RT Journal Article T1 Impact of coca leaf flour candy consumption on cocaine and benzoylecgonine levels: The role of hygrine and cuscohygrine in distinguishing licit from illicit cocaine use A1 Rubio, Nélida Cristina A1 Herbello Hermelo, Paloma A1 Álvarez Freire, Iván A1 Cabarcos Fernández, Pamela A1 Tabernero Duque, María Jesús A1 Sánchez Sellero, Inés A1 Bermejo Barrera, Pilar A1 Bermejo Barrera, Ana María A1 Moreda Piñeiro, Antonio K1 Hygrine K1 Cuscohygrine K1 Alkaloids K1 LC-MS/MS K1 Coca flour-based candy AB The consumption of coca leaf products, a traditional practice in several Latin American countries, raises forensic challenges in distinguishing legal consumption from illicit cocaine use. This study investigates the implications of consuming coca flour-based candies on drug detection thresholds in oral fluid (OF) and urine for drug-impaired driving (DUID) and workplace drug testing (WDT) contexts. Three commercial candy brands were analyzed, revealing significant variability in coca alkaloid content. Volunteers consumed these candies under controlled conditions, with biological samples collected at various intervals. Key analytes, including cocaine (COC), benzoylecgonine (BE), ecgonine methyl ester (EME), tropococaine (TRO) and cocaethylene (CE), were quantified alongside coca leaf-specific markers (cuscohygrine, cinnamoylcocaine, and hygrine). Analysis was performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) with multiple reaction monitoring mode (MRM) transitions to ensure specificity. PB Elsevier SN 0379-0738 YR 2025 FD 2025-06 LK https://hdl.handle.net/10347/43432 UL https://hdl.handle.net/10347/43432 LA eng NO Rubio, N. C., Herbello-Hermelo, P., Álvarez-Freire, I., Cabarcos-Fernández, P., Tabernero-Duque, M. J., Sánchez-Sellero, I., Bermejo-Barrera, P., Bermejo-Barrera, A. M., & Moreda-Piñeiro, A. (2025). Impact of coca leaf flour candy consumption on cocaine and benzoylecgonine levels: The role of hygrine and cuscohygrine in distinguishing licit from illicit cocaine use. Forensic Science International, 371, 112494. 10.1016/j.forsciint.2025.112494 NO This work was supported by Xunta de Galicia (Grupo de Referencia Competitiva, reference ED431C 2022/029). DS Minerva RD 22 abr 2026