Rubio, Nélida CristinaHerbello Hermelo, PalomaÁlvarez Freire, IvánCabarcos Fernández, PamelaTabernero Duque, María JesúsSánchez Sellero, InésBermejo Barrera, PilarBermejo Barrera, Ana MaríaMoreda Piñeiro, Antonio2025-10-282025-10-282025-06Rubio, 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.2025.1124940379-0738https://hdl.handle.net/10347/43432The 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.eng© 2025 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/HygrineCuscohygrineAlkaloidsLC-MS/MSCoca flour-based candyImpact of coca leaf flour candy consumption on cocaine and benzoylecgonine levels: The role of hygrine and cuscohygrine in distinguishing licit from illicit cocaine usejournal article10.1016/j.forsciint.2025.112494open access