How Do I Pass A Drug Test Article 29 From Always Test Clean

Dear Dr. Bearman,

Being out of drug treatment (thankfully) for the past two years I do not have access to clinical data but rely on my direct experience as administrator and clinic director for some 20 years.

You are correct that in the vast majority of cases one should see no detectable levels of THC metabolite (under 50 ng/ml) after six weeks. Yet, the medical cannabis patient and the chronic cannabis user represent a different case. Years of regular cannabis use saturate fatty tissues with cannabinoids that are but slowly released depending upon metabolic rate, weight loss, physical activity, etc.  How Do I Pass A Drug Test

Many of our patients were referred by the criminal justice system. These patients faced legal sanction should they continue to test positive for illicit drugs. For this reason I directly supervised our drug testing program at the I-ADARP clinics (Interagency Drug Abuse Recovery Programs). We insisted that tests were truly random, that staff was adequately trained, that a chain of custody was established, that all tests were directly supervised by staff, and that a good diagnostic laboratory was utilized.

Our initial screens were immunoassay providing a qualitative result. All positives at our clinics were then retested by GC/MS both to confirm results and to provide a quantitative measure. It is from the review of thousands of these tests that I can state that long term regular users of large amounts of cannabis can easily test positive at a level of 25-50 ng/ml for 6-12 weeks.

The vast majority of patients seeking treatment for chemical dependency present with opiates, cocaine, alcohol, and/or amphetamine as their primary problems. These drugs most certainly should clear within just a week or so. Most of these patients have also used cannabis but less frequently than their primary drug. These occasional cannabis users should also test negative for cannabis within 30 days or so.

The problem arises from the true cannabis "devotee" who may have experienced daily use of cannabis over a period of years. These patients will eliminate but only gradually. I would examine the quantitative levels of a series of urinalysis tests over the course of a month. With very few exceptions an elimination curve could be detected in all of the patients who refrained from any further cannabis use but it was not unusual for these patients to still test positive at 30 days at the level of 25-50 ng/ml.

Clinic personnel and others should not ignore patient/staff interaction and professional evaluation of behavior. The complete reliance on qualitative urinalysis to the exclusion of observable behavior, and reliance on arbitrary time frames for elimination assigned to all patients regardless of history is simply a mistake and indeed not only unfair but counter productive. How Do I Pass A Drug Test Patients know that cannabis is the drug most likely to be identified in urinalysis over time so they often switch to far more dangerous drugs like the opiates or alcohol which clear in 2-4 days. We are, after all, comparing dangerous drugs with 2-4 hour half-lives to relatively benign cannabis with a half-life of 6 days.

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