14-Panel Drug Test

Edmund Murphy
Dr. Jennie Stanford
Written by Edmund Murphy on 02 May 2023
Medically reviewed by Dr. Jennie Stanford on 28 November 2024

A 14-panel drug test is the most comprehensive screening that is commonly used. It detects illicit drugs, such as cocaine, heroin, and methamphetamine, as well as prescription medications, like benzodiazepines and opioids. Unlike 12-panel drug screens, it can also detect the additional, highly addictive prescription medications of tramadol and demerol.

Key takeaways:
  • A 14-panel drug includes the 10 main categories of drugs from a 10-panel test (marijuana, cocaine, basic opioids, phencyclidine, amphetamines, barbiturates, benzodiazepines, methadone, propoxyphene, and methaqualone), plus it also adds more prescription opioids (like oxymorphone, tramadol, and meperidine), as well as ecstasy.
  • The 14-panel drug test is the most comprehensive assessment that is often used in routine drug testing.
  • 14-panel drug tests are primarily used for medical and employment purposes.

What is a 14-panel drug test?

A 14-panel drug test is commonly used to detect marijuana, cocaine, opioids, amphetamines, benzodiazepines, PCP, MDMA, plus the addictive painkillers called tramadol and demerol. As with other prescription medications, the cut-off point for detection of these substances is above the standard amount that would be present if taken at the prescribed dosage.

These tests are regularly used by employers and for medical treatment. They may also be used in other settings, such as prior to detox treatment for substance abuse.

How is a 14-panel test collected?

A 14-panel drug screen can be done using a urine sample. Hair follicle samples are also used for lab testing if detecting drug use up to 90 days before the test. Read here to learn more about the different types of drug tests.

What drugs does a 14-panel drug test search for?

  • Marijuana (including THC and cannabinoids)
  • Cocaine (including Coke and crack
  • Opioids (including heroin, codeine, hydrocodone, and morphine)
  • Phencyclidine (PCP, also called angel dust)
  • Amphetamines/methamphetamines (including methylphenidate and dextroamphetamine)
  • Barbiturates (including Amytal and butalbital)
  • Benzodiazepines (including diazepam, alprazolam, clonazepam)
  • Methadone
  • Propoxyphene (including the brand Darvocet)
  • Methaqualone (also called Quaaludes, which are central nervous system depressants)
  • Expanded stimulants (like MDMA, which is ecstasy or Molly)
  • Expanded opioids (including Percodan, Percocet, oxycodone, oxymorphone)
  • Tramadol
  • Demerol (meperidine)

Can I take the test at home?

Yes, 14-panel drug tests are available for home ordering and use via medical service providers (as long as they are FDA-approved). At-home drug tests are urine tests that use a dipstick similar to an at-home pregnancy test that can detect accurately for illicit substances, yet the integrity of the results cannot always be verified.

While at-home 14-panel tests are reliable for detecting above the cut-off presence of substances in the system, they are not 100% verifiable. For the most accurate results, it is best to have drug tests performed by professionals in a lab or to send at-home tests away for further analysis.

Read here to learn more about the drug test process.

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Resources:

  1. Drug Testing. (2021, September 10). Testing.com.
  2. Mobile Health. (n.d.) What Drug Panel Should I Choose? Retrieved from

Activity History - Last updated: 28 November 2024, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 28 November 2024 and last checked on 28 November 2024

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

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