Expanded Panel Drug Testing

The Expanded Panel is also referred to as “Expanded Opiate” testing. It merely means that the most abused synthetic opiates (aka Opioids) are added to a standard 5 or 10 panel drug test.

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What are Expanded Opiates?

“Opiates” normally refers to morphine, codeine and 6M-AM, the metabolite of heroin. The word “Opiate” is not really accurate when describing drugs like oxycodone, oxymorphone, hydromorphone and hydrocodone. We call them either “expanded opiates,” “extended opiates,”or just lump them together with codeine, morphine and heroin and refer to them as Opioids, as the US DOT did in 2018 when they expanded the federal drug panel.

“Opioid” is a term that also includes the commonly abused synthetic opiates, oxycodone, oxymorphone, hydromorphone and hydrocodone. More commonly, these drugs are known their trade names: OxyContin®, Percodan®, Percocet®, Vicodin®, Lortab®, Norco®, Dilaudid®, and Exalgo®.


10 Panel Plus Expanded Opiates (our Expanded Panel)

– Amphetamine

Central nervous system (CNS) stimulants. High doses induce euphoria, alertness, and sense of increased energy and power. Acute responses produce anxiety, paranoia, psychotic behavior, and cardiac arrhythmias. Ex: Adderall ,Benzedrine, Biphetamine, Dexedrine, Durophet, Obetrol. Includes Methamphetamine and MDMA. MDMA is both a stimulant and a hallucinogen. Adverse effects of MDMA use include jaw clenching, teeth grinding, dilated pupils, perspiring, anxiety, blurred vision, vomiting, and increased blood pressure and heart rate.
– Barbiturates
CNS depressants. Produce a state of intoxication like alcohol. Symptoms include slurred speech, loss of motor coordination and impaired judgment.. Examples include Phenobarbital, Nembutal Sodium, Seconal Sodium, Antrocol Elixor, Pentobarbital Sodium, Secobarbital Sodium Bellergal-S, Donnatal, Kenesed, Luminal, Mudrane GC, Quadrinal, Rexatal, Solfoton.

– Benzodiazepines

Benzos are CNS depressants prescribed for anxiety and insomnia. They act as hypnotics in high doses, as anxiolytics in moderate doses and as sedatives in low doses. Use can result in drowsiness and confusion. Examples include Valium, Rivotril, Triazolam Halcion, Flurazepam, Lorazepam Ativan, Dormonocet, Xanax.

– Cocaine

CNS stimulant and a local anesthetic. Psychological effects include euphoria, confidence and sense of increased energy. Produces increased heart rate, dilates pupils, fever, tremors and sweating.

– Marijuana (THC)

The principle component in marijuana. Ingested or smoked. CNS effects are altered mood and sensory perceptions, loss of coordination, impaired short term memory, anxiety, paranoia, depression, confusion, hallucinations and increased heart rate.

– Methadone

Synthetic analgesic drug used for the treatment of narcotic addiction. Effects are analgesia, sedation, and respiratory depression. Overdose may cause coma or even death.

– Opiates

Heroin, morphine, and codeine, are CNS depressants. It produces euphoria and release from anxiety. Dependence leads to depressed coordination, disrupted decision making, decreased respiration, hypothermia and coma.

– Expanded Opiates

Oxycodone, Oxymorphone, Hydrocodone, Hydromorphone: Semi-synthetic opiods produce eupporia, analgesic and sedative effects, and has a dependence similar to morphine. Mostly taken orally.

– Phencyclident (PCP)

Also known as "angel dust" and "crystal cyclone." Originally used as an anesthetic agent and a veterinary tranquilizer. Taken orally by nasal ingestion, smoking, or intravenously, it produces hallucinations, lethargy, disorientation, loss of coordination, trance-like states, a sense of euphoria and visual distortions.

– Propoxyphene

A mild narcotic analgesic. Taken orally, also found in combination with aspirin or acetaminophen. Overdose: stupor, coma, convulsions, respiratory depression, cardia arrhythmias, hypotension, pulmonary edema and circulatory collapse.

A standard five-panel drug test with expanded opiates includes the following drugs:

  • Marijuana
  • Cocane
  • Amphetamine (including methamphetamine)
  • Opiates
  • PCP
  • Oxycodone
  • Oxymorphone
  • Hydromorphone
  • Hydrocodone


A standard ten-panel drug test with expanded opiate includes the following drugs:

  • Marijuana
  • Cocaine
  • Emphetamine (including methamphetamine)
  • Opiates
  • PCP
  • Benzodiazepines
  • Barbiturates
  • Methadone
  • Propoxyphene
  • Methaqualone
  • Oxycodone
  • Oxymorphone
  • Hydromorphone
  • Hydrocodone