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Ten Test Card
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10-Drug Test Card (COC/ AMP/ mAMP/ THC/ MTD/ OPI/ PCP/ BAR/ BZO/ TCA)
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Test |
Calibrator |
Cut off |
Cocaine (COC) |
Benzoylecgonine |
300 ng/mL |
Amphetamine (AMP) |
D-Amphetamine |
1,000 ng/mL |
Methamphetamine (mAMP) |
D-Methamphetamine |
1,000 ng/mL |
Marijuana (THC) |
11-nor-∆9-THC-9 COOH |
50 ng/mL |
Opiates (OPI 2000) |
Morphine |
2,000 ng/mL |
Phencyclidine (PCP) |
Phencyclidine |
25 ng/mL |
Benzodiazepines (BZO) |
Oxazepam |
300 ng/mL |
Tricyclic Antidepressants (TCA) |
Nortriptyline |
1,000 ng/mL |
Barbiturates (BAR) | Secobarbital | 300 ng/mL |
Methadone (MTD | Methadone | 300 ng/mL |
Cocaine is a potent central nervous system (CNS) stimulant and a local anesthetic. Initially, it brings about extreme energy and restlessness while gradually resulting in tremors, over-sensitivity and spasms. In large amounts, cocaine causes fever, unresponsiveness, difficulty in breathing and unconsciousness. Cocaine is often self-administered by nasal inhalation, intravenous injection and free-base smoking. It is excreted in the urine in a short time primarily as Benzoylecgonine.
Amphetamine is a Schedule II controlled substance available by prescription (Dexedrine®) and is also available on the illicit market. Amphetamines are a class of potent sympathomimetic agents with therapeutic applications. They are chemically related to the human body’s natural catecholamines: epinephrine and norepinephrine. Acute higher doses lead to enhanced stimulation of the central nervous system and induce euphoria, alertness, reduced appetite, and a sense of increased energy and power.
Methamphetamine is an addictive stimulant drug that strongly activates certain systems in the brain. Methamphetamine is closely related chemically to amphetamine, but the central nervous system effects of Methamphetamine are greater. Methamphetamine is made in illegal laboratories and has a high potential for abuse and dependence. The drug can be taken orally, injected, or inhaled. Acute higher doses lead to enhanced stimulation of the central nervous system and induce euphoria, alertness, reduced appetite, and a sense of increased energy and power. Cardiovascular responses to Methamphetamine include increased blood pressure and cardiac arrhythmias. More acute responses produce anxiety, paranoia, hallucinations, psychotic behavior, and eventually, depression and exhaustion. The effects of Methamphetamine generally last 2-4 hours and the drug has a half-life of 9-24 hours in the body. Methamphetamine is excreted in the urine as amphetamine and oxidized and deaminated
derivatives. However, 10-20% of Methamphetamine is excreted unchanged. Thus, the presence of the parent compound in the urine indicates Methamphetamine use. Methamphetamine is generally detectable in the urine for 3-5 days, depending on urine pH level. The One Step Drug Screen Test Card yields a positive result when the Methamphetamine in urine exceeds 1,000 ng/mL.
THC (∆9--tetrahydrocannabinol) is the primary active ingredient in cannabis (marijuana). When smoked or orally administered, THC produces euphoric effects. Users have impaired short term memory and slow learning. They may also experience transient episodes of confusion and anxiety. Long-term, relatively heavy use may be associated with behavioral disorders. The peak effect of marijuana administered by smoking occurs in 20-30 minutes and the duration is 90-120 minutes after one cigarette. Elevated levels of urinary metabolites are found within hours of exposure and remain detectable for 3-10 days after smoking.
Methadone is a narcotic analgesic prescribed for the management of moderate to severe pain and for the treatment of opiate dependence (heroin, Vicodin, Percocet, Morphine). The pharmacology of Oral Methadone is very different from IV Methadone. Oral Methadone is partially stored in the liver for later use. IV Methadone acts more like heroin. In most states you must go to a pain clinic or a Methadone maintenance clinic to be prescribed Methadone.
The One Step Drug Screen Test Card yields a positive result when the morphine in urine exceeds 2,000 ng/mL. This is the suggested screening cut-off for positive specimens set by the Substance Abuse and Mental Health Services Administration (SAMHSA, USA).
Phencyclidine, also known as PCP or Angel Dust, is a hallucinogen that was first marketed as a surgical anesthetic in the 1950’s. It was removed from the market because patients receiving it became delirious and experienced hallucinations. Phencyclidine is used in powder, capsule, and tablet form. The powder is either snorted or smoked after mixing it with marijuana or vegetable matter. Phencyclidine is most commonly administered by inhalation but can be used intravenously, intra-nasally, and orally. After low doses, the user thinks and acts swiftly and experiences mood swings from euphoria to depression. Self-injurious behavior is one of the
devastating effects of Phencyclidine.
Barbiturates are central nervous system depressants. They are used therapeutically as sedatives,
hypnotics, and anticonvulsants. Barbiturates are almost always taken orally as capsules or tablets. The effects resemble those of intoxication with alcohol. Chronic use of barbiturates leads to tolerance and physical dependence. Short acting Barbiturates taken at 400 mg/day for 2-3 months can produce a clinically significant degree of physical dependence. Withdrawal symptoms experienced during periods of drug abstinence can be severe enough to cause death. Only a small amount (less than 5%) of most Barbiturates are excreted unaltered in the urine.
Benzodiazepines are medications that are frequently prescribed for the symptomatic treatment of anxiety and sleep disorders. They produce their effects via specific receptors involving a neurochemical called gamma aminobutyric acid (GABA). Because they are safer and more effective, Benzodiazepines have replaced barbiturates in the treatment of both anxiety and insomnia. Benzodiazepines are also used as sedatives before some surgical and medical procedures, and for the treatment of seizure disorders and alcohol withdrawal. Risk of physical dependence increases if Benzodiazepines are taken regularly (e.g., daily) for more than a few months, especially at higher than normal doses. Stopping abruptly can bring on such symptoms as trouble sleeping, gastrointestinal upset, feeling unwell, loss of appetite, sweating, trembling, weakness, anxiety and changes in perception. Only trace amounts (less than 1%) of most Benzodiazepines are excreted unaltered in the urine; most of the concentration in urine is conjugated drug. The detection period for the Benzodiazepines in the urine is 3-7 days.
The One Step Drug Screen Test Card yields a positive result when the Benzodiazepines in urine exceed 300 ng/mL.
TCA (Tricyclic Antidepressants) are commonly used for the treatment of depressive disorders. TCA overdoses can result in profound central nervous system depression, cardiotoxicity and anticholinergic effects. TCA overdose is the most common cause of death from prescription drugs. TCAs are taken orally or sometimes by injection. TCAs are metabolized in the liver. Both TCAs and their metabolites are excreted in urine mostly in the form of metabolites for up to ten days. The One Step Drug Screen Test Card yields a positive result when the concentration of Tricyclic Antidepressants in urine exceeds 1,000 ng/mL.
A drug-free urine pool was spiked with drugs at concentrations listed. The results are summarized below.
Compound |
Concentration(ng/ml) |
COCAINE |
|
Benzoylecgonine |
300 |
Cocaine HCl |
780 |
Cocaethylene |
12,500 |
Ecgonine HCl |
32,000 |
AMPHETAMINE |
|
D-Amphetamine |
1,000 |
L-Amphetamine |
50,000 |
(±)3,4-Methylenedioxyamphetamine |
2,000 |
Phentermine |
3,000 |
METHAMPHETAMINE |
|
ρ-Hydroxymethamphetamine |
30,000 |
L-Methamphetamine |
8,000 |
(±)-3,4-Methylenedioxymethamphetamine |
2,000 |
MARIJUANA (THC) |
|
11-nor-∆9 -THC-9 COOH |
50 |
Cannabinol |
20,000 |
11-nor-∆8-THC-9 COOH |
30 |
∆8 –THC |
15,000 |
∆9 -THC |
15,000 |
METHADONE |
|
Methadone |
300 |
Doxylamine |
50,000 |
OPIATES (2000) |
|
Morphine |
2,000 |
Codeine |
2,000 |
Ethylmorphine |
5,000 |
Hydrocodone |
12,500 |
Levophanol |
75,000 |
6-Monoacetylmorphine |
5,000 |
Morphine 3-β-D-glucuronide |
2,000 |
Norcodeine |
12,500 |
Normorphone |
50,000 |
Oxycodone |
25,000 |
Oxymorphone |
25,000 |
Procaine |
150,000 |
PCP |
|
Phencyclidine |
25 |
BARBITURATES |
|
Secobarbital |
300 |
Amobarbital |
300 |
Alphenol |
150 |
Aprobarbital |
200 |
Butalbital |
2,500 |
Butethal |
100 |
Cyclopentobarbital |
600 |
Pentobarbital |
300 |
Phenobarbital |
100 |
BENZODIAZEPINES |
|
Oxazepam |
300 |
Alprazolam |
196 |
a-Hydroxyalprazolam |
1,262 |
Bromazepam |
1,562 |
Chlordiazepoxide |
1,562 |
Chlordiazepoxide HCI |
781 |
Clobazam |
98 |
Clonazepam |
781 |
Clorazepate dipotassium |
195 |
Delorazepam |
1,562 |
Desalkylflurazepam |
390 |
Diazepam |
195 |
Estazolam |
2,500 |
Flunitrazepam |
390 |
Tricyclic |
|
Notriptyline | 1,000 |
Nordoxepine | 1,000 |
Trimipramine | 3,000 |
Amitriptyline | 1,500 |
Promazine | 1,500 |
Desipramine | 200 |
Imipramine | 400 |
Clomipramine | 12,500 |
Doxepine | 2,000 |
Maprotiline | 2,000 |
Promethazine | 2,500 |
Configurations of the One Step -Drug Screen Test Card consists of combination of Cocaine, Amphetamine, Methamphetamine, Marijuana (THC), Mathedone, Opiate, Phencyclidine, barbiturate, Benzodiazepine, Tricyclic drug analytes. This assay provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Clinical consideration and professional judgment should be applied to the drug of abuse test result, particularly when preliminary positive results are indicated. For more information, click here.