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The Evolution of Drug Checking
Part One of Three: What is Drug Checking?
By: Shelby Arena
The increasing unpredictability of the unregulated drug market has made drug checking a critical public health intervention. Drug checking services aim to reduce harm by allowing individuals to identify the presence of contaminants, cuts, or other unexpected components in a given sample. As the overdose epidemic continues to evolve alongside the drug supply across the United States, it is vital to examine the development of drug checking methods and how technology and community engagement come together to help individuals be more informed about the substances they use.
Origins in Biological Chemistry and Informal Harm Reduction
Drug checking has roots in the biological sciences of the 19th century. Early biochemists developed methods of chemical testing to determine the concentration of a substance by measuring how much it absorbed a specific wavelength of light (Jensen, 2014). One of the earliest forms of drug identification, colorimetric analysis, involved adding reagents to a sample to observe color changes that could indicate the presence of specific substances.
In the 1960s and 1970s, widespread recreational drug use led to informal drug checking practices. These often involved sensory-based assessments, where individuals relied on taste, smell, visual appearance, and physical response to gauge a substance’s effects. Information about contaminated drugs was primarily spread through word of mouth. A notable example occurred at the 1969 Woodstock festival, where an emcee famously warned concertgoers not to take the “brown acid,” an early instance of community-based harm reduction (Boulton, 2019). As the internet became more accessible in the 1990s and 2000s, online platforms such as Erowid allowed users to document and share their experiences with psychoactive substances, creating a more readily available resource for people to gather more information about their drugs (About the Erowid Experience Vaults, 2025).
The Rise of Reagent Testing Kits
The 1970s marked the rise in availability of reagent testing kits for drug identification. These kits provided a simple, low-cost method for presumptive drug testing using chemical reactions that produce color changes in the presence of specific compounds. The Marquis reagent, developed in the early 1970s, became one of the most widely used tools for detecting MDMA and amphetamines (Palamar & Barratt, 2018). Additional reagents followed, including Ehrlich’s reagent used primarily to detect LSD, Mandelin’s reagent for ketamine and specific opiates, and Simon’s reagent to distinguish MDMA from MDA (Nasir, 2025).
Although reagent kits are a relatively quick and accessible means of testing, they are not without limitations. Reagents cannot determine levels of potency, purity, or give exact confirmation of what is in a substance (Nasir, 2025).
Adaptation of Test Strips for Harm Reduction
Urine drug test strips have been around for decades; however, only in the last 10 years did harm reduction organizations learn that these test strips can be used to test drug solutions as well (Peiper et al., 2018). Individuals and organizations began using urine point of care fentanyl test strips (FTS) off-label to detect the presence of fentanyl in a sample. In the last few years, harm reduction test strips have been developed specifically to test drug samples.
FTS can detect minimal amounts of fentanyl through immunoassay technology and can be used by individuals following basic instructions. In recent years, test strips have been expanded to detect additional substances, including benzodiazepines, nitazines, and medetomidine. The widespread adoption of test strips by harm reduction organizations has contributed to their recognition as a cost-effective and practical tool in combating opioid-related overdose deaths (Peiper et al., 2018).
Although FTS are cheap, quick, and accessible, they also have notable limitations. Early iterations of FTS were prone to false positives when reacting with certain non-fentanyl substances (Halifax et al., 2024). Manufacturers like BTNX and others have created newer, reformulated test strips that have less cross-reactivity and are able to detect more fentanyl analogs than ever (Fentanyl Test Strip Product Improvement, n.d.). Additionally, FTS are competitive lateral flow assays (LFAs) as opposed to sandwich LFAs like other popular test strips for COVID-19 and pregnancy detection. In competitive LFAs, the absence of a test line indicates a positive result, which can be counterintuitive for individuals used to two lines (control and test) indicating a positive result (Pedreira-Rincón et al., 2025).
Machine Drug Checking
Advances in analytical chemistry during the late 20th and early 21st centuries led to the integration of high-precision instruments into drug checking services. Gas chromatography–mass spectrometry (GC-MS), a method developed in the late 1960s, became the gold standard for laboratory-based substance identification due to its ability to separate and accurately identify chemical compounds (Lipps, 2015). However, the high cost, size, and technical expertise required to run GC-MS tests limited its utility in community or field settings (Rose et al., 2023).
Another drug checking technology, Fourier-transform infrared spectroscopy (FTIR), became widespread in the 1990s. FTIR uses infrared light to create a spectrum used to identify unknown substances. The introduction of the FTIR has allowed for rapid, on-site analysis as these machines are capable of identifying compounds within a few minutes (Jasco, 2022). Due to their accessibility and smaller footprint as compared to GC-MS machines, FTIR machines have been increasingly adopted by harm reduction services for point of care testing.
Conclusion
Drug checking has evolved from foundations in biological chemistry into a key element of harm reduction. The history of drug checking is a story of scientific innovation, community knowledge sharing, and reactionary public health policy. As these technologies become more accessible and user-friendly, and as legal frameworks and public attitudes begin to shift, drug checking is bound to become a standard pillar in substance use services.
References
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About the Erowid Experience vaults. (2025). Erowid. https://erowid.org/experiences/exp_about.cgi
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Boulton, M. (2019, August 9). “I’m Chip, how nice of you to come”: Woodstock MC reflects on 50 years and brown acid. The Sydney Morning Herald. https://www.smh.com.au/entertainment/music/i-m-chip-how-nice-of-you-to-come-woodstock-mc-reflects-on-50-years-and-brown-acid-20190807-p52era.html
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Fentanyl test strip product improvement. (n.d.). BTNX. https://www.btnx.com/blogpost/fentanyl-test-strip-product-improvement/
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Halifax, J. C., Lim, L., Ciccarone, D., & Lynch, K. L. (2024). Testing the test strips: laboratory performance of fentanyl test strips. Harm Reduction Journal, 21(1). https://doi.org/10.1186/s12954-023-00921-8
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Jasco. (2022, September 16). Principles of infrared spectroscopy (2) History of IR spectrometers | JASCO Global. JASCO Inc. https://www.jasco-global.com/principle/principles-of-infrared-spectroscopy-2-history-of-ir-spectrometers/
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Jensen, W. B. (2014). Oesper Museum booklets on the history of chemical Apparatus: COLORIMETERS (Vol. 4). Oesper Collections University of Cincinnati. https://homepages.uc.edu/~jensenwb/museum-booklets/04.%20Colorimeters.pdf
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Lipps, W. (2015, May 26). Truly rapid, sensitive analysis of hundreds of components by modern GC/MS analyzers. American Laboratory. https://www.americanlaboratory.com/913-Technical-Articles/174076-Truly-Rapid-Sensitive-Analysis-of-Hundreds-of-Components-by-Modern-GC-MS-Analyzers/
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Nasir, A. (2025, February 25). Drug checking kit instructions | DanceSafe. DanceSafe. https://dancesafe.org/testing-kit-instructions/
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Palamar, J. J., & Barratt, M. J. (2018). Prevalence of reagent test‐kit use and perceptions of purity among ecstasy users in an electronic dance music scene in New York City. Drug and Alcohol Review, 38(1), 42–49. https://doi.org/10.1111/dar.12882
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Pedreira-Rincón, J., Rivas, L., Comenge, J., Skouridou, V., Camprubí-Ferrer, D., Muñoz, J., O’Sullivan, C. K., Chamorro-Garcia, A., & Parolo, C. (2025). A comprehensive review of competitive lateral flow assays over the past decade. Lab on a Chip. https://doi.org/10.1039/d4lc01075b
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Peiper, N. C., Clarke, S. D., Vincent, L. B., Ciccarone, D., Kral, A. H., & Zibbell, J. E. (2018). Fentanyl test strips as an opioid overdose prevention strategy: Findings from a syringe services program in the Southeastern United States. International Journal of Drug Policy, 63, 122–128. https://doi.org/10.1016/j.drugpo.2018.08.007
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Rose, C. G., Kulbokas, V., Carkovic, E., Lee, T. A., & Pickard, A. S. (2023). Contextual factors affecting the implementation of drug checking for harm reduction: a scoping literature review from a North American perspective. Harm Reduction Journal, 20(1). https://doi.org/10.1186/s12954-023-00856-0

