Toxicology dextromethorphan

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Hanzlick R. 1995. National association of medical examiners pediatric toxicology (pedtox) registry report 3 case submission summary and data for acetaminophen, benzene, carboxyhemoglobin, dextromethorphan, ethanol, phenobarbital, and pseudoephedrine. American Journal of Forensic Medicine and Pathology 16 (4) 270-277. 

A. Specific levels. Assays exist for semm and urine analysis, but are not generally available. In seven fatal infant cases, blood levels averaged 0.38 mg/L (range 0.10-0.95). Despite its stmctural similarity to opioids, dextromethorphan is not likely to produce a false-positive urine opioid immunoassay screen. However, it may produce a false-positive result on methadone and phencyclidine immunoassays. Dextromethorphan is readily detected by comprehensive urine toxicology screening. 

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