Urine drug testing - Revision history

Aidan at 17:13, 19 September 2024

2024-09-19T17:13:01Z

← Older revision		Revision as of 17:13, 19 September 2024
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	\|}		\|}

	[[Category:~~Investigation~~]]		[[Category:Investigations]]
	[[Category:Addiction medicine]]		[[Category:Addiction medicine]]

Aidan at 13:40, 28 September 2023

2023-09-28T13:40:46Z

← Older revision		Revision as of 13:40, 28 September 2023
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	\|-		\|-
	\|[[Amphetamines]]		\|[[Amphetamines]]
	\|[[Amantadine]]~~<br~~ />[[Benzphetamine]]~~<br~~ />[[Bupropion]]~~<br~~ />[[Chlorpomazine]]~~<br~~ />[[Clobenzorex]]~~<br~~ />[[l-Deprenyl]]~~<br~~ />[[Desipramine]]~~<br~~ />[[Dextroamphetamine]]~~<br~~ />[[Ephedrine]]~~<br~~ />[[Fenproporex]]~~<br~~ />[[Isometheptene]]~~<br~~ />[[Isoxsuprine]]~~<br~~ />[[Labetalol]]~~<br~~ />[[MDMA]]~~<br~~ />[[Methamphetamine]]~~<br~~ />[[Methylphenidate]]~~<br~~ />[[Phentermine]]~~<br~~ />[[Phenylephrine]]~~<br~~ />[[Phenylpropanolamine]]~~<br~~ />[[Protethazine]]~~<br~~ />[[Pseudoephedrine]]~~<br~~ />[[Ranitidine]]~~<br~~ />[[Ritodrine]]~~<br~~ />[[Selegiline]]~~<br~~ />[[Thioridazine]]~~<br~~ />[[Trazodone]]~~<br~~ />[[Trimethobenzamide]]~~<br~~ />[[Trimipramine]]		\|[[Amantadine]], [[Benzphetamine]], [[Bupropion]], [[Chlorpomazine]], [[Clobenzorex]], [[l-Deprenyl]], [[Desipramine]], [[Dextroamphetamine]], [[Ephedrine]], [[Fenproporex]], [[Isometheptene]], [[Isoxsuprine]], [[Labetalol]], [[MDMA]], [[Methamphetamine]], [[Methylphenidate]], [[Phentermine]], [[Phenylephrine]], [[Phenylpropanolamine]], [[Protethazine]], [[Pseudoephedrine]], [[Ranitidine]], [[Ritodrine]], [[Selegiline]], [[Thioridazine]], [[Trazodone]], [[Trimethobenzamide]], [[Trimipramine]]
	\|-		\|-
	\|[[Benzodiazepines]]		\|[[Benzodiazepines]]
	\|[[Oxaprozin]]~~<br~~ />[[Setraline]]		\|[[Oxaprozin]], [[Setraline]]
	\|-		\|-
	\|[[Cannabinoids]]		\|[[Cannabinoids]]
	\|[[Dronabinol]]~~<br~~ />[[Efavirenz]]~~<br~~ />[[Hemp-containing foods]]~~<br~~ />[[NSAIDs]]~~<br~~ />[[Proton pump inhibitors]]~~<br~~ />[[Tolmetin]]		\|[[Dronabinol]], [[Efavirenz]], [[Hemp-containing foods]], [[NSAIDs]], [[Proton pump inhibitors]], [[Tolmetin]]
	\|-		\|-
	\|[[Cocaine]]		\|[[Cocaine]]
	\|[[Coca leaf tea]]~~<br~~ />Topical anesthetics containing cocaine		\|[[Coca leaf tea]], Topical anesthetics containing cocaine
	\|-		\|-
	\|[[Opioids]], [[opiates]], and [[heroin]]		\|[[Opioids]], [[opiates]], and [[heroin]]
	\|[[Dextromethorphan]]~~<br~~ />[[Diphenhydramine]]~~<br~~ />[[Heroin]]~~<br~~ />[[Opiates]] ([[codeine]], [[hydromorphone]], [[hydrocodone]], [[morphine]])~~<br~~ />Poppy seeds~~<br~~ />[[Quinine]]~~<br~~ />[[Quinolones]]~~<br~~ />[[Rifampin]]~~<br~~ />[[Verapamil]] and metabolites		\|[[Dextromethorphan]], [[Diphenhydramine]], [[Heroin]], [[Opiates]] ([[codeine]], [[hydromorphone]], [[hydrocodone]], [[morphine]]), Poppy seeds, [[Quinine]], [[Quinolones]], [[Rifampin]], [[Verapamil]] and metabolites
	\|-		\|-
	\|[[Phencyclidine]]		\|[[Phencyclidine]]
	\|[[Dextromethorphan]]~~<br~~ />[[Diphenhydramine]]~~<br~~ />[[Doxylamine]]~~<br~~ />[[Ibuprofen]]~~<br~~ />[[Imipramine]]~~<br~~ />[[Ketamine]]~~<br~~ />[[Meperidine]]~~<br~~ />[[Mesoridazine]]~~<br~~ />[[Thioridazine]]~~<br~~ />[[Tramadol]]~~<br~~ />[[Venlafaxine]] and [[desvenlafaxine]]		\|[[Dextromethorphan]], [[Diphenhydramine]], [[Doxylamine]], [[Ibuprofen]], [[Imipramine]], [[Ketamine]], [[Meperidine]], [[Mesoridazine]], [[Thioridazine]], [[Tramadol]], [[Venlafaxine]] and [[desvenlafaxine]]
	\|-		\|-
	\|[[TCAs]]		\|[[TCAs]]
	\|[[Carbamazepine]]~~<br~~ />[[Cyclobenzaprine]]~~<br~~ />[[Cyproheptadine]]~~<br~~ />[[Diphenhydramine]]~~<br~~ />[[Hydroxyzine]]~~<br~~ />[[Quetiapine]]		\|[[Carbamazepine]], [[Cyclobenzaprine]], [[Cyproheptadine]], [[Diphenhydramine]], [[Hydroxyzine]], [[Quetiapine]]
	\|}		\|}

Aidan: added links

2023-09-28T13:39:59Z

added links

← Older revision		Revision as of 13:39, 28 September 2023
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	!False positives		!False positives
	\|-		\|-
	\|Alcohol		\|[[Alcohol]]
	\|Short-chain alcohols (e.g. isopropyl alcohol)		\|Short-chain alcohols (e.g. [[isopropyl alcohol]])
	\|-		\|-
	\|Amphetamines		\|[[Amphetamines]]
	\|Amantadine<br />Benzphetamine<br />Bupropion<br />Chlorpomazine<br />Clobenzorex<br />l-Deprenyl<br />Desipramine<br />Dextroamphetamine<br />Ephedrine<br />Fenproporex<br />Isometheptene<br />Isoxsuprine<br />Labetalol<br />MDMA<br />Methamphetamine<br />Methylphenidate<br />Phentermine<br />Phenylephrine<br />Phenylpropanolamine<br />Protethazine<br />Pseudoephedrine<br />Ranitidine<br />Ritodrine<br />Selegiline<br />Thioridazine<br />Trazodone<br />Trimethobenzamide<br />Trimipramine		\|[[Amantadine]]<br />[[Benzphetamine]]<br />[[Bupropion]]<br />[[Chlorpomazine]]<br />[[Clobenzorex]]<br />[[l-Deprenyl]]<br />[[Desipramine]]<br />[[Dextroamphetamine]]<br />[[Ephedrine]]<br />[[Fenproporex]]<br />[[Isometheptene]]<br />[[Isoxsuprine]]<br />[[Labetalol]]<br />[[MDMA]]<br />[[Methamphetamine]]<br />[[Methylphenidate]]<br />[[Phentermine]]<br />[[Phenylephrine]]<br />[[Phenylpropanolamine]]<br />[[Protethazine]]<br />[[Pseudoephedrine]]<br />[[Ranitidine]]<br />[[Ritodrine]]<br />[[Selegiline]]<br />[[Thioridazine]]<br />[[Trazodone]]<br />[[Trimethobenzamide]]<br />[[Trimipramine]]
	\|-		\|-
	\|Benzodiazepines		\|[[Benzodiazepines]]
	\|Oxaprozin<br />Setraline		\|[[Oxaprozin]]<br />[[Setraline]]
	\|-		\|-
	\|Cannabinoids		\|[[Cannabinoids]]
	\|Dronabinol<br />Efavirenz<br />Hemp-containing foods<br />NSAIDs<br />Proton pump inhibitors<br />Tolmetin		\|[[Dronabinol]]<br />[[Efavirenz]]<br />[[Hemp-containing foods]]<br />[[NSAIDs]]<br />[[Proton pump inhibitors]]<br />[[Tolmetin]]
	\|-		\|-
	\|Cocaine		\|[[Cocaine]]
	\|Coca leaf tea<br />Topical anesthetics containing cocaine		\|[[Coca leaf tea]]<br />Topical anesthetics containing cocaine
	\|-		\|-
	\|Opioids, opiates, and heroin		\|[[Opioids]], [[opiates]], and [[heroin]]
	\|Dextromethorphan<br />Diphenhydramine<br />Heroin<br />Opiates (codeine, hydromorphone, hydrocodone, morphine)<br />Poppy seeds<br />Quinine<br />Quinolones<br />Rifampin<br />Verapamil and metabolites		\|[[Dextromethorphan]]<br />[[Diphenhydramine]]<br />[[Heroin]]<br />[[Opiates]] ([[codeine]], [[hydromorphone]], [[hydrocodone]], [[morphine]])<br />Poppy seeds<br />[[Quinine]]<br />[[Quinolones]]<br />[[Rifampin]]<br />[[Verapamil]] and metabolites
	\|-		\|-
	\|Phencyclidine		\|[[Phencyclidine]]
	\|Dextromethorphan<br />Diphenhydramine<br />Doxylamine<br />Ibuprofen<br />Imipramine<br />Ketamine<br />Meperidine<br />Mesoridazine<br />Thioridazine<br />Tramadol<br />Venlafaxine and desvenlafaxine		\|[[Dextromethorphan]]<br />[[Diphenhydramine]]<br />[[Doxylamine]]<br />[[Ibuprofen]]<br />[[Imipramine]]<br />[[Ketamine]]<br />[[Meperidine]]<br />[[Mesoridazine]]<br />[[Thioridazine]]<br />[[Tramadol]]<br />[[Venlafaxine]] and [[desvenlafaxine]]
	\|-		\|-
	\|TCAs		\|[[TCAs]]
	\|Carbamazepine<br />Cyclobenzaprine<br />Cyproheptadine<br />Diphenhydramine<br />Hydroxyzine<br />Quetiapine		\|[[Carbamazepine]]<br />[[Cyclobenzaprine]]<br />[[Cyproheptadine]]<br />[[Diphenhydramine]]<br />[[Hydroxyzine]]<br />[[Quetiapine]]
	\|}		\|}

Aidan at 19:45, 9 July 2020

2020-07-09T19:45:14Z

← Older revision		Revision as of 19:45, 9 July 2020
Line 1:		Line 1:
	== ~~Immunoassays~~ ==		== Indications ==

			* May be used as a baseline for patients being considered for trial of opioids for chronic pain
			* Regular testing is done for patient on [[opioid agonist therapy]] to monitor for adherence, validate patient-reported use, and detect coingested substances like benzodiazepines that may affect safety

			==Immunoassays==

			* Immunoassays are cheap and fast, but are subject to cross-reactivity
			* Window of detection for most metabolites is 1 to 3 days
			* An initial 5-panel IA tests for amphetamines, cocaine, benzodiazepines (though not clonazepam), opiates, and methadone
			* Validity is best when the urine temperature is 90 to 100ºF (within 4 minutes of voiding), urine pH 4.5 to 8, and urinary creatinine ≥20 mg/dL (if <5 mg/dL, it's not urine)

			=== Interpretation ===
	{\| class="wikitable"		{\| class="wikitable"
	! Substance		!Substance
	! False positives		!False positives
	\|-		\|-
	\| Alcohol		\|Alcohol
	\| Short-chain alcohols (e.g. isopropyl alcohol)		\|Short-chain alcohols (e.g. isopropyl alcohol)
	\|-		\|-
	\| Amphetamines		\|Amphetamines
	\| Amantadine<br/>Benzphetamine<br/>Bupropion<br/>Chlorpomazine<br/>Clobenzorex<br/>l-Deprenyl<br/>Desipramine<br/>Dextroamphetamine<br/>Ephedrine<br/>Fenproporex<br/>Isometheptene<br/>Isoxsuprine<br/>Labetalol<br/>MDMA<br/>Methamphetamine<br/>Methylphenidate<br/>Phentermine<br/>Phenylephrine<br/>Phenylpropanolamine<br/>Protethazine<br/>Pseudoephedrine<br/>Ranitidine<br/>Ritodrine<br/>Selegiline<br/>Thioridazine<br/>Trazodone<br/>Trimethobenzamide<br/>Trimipramine		\|Amantadine<br />Benzphetamine<br />Bupropion<br />Chlorpomazine<br />Clobenzorex<br />l-Deprenyl<br />Desipramine<br />Dextroamphetamine<br />Ephedrine<br />Fenproporex<br />Isometheptene<br />Isoxsuprine<br />Labetalol<br />MDMA<br />Methamphetamine<br />Methylphenidate<br />Phentermine<br />Phenylephrine<br />Phenylpropanolamine<br />Protethazine<br />Pseudoephedrine<br />Ranitidine<br />Ritodrine<br />Selegiline<br />Thioridazine<br />Trazodone<br />Trimethobenzamide<br />Trimipramine
	\|-		\|-
	\| Benzodiazepines		\|Benzodiazepines
	\| Oxaprozin<br/>Setraline		\|Oxaprozin<br />Setraline
	\|-		\|-
	\| Cannabinoids		\|Cannabinoids
	\| Dronabinol<br/>Efavirenz<br/>Hemp-containing foods<br/>NSAIDs<br/>Proton pump inhibitors<br/>Tolmetin		\|Dronabinol<br />Efavirenz<br />Hemp-containing foods<br />NSAIDs<br />Proton pump inhibitors<br />Tolmetin
	\|-		\|-
	\| Cocaine		\|Cocaine
	\| Coca leaf tea<br/>Topical anesthetics containing cocaine		\|Coca leaf tea<br />Topical anesthetics containing cocaine
	\|-		\|-
	\| Opioids, opiates, and heroin		\|Opioids, opiates, and heroin
	\| Dextromethorphan<br/>Diphenhydramine<br/>Heroin<br/>Opiates (codeine, hydromorphone, hydrocodone, morphine)<br/>Poppy seeds<br/>Quinine<br/>Quinolones<br/>Rifampin<br/>Verapamil and metabolites		\|Dextromethorphan<br />Diphenhydramine<br />Heroin<br />Opiates (codeine, hydromorphone, hydrocodone, morphine)<br />Poppy seeds<br />Quinine<br />Quinolones<br />Rifampin<br />Verapamil and metabolites
	\|-		\|-
	\| Phencyclidine		\|Phencyclidine
	\| Dextromethorphan<br/>Diphenhydramine<br/>Doxylamine<br/>Ibuprofen<br/>Imipramine<br/>Ketamine<br/>Meperidine<br/>Mesoridazine<br/>Thioridazine<br/>Tramadol<br/>Venlafaxine and desvenlafaxine		\|Dextromethorphan<br />Diphenhydramine<br />Doxylamine<br />Ibuprofen<br />Imipramine<br />Ketamine<br />Meperidine<br />Mesoridazine<br />Thioridazine<br />Tramadol<br />Venlafaxine and desvenlafaxine
	\|-		\|-
	\| TCAs		\|TCAs
	\| Carbamazepine<br/>Cyclobenzaprine<br/>Cyproheptadine<br/>Diphenhydramine<br/>Hydroxyzine<br/>Quetiapine		\|Carbamazepine<br />Cyclobenzaprine<br />Cyproheptadine<br />Diphenhydramine<br />Hydroxyzine<br />Quetiapine
	\|}		\|}

Aidan at 14:31, 9 July 2020

2020-07-09T14:31:19Z

← Older revision		Revision as of 14:31, 9 July 2020
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	== Immunoassays ==		== Immunoassays ==

			{\| class="wikitable"
	{\|
	! Substance		! Substance
	! False positives		! False positives
Line 31:		Line 31:

	[[Category:Investigation]]		[[Category:Investigation]]
	[[Category:~~Addictions~~ medicine]]		[[Category:Addiction medicine]]

Maintenance script: Imported from text file

2020-07-04T01:18:00Z

Imported from text file

New page

== Immunoassays ==

{|
! Substance
! False positives
|-
| Alcohol
| Short-chain alcohols (e.g. isopropyl alcohol)
|-
| Amphetamines
| Amantadine Benzphetamine Bupropion Chlorpomazine Clobenzorex l-Deprenyl Desipramine Dextroamphetamine Ephedrine Fenproporex Isometheptene Isoxsuprine Labetalol MDMA Methamphetamine Methylphenidate Phentermine Phenylephrine Phenylpropanolamine Protethazine Pseudoephedrine Ranitidine Ritodrine Selegiline Thioridazine Trazodone Trimethobenzamide Trimipramine
|-
| Benzodiazepines
| Oxaprozin Setraline
|-
| Cannabinoids
| Dronabinol Efavirenz Hemp-containing foods NSAIDs Proton pump inhibitors Tolmetin
|-
| Cocaine
| Coca leaf tea Topical anesthetics containing cocaine
|-
| Opioids, opiates, and heroin
| Dextromethorphan Diphenhydramine Heroin Opiates (codeine, hydromorphone, hydrocodone, morphine) Poppy seeds Quinine Quinolones Rifampin Verapamil and metabolites
|-
| Phencyclidine
| Dextromethorphan Diphenhydramine Doxylamine Ibuprofen Imipramine Ketamine Meperidine Mesoridazine Thioridazine Tramadol Venlafaxine and desvenlafaxine
|-
| TCAs
| Carbamazepine Cyclobenzaprine Cyproheptadine Diphenhydramine Hydroxyzine Quetiapine
|}

[[Category:Investigation]]
[[Category:Addictions medicine]]