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.
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?
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Help prevent misuse, abuse, and diversion through responsible prescribing
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Assist in evaluating a patient prior to controlled medicine therapy
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Support substance abuse diagnosis
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Monitoring of adherence to treatment plans
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Identify undisclosed substances
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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?
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New patients already taking controlled medications
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Candidates for controlled medicine therapy
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Patients resistant to full evaluation
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Patients requesting medicine by name
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Patients in substance abuse recovery
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Patients displaying aberrant drug behavior
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OB patients at risk of harming themselves or child
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Patients being monitored on controlled medicine
When Should You Test?
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When considering controlled medication treatment
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When dosing or medication treatment changes
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In accordance with state or specialty guidelines/standards of care
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In accordance with treatment agreement
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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.