False-positive amphetamine toxicology screen results in three pregnant women using labetalol

Lynn M. Yee, Danny Wu

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Background: Labetalol is commonly used for control of hypertension in pregnancy. A component of the workup for new-onset hypertension in pregnancy often includes a urine drug screen. A labetalol metabolite is structurally similar to amphetamine and methamphetamine, thus causing potential cross-reactivity in drug immunoassays. Cases: We present one case of cocaine-induced hypertensive crisis superimposed on chronic hypertension and two cases of severe preeclampsia for which patients required escalating doses of labetalol for hypertension, with subsequent false-positive amphetamine urine drug screen results. Conclusion: In pregnant women requiring labetalol for treatment of hypertensive disease, a urine drug screen may be falsely positive for amphetamines and methamphetamines. Providers should be cognizant of this possibility when interpreting the results of urine drug screens.

Original languageEnglish (US)
Pages (from-to)503-506
Number of pages4
JournalObstetrics and gynecology
Volume117
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2011

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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