Cocaine
(Norcocaine, benzoylecgonine, ecgonine methyl ester, cocaethylene)
Material: | Blood with sodium fluoride, urine, hair, saliva |
Methods: |
Gaschromatographie (GC-MS/MS) → GC-Tandem-Massenspektrometrie Gaschromatographie (GC-MS/MS) → GC-Massenspektrometrie Ligandenassays → Enzym-Multiplied-Immunoassay (EMIT) Flüssigkeitschromatographie-Massenspektrometrie (LC-MS/MS) → LC-Tandem-Massenspektrometrie | Reference range | Limit values and decision limits: Blood: Cocaine 10 µg/l, benzoylecgonine 75 µg/l [§24a StVG (road traffic law)]; however, detection levels are considerably lower Urine: Benzoylecgonine 30 µg/l [MPU (medical psychological examination)], 150 µg/l [Immunoassay]; however, detection levels are considerably lower Hair: 0,10 ng/mg hair Saliva: 20 µg/ml [EWDTS] |
Indication | Suspicion of drug abuse, intoxication |
Comment | Please also refer to: Drug screening in the urine |
Please note | Detection times: Serum: Cocaine 1 – 6 hours (with sodium fluoride!), benzoylecgonine 6 – 48 hours Urine: Benzoylecgonine 1 – 5 days Hair: MPU (medical psychological examination): max. 6 months Other queries: up to 12 months and longer (depending on length of hair) Saliva: 24 – 36 hours
Cocaine is a centrally stimulating alkaloid from the leaves of the South American Coca-bush. After nasal application, smoking or intravenous application the effect sets in within seconds to minutes. There are three differing stages of cocaine high:
Euphoric stage: Increase in drive without feeling exhausted, increased alertness, decreased inhibitions, decreased ability to take criticism, hallucinations.
“High”: Hallucinatory state, negative wrong perception of reality, paranoia
Depressive stage: Loss of drive, exhaustion, depression, upsurge of drug craving
Cocaine has, amongst others, stimulating, fear reducing, energizing, sexually stimulating effect, later in the high also depressing effects. Cocaine is intensely metabolized. Depending on urine pH-levels, it is passed unchanged in 1 – 9 %. Benzoylecgonine (30 – 50 %), ecgonine methyl ester (30 – 50 %) as well as traces of ecgonine and norcocaine are its metabolites. When consuming cocaine and alcohol at the same time, it can lead to cocaethylene development in the liver, which is detectable in blood, urine and hair samples. |
Accredited | ja |
More Results for the letter C
- C-peptide in the serum (CPEP)
- C1-esterase inhibitor (C1-INH) (C1EA, C1EH)
- Activity evaluation, protein evaluation
- C2-complement (C2S)
- C3-complement in the serum (C3)
- C3-nephritis factor (C3NF)
- C3NeF
- C4-complement in the serum (C4)
- CA 125 (CA 125)
- CA 15-3 (CA15)
- CA 19-9 (CA19)
- CA 72-4 (CA72)
- Cadmium (CAD)
- Cd
- Caeruloplasmin (α2-) (CAER(a2))
- Caffeine (COFF)
- Calcitonin (CALC)
- hCT, human calcitonin
- Calcium in serum (CA)
- Ca
- Calcium in urine (CAU)
- Calcium, ionized, in serum (CAI)
- Calprotectin (ECALP)
- Calymmatobacterium granulomatis (CALY)
- Donovaniosis
- Campylobacter jejuni/coli infection (KCAMP, ECAMP, CAMPG, CAMPA)
- Canary serum, feather, excrement antibodies (IgG) (CANA)
- Candida infection (KCAND)
- Cannabinoids (CANN)
- Tetrahydrocannabinol, delta-9 THC, cannabis, weed, marihuana, hash
- Carbamazepine (CARB)
- Carboxyhemoglobin (COHB)
- CO-Hb
- Cardiac muscle antibodies (HMA)
- Carnitine ratio: Acyl carnitine / free carnitine (CARNF)
- Carotene (β-) (CARO(b))
- Group of carotenoids with provitamine A activity
- Cartilage autoantibodies (KNOR)
- Catecholamines in plasma (KATP)