Question

You are requested to evaluate a 23-year-old man who was brought to the emergency department by the police due to his bizarre behaviors in the parking lot. His urine drug screen is positive for amphetamine and negative for other substances. The patient vehemently denies use of any recreational drugs. The patient reports being prescribed one of the following medications which can result in false-positive results for amphetamine and methamphetamine. Which is the most likely medication?

A. Bupropion
B. Clomipramine
C. Citalopram
D. Sertraline
E. Venlafaxine

Answer 1

Bupropion is the most likely medication to cause false-positive results for amphetamine and methamphetamine on a urine drug screen in the provided scenario.

Step-by-step explanation:

The most likely medication that can result in false-positive results for amphetamine and methamphetamine, given the circumstances described, would be Bupropion (Option A). Bupropion is an antidepressant that is structurally similar to stimulants and can interfere with urine drug screens, leading to false-positive results. Other medications listed, such as Clomipramine, Citalopram, Sertraline, and Venlafaxine, may have various effects on mood and behavior but are less likely to cause false-positive results for amphetamines on a urine drug screen.