Alternative Testing

Hair

Nationwide Medical Review has years of experience reviewing Oral Fluid laboratory results for clients across the country..

Excerpt from Omega Lab

Hair testing questions answered, as presented by Omega Labs

Oral Fluid testing:

From Quest Diagnostics

The use of oral fluid (saliva) as a biological specimen for the detection of drugs of abuse is growing in popularity within the workplace. The increased popularity of oral fluid drug testing is due to inherent advantages over the standard urine drug test. Oral fluid specimen collection using Intercept is simple and non-invasive. Collection can occur at any time or location without embarrassment to the donor.

The specimen can be collected from the donor under direct observation, thus minimizing the potential for specimen tampering and/or adulteration. Oral fluid drug concentrations can be related to plasma free-drug concentrations and the pharmacological effects of drugs. As a result, oral fluid drug concentrations can provide information similar to that provided by plasma or blood drug concentrations.

Consideration should be given to the effect that some drugs or medical conditions have on the donor's ability to secrete oral fluid. As a result, oral fluid may not be available from all individuals at all times.2 Intercept tests for the following drug classes:



  • Amphetamines (including Ecstasy)
  • Cocaine
  • Marijuana
  • Opiates
  • Phencyclidine (PCP)

Orals fluid specimen six-panel test:

Analyte

Screen Cutoff

Confirmation Cutoff

Amphetamines

100 ng/mL

40 ng/mL

Methamphetamines

40 ng/mL

40 ng/mL

Opiates

10 ng/mL

10 ng/mL

Benzoylecgonine

5 ng/mL

2 ng/mL

Phencyclidine

1 ng/mL

0.5 ng/mL

Marijuana metabolite

1 ng/mL

0.5 ng/mL

The table below shows the detection window for drugs of abuse using oral fluid.

Drug

Detection Window for Oral Fluid

Amphetamines

24-36 hours

Cocaine/Metabolite

24-36 hours

Opiates

24-36 hours

PCP

24-36 hours

THC/Metabolite

Less than 24 hours







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