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SOFT 2004 Meeting Abstracts - Society of Forensic Toxicologists

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F12 <br />

TITLE: AMPHETAMINE CONCENTRATIONS IN URINE AFTER THE USE OF DEXEDRINE<br />

"GO-PILLS": COMPARISON OF SINGLE AND DOUBLE DOSES OF D-AMPHETAMINE.<br />

P.L. Mobley*, S.H. Constable, R.D. Vanderbeek, T.A. Frazier, C.S. Ramsey, D. Wheeler<br />

Presenting Author: Philip L. Mobley, Ph.D. Business Address: Air Force Drug Testing Laboratory,<br />

AFIOH/SDT, 2730 Louis Bauer Drive, Brooks AFB, TX 78235<br />

The Air Force, under the close supervision <strong>of</strong> flight surgeons, approves the use <strong>of</strong> amphetamine for both<br />

active duty and reserve Air Force aviators to counter performance problems during long military missions<br />

associated with fatigue and sleep deprivation. These pilots may also be subjected to urine drug tests, which<br />

include testing for amphetamines by DoD. Studies were conducted to determine the window <strong>of</strong> detection<br />

for amphetamine after the administration <strong>of</strong> Dexedrine ("Go-Pills") at two approved doses. Volunteers<br />

(22-58 years, mean=38.7 years) were administered a single IOmg dose <strong>of</strong> d-amphetamine (N=31), or two<br />

10mg doses four hours apart (N=31). A urine specimen was collected from each subject just prior to drug<br />

administration and collected ad libitum thereafter for several days. Urine was screened using the KIMS<br />

immunoassay. GCIMS was performed on specimens from each subject until the amphetamine<br />

concentration fell consistently below 350ng/ml in the screen test. Based on GC/MS analysis, peak urine<br />

concentrations <strong>of</strong> amphetamine ranged from 602 ng/ml to 12,191 ng/ml with a mean <strong>of</strong> 3345 ng/ml in the<br />

single-dose study, and from 1,339 ng/mJ to 15,359 ng/ml with a mean <strong>of</strong> 6076 ng/ml in the two-dose study.<br />

The time at which the highest (peak) concentration was observed ranged from 2.6 to 29.6 hours with a<br />

mean <strong>of</strong> 12.3 hours (sd=6.3) in the single dose study, and from 4.0 to 26.5 hours with a mean <strong>of</strong> 13.8 hours<br />

(sd=6.7) in the two-dose study. The time to the last identified positive (>500 ng/ml) in each subject ranged<br />

from 2.6 to 46.7 hours with a mean <strong>of</strong> 31.3 hours (sd=9.7) in the single-dose study, and from 29.1 to 71.5<br />

hours with a mean <strong>of</strong> 44.8 hours (sd=9.3) in the two-dose study. The excretion rate half-life <strong>of</strong><br />

amphetamine in the urine was approximately 12 to 13 hours in both test groups. These studies indicate that<br />

most pilots should be below the DoD cut<strong>of</strong>f <strong>of</strong> 500 ng/mJ within 48 hours after a single 10 mg dose, and<br />

within 72 hours after the 2xlO mg dose.<br />

Key Words: Amphetamine, Urine, Go-Pills<br />

Page 265

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