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Medication Monitoring

Protect your patients | Protect your practice.

 

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Avanti Laboratories offers Medication Monitoring programs tailored to fit your specific practice needs. Every client has unique prescribing habits, which is why we offer customized test panels, rather than a one-size-fits-all panel of tests.

Avanti Laboratories’ enhanced LC-MS/MS technology provides drug specific identification and quantification.

Extensive Testing Menu Identification and quantification of more than 90 drugs and metabolites.
Effortless Collection Minimal volume of useable urine
(1.5-2.0 mL).
True Detection Lower cutoff levels to reduce
false negatives.

Avanti Laboratories | Urine Toxicology

Qualitative and Quantitative testing of over 90 drugs

What is Urine Toxicology?

Urine toxicology is the process of screening urine to determine the type and relative amount of legal and illegal substances a person has consumed. The test is performed to evaluate patients prior to receiving medicine therapy, patients in substance abuse recovery, patients displaying  deviant drug behavior, obstetric patients, and patients using controlled medications. Toxicology tests, or tox screens, can detect a specifically targeted substance or up to 90 substances at once.

Why Urine Testing?

  • Help prevent misuse, abuse, and diversion through responsible prescribing
  • Assist in evaluating a patient prior to controlled medicine therapy
  • Support substance abuse diagnosis
  • Monitoring of adherence to treatment plans
  • Identify undisclosed substances
  • Protect both patient and practice

How does Urine Toxicology work?

Medical professionals obtain urine samples from patients using clean-catch midstream urine collection. The patient will need to have thoroughly washed hands before opening the collection cup. Before urinating, the patient will wipe the urethral orifice to ensure the sample is not contaminated with foreign materials. When the sample is collected, the laboratory technician, nurse, or physician will label the sample to be evaluated by Avanti Laboratories.
 
Our lab uses two types of urine drug screening;  Immunoassay and Liquid Chromatography/Mass Spectrometry, or LC/MS. Immunoassay does not measure the substance levels individually. It detects whether the substance is in the system by measuring drug levels in nanograms per milliliter with either a positive or negative result. LC/MS is capable of measuring exact levels of the substance found in the sample.

Who Should Be Tested?

  • New patients already taking controlled medications
  • Candidates for controlled medicine therapy
  • Patients resistant to full evaluation
  • Patients requesting medicine by name
  • Patients in substance abuse recovery
  • Patients displaying aberrant drug behavior
  • OB patients at risk of harming themselves or child
  • Patients being monitored on controlled medicine

When Should You Test?

  • When considering controlled medication treatment
  • When dosing or medication treatment changes
  • In accordance with state or specialty guidelines/standards of care
  • In accordance with treatment agreement
  • Aberrant drug behavior

Medication Monitoring – Test Menu

ADHD Therapy

Atomoxetine

Alcohol

Alcohol
Ethyl glucuronide/ Ethyl Sulfate

Amphetamines

Amphetamine*
Methamphetamine*
Methylphenidate metabolite***
Phentermine

Antidepressants

Bupropion
Citalopram/Escitalopram
Duloxetine
Fluoxetine
Paroxetine
Venlafaxine

Antipsychotics

Clozapine
Haloperidol
Olanzapine
Quetiapine
Risperidone

Barbiturates

Amobarbital/Pentobarbital**
Butabarbital**
Butalbital**
Phenobarbital**
Secobarbital**

Benzodiazepines

Alprazolam
Clonazepam
Diazepam
Lorazepam
Nordiazepam
Oxazepam
Temazepam

Illicit Substances

Cocaine
Heroin
MDMA
Phencyclidine (PCP)

Opiates

Codeine*
Hydrocodone*
Norhydrocodone*
Hydromorphone*
Morphine*

Opioids

EDDP (methadone metabolite)*
Fentanyl*
Methadone
Norfentanyl*
Noroxycodone*
Oxycodone*
Oxymorphone*
Tapentadol
Tramadol*

Opioids, Other

Buprenorphine
(Transdermal, i.e. Butrans®)
Dextrorphan
Naloxone
Naltrexone
Norbuprenorphine*
Normeperidine*
Meperidine*

Other

Carisoprodol
Cyclobenzaprine
Dextromethorphan
Gabapentin
Ketamine
Pregabalin
Pregnancy Screen (beta hCG)
THC

Sedative Hypnotics

Zaleplon
Zolpidem
Zopiclone

Stimulants

Methylphenidate*
Phentermine

Synthetics and Other

Bath Salts (Cathinones)
Kratom
Spice (Synthetic THC

** Swabs do not currently test for these analytes if government insurance.
*** Swabs do not currently test for these analytes

 

Our test menu continues to expand, reflecting the most current prescribed
medications and an ever evolving list of illicit substances, emerging medications
and drugs. Our R&D team of preeminent toxicologists and analytical scientists are
constantly designing, developing and implementing new assays.

© 2016 All rights reserved. Mub Solutions