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Benzoylecgonine (BE)

Definition

The major hydrolysis metabolite of cocaine, formed by carboxylesterase action on the methyl ester of cocaine. Half-life is around 6 hours in blood and longer in urine. BE is the standard urine marker for cocaine use because the parent cocaine clears within 4 to 6 hours but BE persists for two to three days.

Formation
Carboxylesterase hydrolysis of cocaine's methyl ester
Blood half-life
Around 6 hours
Urine persistence
2 to 3 days
Parent drug clearance
4 to 6 hours in blood
Role
Standard urine marker for cocaine use

Common questions

Why does BE's shorter blood half-life compared to its urine persistence matter for interpretation?+

A blood sample taken more than about a day after use may already show very low or undetectable BE, while urine can still test positive for days, so blood and urine results from the same subject can legitimately disagree depending on when each sample was collected relative to use.

Can BE detection alone establish impairment at the time of an incident?+

No. BE reflects that cocaine was used within roughly the preceding two to three days, not current impairment, so a positive BE result needs to be paired with parent cocaine levels, clinical signs, or other timeline evidence before impairment at a specific moment can be argued.

Related terms

6-Monoacetylmorphine (6-MAM)
A transient diagnostic metabolite of heroin (diacetylmorphine) formed by the rapid hydrolysis of one acetyl group. Half-life is 6 to 25 minutes...
Phase I Metabolism
Functionalisation reactions (oxidation, reduction, hydrolysis) that introduce or expose a polar group on the drug molecule, mostly catalysed by cytochrome P450 isoenzymes...
Phase II Metabolism
Conjugation reactions (glucuronidation, sulphation, glutathione conjugation, acetylation, methylation, glycine conjugation) that attach a polar endogenous group to the drug or its Phase...
Post-Mortem Redistribution (PMR)
The phenomenon where drug and poison concentrations shift between body compartments after death, generally moving out of solid organs back into the...
Therapeutic, Toxic and Lethal Ranges
Plasma concentration ranges that guide interpretation, derived from population studies and case reports. They are guidelines, not absolutes. Tolerance, idiosyncratic response, polypharmacy...
Volume of Distribution (Vd)
The apparent volume in which a drug is distributed in the body, calculated as dose divided by plasma concentration at time zero....

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