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The Curbsiders Addiction Medicine Podcast

S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand

Aug 17, 2023
Toxicologist Dr. Timothy Wiegand discusses interpreting urine drug tests (UDT), false positives, and counseling patients prior to ordering the test. Topics include detection windows, interpreting opiates and opioids in UDT, resources for interpretation, discussing results with patients, buprenorphine testing, specimen validity testing, and saliva testing.
01:02:37

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • There are two types of drug tests: screening and confirmatory, with screening tests being rapid but prone to false positives, and confirmatory tests being more accurate but time-consuming and expensive.
  • Certain medications can cause false positives in drug tests, such as antidepressants and decongestants, so confirmatory testing should be considered to ensure accurate results.

Deep dives

Screening and Confirmatory Drug Tests

There are two types of drug tests: screening and confirmatory. Screening tests are preliminary tests that use antibody technology to detect specific substances in urine. They are rapid, less expensive, and provide quick results. However, they can have false positives due to cross-reactivity with certain substances. Confirmatory tests, on the other hand, use chromatography and mass spectroscopy to identify and quantify specific drugs and their metabolites. These tests are more expensive, time-consuming, and provide accurate results. Confirmatory tests are used when the results impact patient care, such as legal issues or compliance monitoring.

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