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Drug Screening and Confirmation (Urine)

Comprehensive urine drug screening and confirmation testing for 60+ substances including opioids, benzodiazepines, amphetamines, antidepressants, and prescription medications with quantitative analysis.

Overview

Urine Drug Testing (UDT) is a diagnostic test used to detect the presence of specific drugs or their metabolites in an individual’s urine. This test provides information about recent drug use and is commonly utilized in various clinical, occupational, legal, and rehabilitation settings.

Two-Tiered Testing Process

Our testing begins with sensitive screening tests to detect a broad spectrum of controlled substances and prescription medications. Following any positive screen, we employ gold-standard confirmation testing using GC-MS or LC-MS (liquid chromatography-mass spectrometry) to provide definitive evidence of the drug’s presence.

Substances Detected

Opiates:

  • Codeine, Hydrocodone, Norhydrocodone
  • Hydromorphone, Morphine, Dihydrocodeine
  • Oxycodone, Oxymorphone, Noroxycodone

Benzodiazepines:

  • Alprazolam, Oxazepam, Temazepam
  • α-Hydroxyalprazolam, 7-Aminoclonazepam
  • Clonazepam, Diazepam, Lorazepam

Amphetamines:

  • Amphetamine, Methamphetamine, Phentermine

Antidepressants:

  • Citalopram, Duloxetine, Fluoxetine, Sertraline
  • Venlafaxine, Trazodone, Bupropion
  • Mirtazapine, Amitriptyline, Nortriptyline
  • Imipramine, Desmethyl Doxepin, Doxepin

Additional Drug Classes:

  • Fentanyls (Norfentanyl, Fentanyl)
  • Methadone and EDDP
  • Buprenorphine and Norbuprenorphine
  • Natural and Synthetic Cannabinoids
  • Cocaine (Benzoylecgonine)
  • Antipsychotics (Aripiprazole, Quetiapine, Risperidone)
  • Skeletal Muscle Relaxants
  • Other medications (PCP, Ketamine, MDMA, Gabapentin, Tramadol, Zolpidem)

Purpose of Testing

  • Clinical Monitoring: Ensure compliance with prescribed medications for pain management
  • Pre-Employment Screening: Screen job applicants for illicit drug use
  • Legal and Forensic: Testing for substance use in probation, parole, or custody cases
  • Rehabilitation Programs: Monitor patients in substance abuse recovery

Key Advantages

  • Non-invasive sample collection
  • Relatively long detection window (days to weeks)
  • Large concentration of metabolites
  • Chronic use detection capability
  • Patient compliance monitoring
  • Detection of drug diversion or abuse

Important Limitations

  • Screening tests may have false positives/negatives
  • Cannot pinpoint exact timing or quantity of ingestion
  • Potential for tampering (mitigated with integrity checks)
  • Detection depends on specific substances screened

All positive screening results undergo confirmation testing with precise quantification to eliminate false positives and provide definitive analytical data for clinical decision making.

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