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Mayo Clinic Laboratories

Test Code DSU Drug Screen, Urine

Additional Codes

EPIC LAB4078

Clinical Significance

Amphetamines
Amphetamines are a class of central nervous system stimulants. The most common amphetamines include d-amphetamine, d,l-amphetamine, and d-methamphetamine. Measurements of amphetamines are used in the diagnosis and treatment of amphetamine use and overdose, and in monitoring the presence of amphetamine to ensure appropriate therapy.

 

Barbiturates
Barbiturates are a class of central nervous system depressants that are used as sedatives and hypnotics. Measurements of barbiturates are used in the diagnosis and treatment of barbiturate use or overdose, and in monitoring the presence of barbiturates to ensure appropriate therapy.

 

Benzodiazepines
Benzodiazepines are a class of central nervous system depressants that are used as sedatives and hypnotics. The benzodiazepine compounds include chlordiazepoxide, diazepam, oxazepam, flurazepam, and nitrazepam. Measurements of benzodiazepines are used in the diagnosis and treatment of benzodiazepine use and overdose, and in monitoring the presence of benzodiazepines to ensure appropriate therapy.

 

Buprenorphine
Buprenorphine is a potent analgesic often used in the treatment of opiate abusers.

 

Cocaine
Cocaine is a central nervous system stimulant. Its primary metabolite is benzoylecgonine.

 

Methadone
Methadone is an addictive narcotic drug which is used for pain relief. Measurements of methadone are used in the diagnosis and treatment of methadone use and overdose, and to determine compliance with regulations in methadone maintenance treatment.

 

Opiates
Opiates are a class of narcotic pain-relieving drugs, including codeine, heroin, and morphine. Measurements of opiates are used in the diagnosis and treatment of opiate use and overdose, and in monitoring the presence of opiates to ensure appropriate therapy.

 

Oxycodone
Oxycontin, Percodan, and Percocet are semi-synthetic narcotic analgesics that are prescribed for moderately severe pain. It is available in both standard and sustained release oral formulations. Oxycodone is metabolized to oxymorphone and noroxycodone.

 

Phencyclidine
Phencyclohexyl piperidine (PCP) is a dissociative hallucinogenic drug.

 

THC
Cannabinoid hallucinogenic compounds include delta-9-tetrahydrocannabinol, cannabidiol and cannabinol. Measurements of cannabinoids are used in the diagnosis and treatments of cannabinoid use or abuse, and in monitoring the presence of cannabinoids during clinical investigational use.

 

Tricyclic Antidepressants
Tricyclic antidepressants are a group of structurally related prescription drugs that are used to manage depression.

 

 

Methodology

MEDTOX Scan (Instrument assisted Immunochromatographic assay)

Sample Type

  • Urine

Centrifuge: Yes

Specimen Minimum Volume

0.5 mL

Specimen Stability

Temperature Time
Refrigerated (2-8°C) (store) 48 hours*

*Stored urine must be brought to ambient temperature and mixed well prior to testing.

Reference Ranges

Normal Range
Negative

 

Drug/Metabolite Cutoff Limit Detection Period
Amphetamines (d-Amphetamine) 500 ng/mL 1-10 days
Barbiturates (Bultalbital) 200 ng/mL Up to 16 days
Benzodiazepines (Nordiazepam) 150 ng/mL 1-12 days
Buprenorphine 10 ng/mL Up to 3 days
Cocaine (Benzoylecgonine) 150 ng/mL Up to 5 days
Methamphetamine (d-Methamphetamine) 500 ng/mL 1-10 days
Methadone 200 ng/mL 1-3 days
Opiates (Morphine) 100 ng/mL 1-3 days
Oxycodone 100 ng/mL 1-3 days
Phencyclidine 25 ng/mL Up to 4 weeks
THC Cannabinoids (11-nor-9-carboxy-▲9-THC) 50 ng/mL Up to 30 days
Tricyclic Antidepressants (Desipramine) 300 ng/mL 1-7 days

 

Rejection Criteria

Hemolysis N/A
Icterus N/A
Lipemia N/A

 

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Chemistry

CPT Code

80306

 

 

LOINC

69739-1 Drugs of abuse panel Screen (U)

54247-2 Drug screen comment (U) [Interp]