Drugs of Abuse Testing

I carry out Drugs of Abuse Testing at my office. This consists of either an observed or unobserved urine sample collection and testing. The observed sample, which meets Chain of Custody conditions and is legally defensible, is then sent to a registered and accredited laboratory in Dublin for immunoassay and confirmation acceptable to employers and the both Irish and UK court systems. There is a 48hr turnabout on lab testing. This test, including all testing and laboratory, costs  €105 for an observed urine test.

I also do instant urine tests acceptable to many employers or institutions but these are susceptible to legal challenge. As an accredited drug and alcohol professional, I issue a witness certificate verifying the authenticity of the urine collection and test result. These tests are either observed or unobserved. An observed test has much greater credibility. The cost of an observed test is €65 and €55 for an unobserved one including all paperwork and test equipment.

A free Substance Use Disorder Diagnostic test is offered free of charge to those who want one. A referral for treatment is included in this free offer.

For more information on Drugs of Abuse Testing, please phone me on 089 454 2652

To book a session online now, please click HERE

Drugs Tested

amphetamines (AMP)
barbiturates (BAR),
benzodiazepines (BZD),
cocaine (COC),
EDDP,
ecstasy (MDMA),
metamphetamine (MET),
opiates/morphine (MOR),
methadone (MTD),
tricyclic antidepressants (TCA),
cannabis (THC),
fetanyl (FYL),
tramadol (TML),
ketamine (KET)

We do not routinely screen for all of these substances. Usually, we screen for:
AMP, COC, MET, MOR, MTD,  THC, BZD, MDMA

Routine Screening Analysis

The majority of drug testing performed by the laboratory falls into this category. Routine screening is carried out by immunoassay, enzyme assay or chemical assay. These are rapid methods used for screening drugs of misuse. Tests included in routine screen are detailed above.

Immunoassay is a qualitative method which indicates only the presence or absence of a drug/drug class in a sample. Each test by immunoassay has a defined cut-off level, above which the test is deemed positive  indicating that the presence of a drug/drug class was detected above the cut-off level. If a test result falls below the cut-off level, the result is deemed negative indicating that the drug/drug class was not detected above the cut-off. Cut- off levels are detailed on every test report.

With the exception of alcohol, the current format used does not give any information about the level or concentration of the drug present.

It should be noted that all analytical results are subject to some Uncertainty of Measurement (UOM) The performance of qualitative test results around the cut-off concentration is routinely monitored by the use of Quality Controls which are run with every batch of samples.

Clinical consideration and judgment should be applied to all immunoassay test results. Confirmatory analysis may be requested for a positive drug screening result if required

Headshop Drugs of Abuse

While these are not routinely screened, you can request to have this done. These are the substances we can arrange to have tested:

2-Aminoindane
2-Fluoromethcathinone
2-Methylamphetamine
2-Phenethylamine
3-Fluoromethcathinone
3-Methiopropamine
3-Methylamphetamine
3-TFMPP
3,4 DMMC
3,4MD-N-benzylcathinone
4-EMC
4-Fluoroamphetamine
4-Fluoromethcathinone
4-MEC
4-Methylamphetamine
4-Methylmethamphetamine
5-APB
5-IAI
5-MeO Dalt
a-PVP
Amphetamine
Arecoline
B-Ethylmethcathinone
Benzedrone
Benzocaine
Benzoylecgonine
Buphedrone
Butylone
BZP
Caffeine
Camfetamine
Cathinone
Cocaine
Desoxypipradol
Dimethocaine
Dimethyl
Ethcathinone
Ethylecgonine
Ethylone
Fluorotropacocaine
Ketamine
Lidocaine
MBDB
mCPP
MDA
MDAI
MDAT
MDEA
MDMA
MDPBP
MDPV
Mephedrone
Methamphetamine
Methcathinone
Methedrone
Methoxetamine
Methylecgonidine
Methylone
MPBP
MPPP
N-Methyl-5 APB
N,N-4-trimethylcathinone
Naphyrone
p-FPP
p-Methoxyamphetamine
p-Methoxymethamphetamine
PCat
Pentedrone
Pentylone
Pseudoephedrine
Sildenafil
Synephrine

Note: Panel of drugs screened will change as required.

Quality Control and Quality Assurance

To ensure the highest confidence in test results, the HSE laboratory we use adheres to strict quality control (QC) and quality assurance (QA) standards. (Approx. 3% of all samples run are quality controls).

In order to assess performance, the laboratory is involved in two external Quality Assurance schemes, the United Kingdom National External Quality Assessment Scheme (UKNEQAS) and the Irish External Quality Assessment Scheme (IEQAS).

Viewing of quality control data, proficiency testing data, and testing procedures will be accommodated on request by arrangement with the laboratory.

Accreditation

The laboratory we use is accredited by the Irish National Accreditation Board (INAB) to ISO/IEC17025. ISO/IEC 17025 is the main standard used by testing and calibration laboratories.The ISO/IEC 17025 standard is a quality system aimed at improving the ability to consistently produce valid results. The two main aspects of ISO/IEC 17025 Accreditation are Management and Technical Requirements. Management requirements are primarily related to the operation and effectiveness of the quality management system within the laboratory, while technical requirements address the competence of staff, methodology and test/calibration equipment.

In order to maintain this high standard,the laboratory is assessed annually by a team of Irish and international external auditors. In 2012 we successfully applied to extend the scope of their accreditation to include drugs of abuse in oral fluids, Ethyl Glucuronide in urine and Cannabis confirmatory analysis in Urine.

Membership and Representation

To ensure best practice and to keep up to date with the latest developments and trends in drug misuse, laboratory staff have professional membership and attend meeting of various international societies, these include:-
ACBI – Association of Clinical Biochemists of Ireland
TIAFT – The International Association Forensic Toxicologists
SOFT- The Society of Forensic Toxicologists
UK and Ireland Association of Forensic Toxicologist (UKIAFT)

The laboratory is also represented at the Early Warning and Emerging Trends (EWET) committee of the National Advisory Committee on Drugs (NACD)LÁRIONAD NÁISIÚNTA CÓIREÁLA

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