Medication Monitoring

ChemaTox Laboratory is a valuable team member in pain management.  The information provided by medication monitoring testing is an important tool for a patient’s medical team in evaluating patient compliance with prescription therapy.

The major drugs that are available for pain management have limitations and have a high potential for abuse or misuse. Clinical guidelines have been published to assist providers in managing the treatment of patients with chronic non-cancer pain.  There are state and federal guidelines in addition to clinical guidelines.

A pain management plan may include personal and family medical histories, screening surveys and/or treatment agreements with patients. The patient information provided to the laboratory is important to assisting interpretation of test results.

ChemaTox provides pain therapy specimen testing for drugs and their metabolites principally in urine. While specimen screening is normally performed using urine, ChemaTox will perform this testing on blood samples if arranged in advance.  Qualitative testing is performed utilizing test methods with the highest sensitivity such as Gas Chromatography/ Mass Spectroscopy (GC/MS) and Liquid Chromatography-Mass Spectrometry/Mass Spectrometry (LC-MS/MS). This high complexity testing has high accuracy and low limits of detection.

Adjuvants
Gabapentin
Pregabalin

Anticonvulsants
Carbamazepine
Oxcarbazepine

Antidepressants
Bupropion
Citalopram/Escitalopram
Fluoxetine
Mirtazapine
Paroxetine
Sertraline
Venlafaxine/Desvenlafaxine
Tricyclic Antidepressants
Amitriptyline
Doxepin
Desipramine/Imipramine
Nortriptyline
Barbiturates
Benzodiazepines
Alprazolam
Clonazepam
Diazepam/ Nordiazepam
Flunitrazepam
Flurazepam
Lorazepam
Midazolam
Oxazepam
Temazepam
Triazolam
Opiates
Codeine
Morphine
Hydrocodone
Hydromorphone
Oxycodone
Oxymorphone
Muscle Relaxants
Carisoprodol
Cyclobenzaprine
Meprobamate
Stimulants
Amphetamine
Methamphetamine
Illicit Drugs
6-MAM (Heroin Metabolite)
Cocaine
Ethyl Alcohol
Marijuana Metabolite
MDMA
Phencyclidine (PCP)
Narcotics/Analgesics
Buprenorphine
Butorphanol
Fentanyl
Ketamine
Meperidine
Methadone
Nalbuphine
Pentazocine
Tapentadol
Tramadol
Other
Cotinine
Nicotine
Ranitidine
Trazadone
Zolpidem