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Drug screens are pretty specific, they normally only detect things that are very closely chemically related to what they're screening for. It would be usual to test for prazosin (Minipress) unless a physician specifically suspected that someone had taken it and the person was unable to confirm it for some reason.
If you're undergoing mandatory drug screening and are worried that it may be interpreted as evidence of forbidden drug use, just disclose it to the person doing the screening and let them worry about it. If you're worried about disclosing it, you could wait until after the results come in and only disclose it if there was a false positive (and ask for a retest to confirm). A confirmation test using GC/MS can prove that the false positive was not caused by an illegal drug, but instead by the prazosin.
Prazosin CAN interfere with certain lab tests, but not specifically tests for (illegal) drugs (it interferes with the test for pheochromocytoma, which is a medical condition, not a drug).
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