a strong central nervous system stimulant that interferes with the reabsorption process of dopamine, a chemical messenger associated with pleasure and movement. The buildup of dopamine causes continuous stimulation of receiving neurons, which is associated with the euphoria commonly reported by cocaine abusers. Physical effects of cocaine use include constricted blood vessels, dilated pupils, and increased temperature, heart rate, and blood pressure. The duration of cocaine's immediate euphoric effects, which include hyperstimulation, reduced fatigue, and mental alertness, depends on the route of administration. The faster the absorption, the more intense the high. On the other hand, the faster the absorption, the shorter the duration of action. The high from snorting may last 15 to 30 minutes, while that from smoking may last 5 to 10 minutes. Increased use can reduce the period of time a user feels high and increases the risk of addiction. Some users of cocaine report feelings of restlessness, irritability, and anxiety. A tolerance to the "high" may develop?many addicts report that they seek but fail to achieve as much pleasure as they did from their first exposure. Some users will increase their doses to intensify and prolong the euphoric effects. While tolerance to the high can occur, users can also become more sensitive to cocaine's anesthetic and convulsant effects without increasing the dose taken. This increased sensitivity may explain some deaths occurring after apparently low doses of cocaine. Use of cocaine in a binge, during which the drug is taken repeatedly and at increasingly high doses, may lead to a state of increasing irritability, restlessness, and paranoia. This can result in a period of full-blown paranoid psychosis, in which the user loses touch with reality and experiences auditory hallucinations. Other complications associated with cocaine use include disturbances in heart rhythm and heart attacks, chest pain and respiratory failure, strokes, seizures and headaches, and gastrointestinal complications such as abdominal pain and nausea. Because cocaine has a tendency to decrease appetite, many chronic users can become malnourished. Different means of taking cocaine can produce different adverse effects. Regularly snorting cocaine, for example, can lead to loss of the sense of smell, nosebleeds, problems with swallowing, hoarseness, and a chronically runny nose. Ingesting cocaine can cause severe bowel gangrene due to reduced blood flow. People who inject cocaine can experience severe allergic reactions and, as with all injecting drug users, are at increased risk for contracting HIV and other blood-borne diseases. Added Danger: Cocaethylene When people mix cocaine and alcohol consumption, they are compounding the danger each drug poses and unknowingly forming a complex chemical experiment within their bodies. NIDA-funded researchers have found that the human liver combines cocaine and alcohol and manufactures a third substance, cocaethylene, that intensifies cocaine's euphoric effects, while potentially increasing the risk of sudden death.

MDMA - Ecstasy What does it look like? Ecstasy comes in a tablet form that is often branded, e.g. Playboy bunnies, Nike swoosh, CK How is it used? Taken in pill form, users sometimes take Ecstasy at "raves," clubs and other parties to keep on dancing and for mood enhancement. What are its short-term effects? Users report that Ecstasy produces intensely pleasurable effects ? including an enhanced sense of self-confidence and energy. Effects include feelings of peacefulness, acceptance and empathy. Users say they experience feelings of closeness with others and a desire to touch others. Other effects can include involuntary teeth clenching, a loss of inhibitions, transfixion on sights and sounds, nausea, blurred vision, chills and/or sweating. Increases in heart rate and blood pressure, as well as seizures, are also possible. The stimulant effects of the drug enable users to dance for extended periods, which when combined with the hot crowded conditions usually found at raves, can lead to severe dehydration and hyperthermia or dramatic increases in body temperature. This can lead to muscle breakdown and kidney, liver and cardiovascular failure. Cardiovascular failure has been reported in some of the Ecstasy-related fatalities. After-effects can include sleep problems, anxiety and depression. What are its long-term effects? Repeated use of Ecstasy ultimately may damage the cells that produce serotonin, which has an important role in the regulation of mood, appetite, pain, learning and memory. There already is research suggesting Ecstasy use can disrupt or interfere with memory.

THC - Marijuana What is marijuana? Marijuana is the dried flowers, leaves and stems of the Cannabis sativa plant. The main active ingredient in marijuana is THC (delta 9 tetrhydrocannabinol). Marijuana can range from 1% THC to 8%. Hashish can be 7% to 14% THC and hash oil is up to 50% THC. THC is a fat soluble substance and can remain in the lungs and brain tissue for up to 3 weeks. There are over 200 nicknames for marijuana, including pot, herb, mary jane and chronic. How is marijuana used? Marijuana is usually smoked, using a pipe, a bong or by rolling a joint. Blunts are cigars that are emptied of tobacco and refilled with marijuana, sometimes in combination with other drugs. It can also be eaten in food, for example, by baking it in brownies. Why do people use marijuana? Smoking marijuana can relax a person and elevate their mood. This can be followed by drowsiness and sedation. Other effects include heightened sensory awareness, euphoria, altered perceptions and feeling hungry ("the munchies"). High concentrations of THC may produce a more hallucinogenic response. Are there short-term dangers of smoking marijuana? Discomforts associated with smoking marijuana include dry mouth, dry eyes, increased heart rate and visible signs of intoxication such as bloodshot eyes and puffy eyelids. Other problems include: 1. Impaired memory and ability to learn 2. Difficulty thinking and problem solving 4. Anxiety attacks or feelings of paranoia 5. Impaired muscle coordination and judgment 6. Increased susceptibility to infections 7. Dangerous impairment of driving skills. Studies show that it impairs braking time, attention to traffic signals and other driving behaviors. 8. Cardiac problems for people with heart disease or high blood pressure, because marijuana increases the heart rate It is virtually impossible to overdose from marijuana, which sets it apart from most drugs. Are there long-term consequences to smoking marijuana? Respiratory problems Someone who smokes marijuana regularly can have many of the same respiratory problems as cigarette smokers. Persistent coughing, symptoms of bronchitis and more frequent chest colds are possible symptoms. There are over 400 chemicals that have been found in marijuana smoke. Benzyprene, a known human carcinogen, is present in marijuana smoke. Regardless of the THC content, the amount of tar inhaled by marijuana smokers and the level of carbon monoxide are 3 to 5 times higher than in cigarette smoke. This is most likely due to inhaling marijuana more deeply, holding the smoke in the lungs and because marijuana smoke is unfiltered. Memory and learning Recent research shows that regular marijuana use compromises the ability to learn and to remember information by impairing the ability to focus, sustain, and shift attention. One study also found that long-term use reduces the ability to organize and integrate complex information. In addition, marijuana impairs short-term memory and decreases motivation to accomplish tasks, even after the high is over. In one study, even small doses impaired the ability to recall words from a list seen 20 minutes earlier. Fertility Long-term marijuana use suppresses the production of hormones that help regulate the reproductive system. For men, this can cause decreased sperm counts and very heavy users can experience erectile dysfunction. Women may experience irregular periods from heavy marijuana use. These problems would most likely result in a decreased ability to conceive but not lead to complete infertility. Is marijuana addictive? No one would argue that marijuana is as addictive as alcohol or cocaine. However, it's wrong to say that it is not at all addictive. More and more studies are finding that marijuana has addictive properties. Both animal and human studies show physical and psychological withdrawal symptoms from marijuana, including irritability, restlessness, insomnia, nausea and intense dreams. Tolerance to marijuana also builds up rapidly. Heavy users need 8 times higher doses to get the same effects as infrequent users. For a small percentage of people who use it, marijuana can be highly addictive. It is estimated that 10% to 14% of users will become heavily dependent. More than 120,000 people in the US seek treatment for marijuana addiction every year. Because the consequences of marijuana use can be subtle and insidious, it is more difficult to recognize signs of addiction. Cultural and societal beliefs that marijuana cannot be addictive make it less likely for people to seek help or to get support for quitting. How do I recognize a problem with marijuana? Some warning signs are: ? More frequent use ? Needing more and more to get the same effect ? Spending time thinking about using marijuana ? Spending more money than you have on it ? Missing class or failing to finish assignments because of marijuana ? Making new friends who do it and neglecting old friends who don't ? Finding it's hard to be happy without it Because THC is fat soluble and remains in the body for up to 3 weeks, it's important to remember that withdrawal symptoms might not be felt immediately. If you find that you can't stop using marijuana, then remember, there's help. Is marijuana illegal? Yes, marijuana is illegal and its possession, use, and sale carry heavy prison sentences and fines and disciplinary consequence. What about the medical use of marijuana? Marijuana's ability to enhance appetite has led to its medical use to reduce the physical wasting caused by AIDS and to reduce nausea for chemotherapy patients. According to the Marijuana Policy Project, 11 states have laws that allow patients to use medical marijuana despite the prohibition by federal law.

MTD - Methadone Methadone is a rigorously well-tested medication that is safe and efficacious for the treatment of narcotic withdrawal and dependence. For more than 30 years this synthetic narcotic has been used to treat opioid addiction. Heroin releases an excess of dopamine in the body and causes users to need an opiate continuously occupying the opioid receptor in the brain. Methadone occupies this receptor and is the stabilizing factor that permits addicts on methadone to change their behavior and to discontinue heroin use. Taken orally once a day, methadone suppresses narcotic withdrawal for between 24 and 36 hours. Because methadone is effective in eliminating withdrawal symptoms, it is used in detoxifying opiate addicts. It is, however, only effective in cases of addiction to heroin, morphine, and other opioid drugs, and it is not an effective treatment for other drugs of abuse. Methadone reduces the cravings associated with heroin use and blocks the high from heroin, but it does not provide the euphoric rush. Consequently, methadone patients do not experience the extreme highs and lows that result from the waxing and waning of heroin in blood levels. Ultimately, the patient remains physically dependent on the opioid, but is freed from the uncontrolled, compulsive, and disruptive behavior seen in heroin addicts. Withdrawal from methadone is much slower than that from heroin. As a result, it is possible to maintain an addict on methadone without harsh side effects. Many MMT patients require continuous treatment, sometimes over a period of years. Methadone maintenance treatment provides the heroin addict with individualized health care and medically prescribed methadone to relieve withdrawal symptoms, reduces the opiate craving, and brings about a biochemical balance in the body. Important elements in heroin treatment include comprehensive social and rehabilitation services.

MET - Methamphetamines Methamphetamine is a powerfully addictive stimulant that dramatically affects the central nervous system. The drug is made easily in clandestine laboratories with relatively inexpensive over-the-counter ingredients. These factors combine to make methamphetamine a drug with high potential for widespread abuse. Methamphetamine is commonly known as "speed," "meth," and "chalk." In its smoked form, it is often referred to as "ice," "crystal," "crank," and "glass." It is a white, odorless, bitter-tasting crystalline powder that easily dissolves in water or alcohol. The drug was developed early in this century from its parent drug and was used originally in nasal decongestants and bronchial inhalers. Methamphetamine's chemical structure is similar to that of amphetamine, but it has more pronounced effects on the central nervous system. Like amphetamine, it causes increased activity, decreased appetite, and a general sense of well-being. The effects of methamphetamine can last 6 to 8 hours. After the initial "rush," there is typically a state of high agitation that in some individuals can lead to violent behavior.

OPI300 - Opiates 300 Brand / Generic Names Raw Opium, Opium, Codeine, Morphine, Heroin, Hydromorphone (Dilaudid), Oxycodone (Percodan), Oxymorphone (Numorphan), Hydrocodone (Vicodin), Meperidine (Demerol), Fentanyl, Methadone (Dolophine), Darvon, Talwin. Street Names Smack, Horse, Junk, "H", Hard Stuff, Shit, Mexican Brown, China White, Chiva, Goma, Gumball, Schoolboy, Downtown, Dolls, Dollies, Drug Store Heroin, Miss Emma, Morf, "M", Morpho, Big H, Black Tar, Boy, Brown Sugar, Crown Crap, Doogie, Hairy, Harry, Hazel, Henry, George Smack, Him, Horse Radish, Joy Powder, Mud, Muzzle, Scag, Schmeck, Smeck, Tecata, White Lady. Possible Effects of Opiates General effects of narcotic analgesics include: sedation, slowed reflexes, raspy speech, sluggish "rubber-like" movements, slowed breathing, cold skin, and possible vomiting. However, as a user continues to abuse narcotic analgesics he or she will build a tolerance to the drug, therefore causing the effects to diminish. Heroin, a very strong narcotic depressant, completely destroys the users ability to reason. Its synthetic form, known as "designer drug" has been proven to be even more deadly and addictive. If the abuser wishes to maintain the same effect, he or she will have to take steadily larger doses as the tolerance develops. Heroin users generally experience certain psychological effects immediately after injection. These include a feeling of euphoria: relief from withdrawal symptoms: and, relief from pain. Physical effects, if they are evident at all, typically will become evident after 15-30 minutes. Physical effects may not be evident if the user is tolerant and has taken a normal dose. With new users, the physical effects include: nodding off, poor motor coordination, depressed reflexes, and slow breathing. If a user is addicted to opiates he or she will suffer withdrawal symptoms if they don't receive another dose, or "fix", before the drug is completely out of their system. Withdrawal effects can be chills, aches of the muscles and joints, nausea and insomnia. These symptoms normally start 4-6 hours after the last dosage of the drug. The withdrawal signs and symptoms intensify from 14-24 hours following the injection, and may be accompanied by gooseflesh, slight tremors, loss of appetite and dilation of the pupils. Approximately 24-36 hours since the last "fix", the addict experiences insomnia, vomiting, diarrhea, weakness, depression and hot/cold flashes. Withdrawal signs and symptoms generally reach their peak after 2-3 days. At this point, the addict usually experiences muscular and abdominal cramps, elevated temperature and severe tremors and twitching. This twitching, especially of the legs, is referred to in the expression "kickin' the habit". The addict is very nauseated at this time, may gag and vomit repeatedly, and may lose 10-15 pounds within 24 hours. Signs of an overdose of narcotic analgesics are depress respiration, slow and shallow breathing, clammy skin, convulsions, possible coma and death.

OPI2000 - Opiates 2000 Brand / Generic Names Raw Opium, Opium, Codeine, Morphine, Heroin, Hydromorphone (Dilaudid), Oxycodone (Percodan), Oxymorphone (Numorphan), Hydrocodone (Vicodin), Meperidine (Demerol), Fentanyl, Methadone (Dolophine), Darvon, Talwin. Street Names Smack, Horse, Junk, "H", Hard Stuff, Shit, Mexican Brown, China White, Chiva, Goma, Gumball, Schoolboy, Downtown, Dolls, Dollies, Drug Store Heroin, Miss Emma, Morf, "M", Morpho, Big H, Black Tar, Boy, Brown Sugar, Crown Crap, Doogie, Hairy, Harry, Hazel, Henry, George Smack, Him, Horse Radish, Joy Powder, Mud, Muzzle, Scag, Schmeck, Smeck, Tecata, White Lady. Possible Effects of Opiates General effects of narcotic analgesics include: sedation, slowed reflexes, raspy speech, sluggish "rubber-like" movements, slowed breathing, cold skin, and possible vomiting. However, as a user continues to abuse narcotic analgesics he or she will build a tolerance to the drug, therefore causing the effects to diminish. Heroin, a very strong narcotic depressant, completely destroys the users ability to reason. Its synthetic form, known as "designer drug" has been proven to be even more deadly and addictive. If the abuser wishes to maintain the same effect, he or she will have to take steadily larger doses as the tolerance develops. Heroin users generally experience certain psychological effects immediately after injection. These include a feeling of euphoria: relief from withdrawal symptoms: and, relief from pain. Physical effects, if they are evident at all, typically will become evident after 15-30 minutes. Physical effects may not be evident if the user is tolerant and has taken a normal dose. With new users, the physical effects include: nodding off, poor motor coordination, depressed reflexes, and slow breathing. If a user is addicted to opiates he or she will suffer withdrawal symptoms if they don't receive another dose, or "fix", before the drug is completely out of their system. Withdrawal effects can be chills, aches of the muscles and joints, nausea and insomnia. These symptoms normally start 4-6 hours after the last dosage of the drug. The withdrawal signs and symptoms intensify from 14-24 hours following the injection, and may be accompanied by gooseflesh, slight tremors, loss of appetite and dilation of the pupils. Approximately 24-36 hours since the last "fix", the addict experiences insomnia, vomiting, diarrhea, weakness, depression and hot/cold flashes. Withdrawal signs and symptoms generally reach their peak after 2-3 days. At this point, the addict usually experiences muscular and abdominal cramps, elevated temperature and severe tremors and twitching. This twitching, especially of the legs, is referred to in the expression "kickin' the habit". The addict is very nauseated at this time, may gag and vomit repeatedly, and may lose 10-15 pounds within 24 hours. Signs of an overdose of narcotic analgesics are depress respiration, slow and shallow breathing, clammy skin, convulsions, possible coma and death.

OXY - Oxycodone Oxycodone is in a group of drugs called narcotic pain relievers. It is similar to morphine. Oxycodone is used to treat moderate to severe pain. The extended-release form of this medication is for around-the-clock treatment of pain. Oxycodone is not for treating pain just after a surgery unless you were already taking oxycodone before the surgery. Oxycodone may also be used for purposes other than those listed in this medication guide.

PCP - Phencyclidine PCP (phencyclidine) was developed in the 1950s as an intravenous anesthetic. Its use in humans was discontinued in 1965, because patients often became agitated, delusional, and irrational while recovering from its anesthetic effects. PCP is illegally manufactured in laboratories and is sold on the street by such names as angel dust, ozone, wack, and rocket fuel. Killer joints and crystal supergrass are names that refer to PCP combined with marijuana. The variety of street names for PCP reflects its bizarre and volatile effects.

PCP is a "dissociative drug," meaning that it distorts perceptions of sight and sound and produces feelings of detachment (dissociation) from the environment and self. Dissociative drugs act by altering distribution of the neurotransmitter glutamate throughout the brain. Glutamate is involved in a person's perception of pain, responses to the environment, and memory. PCP is a white crystalline powder that is readily soluble in water or alcohol. It has a distinctive bitter chemical taste. PCP can be mixed easily with dyes and turns up on the illicit drug market in a variety of tablets, capsules, and colored powders. It is normally abused in one of three ways: snorted, smoked, or ingested. For smoking, PCP is often applied to a leafy material such as mint, parsley, oregano, or marijuana. Health Hazards PCP is addictive?its repeated abuse can lead to craving and compulsive PCP-seeking behavior. First introduced as a street drug in the 1960s, PCP quickly gained a reputation as a drug that could cause bad reactions and was not worth the risk. After abusing PCP once, many people will not knowingly abuse it again. Others attribute their continued abuse to feelings of strength, power, invulnerability, and a numbing effect on the mind. Many PCP abusers are brought to emergency rooms because of PCP overdose or because of the drug's unpleasant psychological effects. In a hospital or detention setting, these people often become violent or suicidal and are very dangerous to themselves and others. They should be kept in a calm setting and not be left alone. At low to moderate doses, physiological effects of PCP include a slight increase in breathing rate and a pronounced rise in blood pressure and pulse rate. Breathing becomes shallow, and flushing and profuse sweating occur. Generalized numbness of the extremities and loss of muscular coordination also may occur. At high doses of PCP, blood pressure, pulse rate, and respiration drop. This may be accompanied by nausea, vomiting, blurred vision, flicking up and down of the eyes, drooling, loss of balance, and dizziness. High doses of PCP can also cause seizures, coma, and death (though death more often results from accidental injury or suicide during PCP intoxication). High doses can cause symptoms that mimic schizophrenia, such as delusions, hallucinations, paranoia, disordered thinking, a sensation of distance from one's environment, and catatonia. Speech is often sparse and garbled. People who abuse PCP for long periods report memory loss, difficulties with speech and thinking, depression, and weight loss. These symptoms can persist up to a year after stopping PCP abuse. Mood disorders also have been reported. PCP has sedative effects, and interactions with other central nervous system depressants, such as alcohol and benzodiazepines, can lead to coma. Extent of Use Monitoring the Future (MTF) Survey* MTF data show that in 2005, 2.4 percent of high school seniors reported lifetime** use of PCP; annual use was reported by 1.3 percent of seniors, and 30-day use was reported by 0.7 percent. Data on PCP use by 8th- and 10th-graders are not available. Drug Abuse Warning Network (DAWN)*** PCP mentions in emergency departments for the third and fourth quarters of 2003 were estimated at 4,581; most of these mentions involved males. Approximately 51 percent were Black, 31 percent were White, and 12 percent were Hispanic.

PPX - Propoxyhene Propoxyphene is in a group of drugs called narcotic. Propoxyphene is used to relieve mild to moderate pain. Do not use this medication if you have a history of suicidal thoughts or actions. Propoxyphene should never be taken together with a sedative (such as Valium or Xanax) or an antidepressant if you are also drinking large amounts of alcohol. Propoxyphene may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it. Do not drink alcohol while you are taking propoxyphene. Dangerous or death can occur when alcohol is combined with a narcotic pain medicine. Check your food and medicine labels to be sure these products do not contain alcohol. Never take more than your prescribed dose of propoxyphene. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Propoxyphene can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using propoxyphene suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

TCA - Tricylic Antidepressants
Amitriptyline (Elavil®)
Imipramine (Tofranil®)
Clomipramine (Anafranil®)
Trimipramine (Surmontil®)
Doxepin (Sinequan®)
Protriptyline (Vivactil®)
Desipramine (Norpramin®)
Nortriptyline (Pamelor®)









































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