Gima MULTI DRUG PANEL TESTS User guide

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Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy gima@gimaitaly.com - export@gimaitaly.com
www.gimaitaly.com
TEST MULTIDROGHE ONE STEP (URINA) ONE STEP SCREEN TEST PANEL (URINE) ESSAI MULTI-DROGUE ONE STEP (URINE) MULTI-DROGEN-TEST ONE STEP (URIN) PRUEBA DE MULTIDROGAS EN UN SOLO PASO (ORINA) TESTE TOXICOGÓGICO ONE STEP (URINA)
ΕΞΕΤΑΣΗ ΠΟΛΛΑΠΛΏΝ ΦΑΡΜΑΚΏΝ ΕΝΟΣ ΣΤΑΔΊΟΥ (ΟΥΡΑ)
Manuale d’uso - User manual Manuel de l’utilisateur - Guía de uso Guia para utilização Gebrauchs- und instandhaltungsanleitung
Οδηγίες χρήσης -
PER USO PROFESSIONALE
FÜR DEN PROFESSIONELLEN GEBRAUCH
FOR PROFESSIONAL USE
PARA USO PROFESIONAL
PARA USO PROFISSIONAL
ΓΙΑ ΕΠΑΓΓΕΛΜΑΤΙΚΗ ΧΡΗΣΗ
ATTENZIONE: Gli operatori devono leggere e capire completamente questo manuale prima di utilizzare il prodotto. ATTENTION: The operators must carefully read and completely understand the present manual
before using the product.
AVIS: Les opérateurs doivent lire et bien comprendre ce manuel avant d’utiliser le produit. ACHTUNG: Diese Anleitung muss vor dem Einsatz des Produkts aufmerksam gelesen und vollständig
verstanden werden.
ATENCIÓN: Los operadores tienen que leer y entender completamente este manual antes de utilizar el producto. ATENÇÃO: Os operadores devem ler e entender completamente este manual antes de usar o produto.
ΠΡΟΣΟΧΗ: Οι χειριστές αυτού του προϊόντος πρέπει να διαβάσουν και να καταλάβουν πλήρως τις οδηγίες του εγχειριδίου πριν από την χρήση του.
24549 - 24550 - 24551
30°C
2°C
Gima S.p.A. Via Marconi, 1 20060 Gessate (MI) Italy Made in China (P.R.C.)
M-24550-M-Rev.5-06.18
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10
One Step Screen Test Panel (Urine)
Package insert for testing of any combination of the following drugs: Amphetamine 300, Amphetamine 500, Amphetamine, Barbiturates, Benzodiazepines 200, Benzodiazepines, Buprenorphine, Clonazepam, Cocaine 150, Cocaine, Cotinine, Fentanyl, Heroin (6-acetylmorphine), Ketamine, Marijuana 20, Marijuana, Marijuana 150, Methadone, EDDP 100 (Methadone metabolite), EDDP 300 (Methadone metabolite), Methamphetamine 300, Methamphetamine 500, Methamphetamine, Methylenedioxymethamphetamine, Morphine 300, Opiate 2000, Oxycodone, Phencyclidine, Propoxyphene, Tramadol and Tricyclic Antidepressants. Including Specimen Validity Tests (S.V.T.) for Oxidants/Pyridinium Chlorochromate (OX/PCC), Specic Gravity (S.G.), pH, Nitrite (NIT), Glutaraldehyde (GLUT) and Creatinine (CRE).
A rapid, one step screen test for the simultaneous, qualitative detection of multiple drugs and metabolites in human urine. For medical and other professional in vitro diagnostic use only.
INTENDED USE & SUMMARY
Urine based screen tests for multiple drugs of abuse range from simple immunoassay tests to complex analytical procedures. The speed and sensitivity of immunoassays have made them the most widely accepted method to screen urine for multiple drugs of abuse. The Multi-Drug One Step Screen Test Panel (Urine) is a lateral ow chromatographic immunoassay for the qualitative detection of following drugs without the need of instruments.
Test Calibrator Cut-o󰀨
Amphetamine (AMP 300) d-Amphetamine 300 Amphetamine (AMP 500) d-Amphetamine 500 Amphetamine (AMP) d-Amphetamine 1 000 Barbiturates (BAR) Secobarbital 300 Benzodiazepines (BZO 200) Oxazepam 200 Benzodiazepines (BZO) Oxazepam 300 Buprenorphine (BUP) Buprenorphine 10 Clonazepam (ACL) 7-Aminoclonazepam 100 Cocaine (COC 150) Benzoylecgonine 150 Cocaine (COC) Benzoylecgonine 300 Cotinine (COT) Cotinine 100 Fentanyl (FTY) Norfentanyl 20 Heroin (HRN) 6-Acetylmorphine 10 Ketamine (KET) Ketamine 1 000 Marijuana (THC 20) 11-nor-Δ Marijuana (THC) 11-nor-Δ Marijuana (THC 150) 11-nor-Δ Methadone (MTD) Methadone 300 Methadone metabolite (EDDP 100) 2-Ethylidene-1,5-dimethyl-3,3-dipheylpyrrolidine (EDDP) 100 Methadone metabolite (EDDP 300) 2-Ethylidene-1,5-dimethyl-3,3-dipheylpyrrolidine (EDDP) 300 Methamphetamine (MET 300) d-Methamphetamine 300 Methamphetamine (MET 500) d-Methamphetamine 500 Methamphetamine (MET) d-Methamphetamine 1 000 Methylenedioxymethamphetamine (MDMA) d,l-Methylenedioxymethamphetamine 500 Morphine (MOP 300) Morphine 300 Opiate (OPI 2000) Morphine 2 000 Oxycodone (OXY) Oxycodone 100 Phencyclidine (PCP) Phencyclidine 25 Propoxyphene (PPX) Propoxyphene 300 Tramadol (TRA) Tramadol 100 Tricyclic Antidepressants (TCA) Nortriptyline 1 000
1
(ng/mL)
9
-THC-9 COOH 20
9
-THC-9 COOH 50
9
-THC-9 COOH 150
This test will detect other related compounds, please refer to the Analytical Specicity table in this package insert.
Congurations of the Multi-Drug One Step Screen Test Panel (Urine) come with any combination of the above
listed drug analytes with or without S.V.T. This assay provides only a preliminary analytical test result. A
more specic alternate chemical method must be used in order to obtain a conrmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred conrmatory method. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary
positive results are indicated.
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S.V.T. SUMMARY
Each S.V.T. strip contains chemically treated reagent pads. Three to ve minutes following the activation of the reagent pads by the urine sample, the colors that appear on the pads can be compared with the printed color chart card. The color comparison provides a semi-quantitative screen for any combination of oxidants/pyridinium chlorochromate (PCC), specic gravity, pH, nitrite, glutaraldehyde and creatinine in human urine which can help assess the integrity of the urine sample.
PRINCIPLE
The Multi-Drug One Step Screen Test Panel (Urine) is an immunoassay based on the principle of competitive binding. Drugs which may be present in the urine specimen compete against their respective drug conjugate for binding sites on their specic antibody. During testing, a urine specimen migrates upward by capillary action. A drug, if present in the urine specimen below its cut-o󰀨 concentration, will not saturate the binding sites of its specic antibody coated on the particles. The antibody coated particles will then be captured by the immobilized drug conjugate and a visible colored line will show up in the test line region of the specic drug strip. The colored line will not form in the test line region if the drug level is above its cut-o󰀨 concentration because it will saturate all the binding sites of the antibody coated on the particles. A drug-positive urine specimen will not generate a colored line in the specic test line region of the strip because of drug competition, while a drug-negative urine specimen or a specimen containing a drug concentration less than the cut-o󰀨 will generate a line in the test line region. To serve as a procedural control, a colored line will always appear at the control line region indicating that proper volume of specimen has been added and membrane wicking has occurred.
S.V.T. PRINCIPLE
Adulteration is the tampering of a urine specimen with the intention of altering the test results. The use of adulterants can cause false negative results in drug tests by either interfering with the screening test and/ or destroying the drugs present in the urine. Dilution may also be employed in an attempt to produce false negative drug test results. One of the best ways to test for adulteration or dilution is to determine certain urinary characteristics such as pH and specic gravity and to detect the presence of oxidants/PCC, specic gravity, pH, nitrite, glutaraldehyde and creatinine
in urine.
• Oxidants/PCC (Pyridinium chlorochromate) tests for the presence of oxidizing agents such as bleach and hydrogen peroxide. Pyridinium Chlorochromate is a commonly used adulterant.2 Normal human urine should not contain oxidants or PCC.
• Specic gravity tests for sample dilution. The normal range is from 1.003 to 1.030. Values outside this range may be the result of specimen dilution or adulteration.
• pH tests for the presence of acidic or alkaline adulterants in urine. Normal pH levels should be in the range of 4.0 to
9.0. Values outside of this range may indicate the sample has been altered.
• Nitrite tests for commonly used commercial adulterants such as Klear or Whizzies. They work by oxidizing the major cannabinoid metabolite THC-COOH.
3
Normal urine should contain no trace of nitrite. Positive results generally indicate
the presence of an adulterant.
• Glutaraldehyde tests for the presence of an aldehyde. Adulterants such as UrinAid and Clear Choice contain glutaraldehyde which may cause false negative screening results by disrupting the enzyme used in some immunoassay
tests.2 Glutaraldehyde is not normally found in urine; therefore, detection of glutaraldehyde in a urine specimen is
generally an indicator of adulteration.
• Creatinine is a waste product of creatine, an amino acid contained in muscle tissue and found in urine.
1
A person
may attempt to foil a test by drinking excessive amounts of water or diuretics such as herbal teas to “ush” the system. Creatinine and specic gravity are two ways to check for dilution and ushing, which are the most common mechanisms used in an attempt to circumvent drug testing. Low creatinine and specic gravity levels may indicate dilute urine. The absence of creatinine (< 5 mg/dL) is indicative of a specimen not consistent with human urine.
REAGENTS
Each test contains specic drug antibody-coupled particles and corresponding drug-protein conjugates. A goat antibody is employed in each control line.
S.V.T. REAGENTS
Oxidants/PCC 0.36% 99.64% Specic Gravity 0.25% 99.75% pH 0.06% 99.94% Nitrite 0.07% 99.93% Glutaraldehyde 0.02% 99.98%
Creatinine 0.04% 99.96%
Adulteration Pad Reactive indicator Bu󰀨ers and non-reactive ingredients
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PRECAUTIONS
• For medical and other professional in vitro diagnostic use only. Do not use after the expiration date.
• The test panel should remain in the sealed pouch until use.
• All specimens should be considered potentially hazardous and handled in the same manner as an infectious agent.
• The used test panel should be discarded according to local regulations.
STORAGE AND STABILITY
Store as packaged in the sealed pouch either at room temperature or refrigerated (2-30°C). The test panel is stable through the expiration date printed on the sealed pouch. The test panel must remain in the sealed pouch until use. DO
NOT FREEZE. Do not use beyond the expiration date.
SPECIMEN COLLECTION AND PREPARATION
Urine Assay
The urine specimen must be collected in a clean and dry container. Urine collected at any time of the day may be used. Urine specimens exhibiting visible precipitates should be centrifuged, ltered, or allowed to settle to obtain a clear
supernatant for testing.
Specimen Storage
Urine specimens may be stored at 2-8°C for up to 48 hours prior to testing. For prolonged storage, specimens may be frozen and stored below -20°C. Frozen specimens should be thawed and mixed well before testing. When tests include S.V.T., storage of urine specimens should not exceed 2 hours at room temperature or 4 hours refrigerated prior to testing. For best results, test specimens immediately following collection.
MATERIALS
Materials Provided
• Test panels • SVT/Adulterant color chart (if applicable) • Package insert
Materials Required But Not Provided
• Specimen collection container • Timer
DIRECTIONS FOR USE
Allow the test panel, urine specimen, and/or controls to equilibrate to room
temperature (15-30°C) prior to testing.
1. Remove the test card from the sealed pouch and use it as soon as possible. Remove the cap from the end of the test card. With arrows pointing toward the urine specimen, immerse the strip(s) of the test card vertically in the urine specimen for at least 10-15 seconds.
Immerse the strip(s) to at least the
level of the wavy lines, but not above
the arrow(s) on the test card.
2. Replace the cap and place the test card on a non-absorbent at surface, start the timer and wait for the colored
line(s) to appear.
3. Read the adulteration strip between 3 and 5 minutes by comparing the colors on the adulteration strip to the enclosed color chart. If the result indicates adulteration, do not interpret the drug test results. Either retest the urine or collect another specimen.
4. Read the drug strip results at 5 minutes. Do not read results after 10 minutes.
INTERPRETATION OF RESULTS
(Please refer to the illustration above)
NEGATIVE:* A colored line in the control line region (C) and a colored line in the test line region (T) for a specic
drug indicate a negative result. This indicates that the drug concentration in the urine specimen is below the designated cut-o󰀨 level for that specic drug. *NOTE: The shade of color in the test region (T) may vary, but it should be considered negative whenever there is even a faint colored line.
POSITIVE: A colored line in the control line region (C) but no line in the test line region (T) for a specic drug
indicates a positive result. This indicates that the drug concentration in the urine specimen exceeds the designated cut-o󰀨 for that specic drug.
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INVALID: Control line fails to appear. Insu󰀩cient specimen volume or incorrect procedural techniques are the most likely reasons for control line failure. Review the procedure and repeat the test using a new test panel. If the problem persists, discontinue using the lot immediately and contact your local distributor.
SVT/ADULTERANT INTERPRETATION
(Please refer to the color chart)
Semi-quantitative results are obtained by visually comparing the reacted color blocks on the strips to the printed color blocks on the color chart. No instrumentation is required.
QUALITY CONTROL
A procedural control is included in the test. A colored line appearing in the control line region (C) is considered an internal procedural control. It conrms su󰀩cient specimen volume, adequate membrane wicking and correct procedural technique. Control standards are not supplied with this kit; however, it is recommended that positive and negative controls be tested as good laboratory practice to conrm the test procedure and to verify proper test performance.
LIMITATIONS
1. The Multi-Drug One Step Screen Test Panel (Urine) provides only a preliminary analytical result. A more specic chemical method must be used to obtain a conrmed result. Gas chromatography/mass spectrometry (GC/MS) is the preferred conrmatory method.
4, 5
2. It is possible that technical or procedural errors, as well as other interfering substances in the urine specimen may
cause erroneous results.
3. Adulterants, such as bleach and/or alum, in urine specimens may produce erroneous results regardless of the analytical method used. If adulteration is suspected, the test should be repeated with another urine specimen.
4. A positive result indicates presence of the drug or its metabolites but does not indicate level of intoxication, administration
route or concentration in urine.
5. A negative result may not necessarily indicate drug-free urine. Negative results can be obtained when drug is present but below the cut-o󰀨 level of the test.
6. The test does not distinguish between drugs of abuse and certain medications.
7. A positive result might be obtained from certain foods or food supplements.
S.V.T. ADULTERATION LIMITATIONS
1. The adulteration tests included with this product are meant to aid in the determination of abnormal specimens. While comprehensive, these tests are not meant to be an “all-inclusive” representation of possible adulterants.
2. Oxidants/PCC: Normal human urine should not contain oxidants or PCC. The presence of high levels of antioxidants in the specimen, such as ascorbic acid, may result in false negative results for the oxidants/PCC pad.
3. Specic Gravity: Elevated levels of protein in urine may cause abnormally high specic gravity values.
4. Nitrite: Nitrite is not a normal component of human urine. However, nitrite found in urine may indicate urinary tract infections or bacterial infections. Nitrite levels of > 20 mg/dL may produce false positive glutaraldehyde results.
5. Glutaraldehyde: Is not normally found in urine. However certain metabolic abnormalities such as ketoacidosis (fasting, uncontrolled diabetes or high-protein diets) may interfere with the test results.
6. Creatinine: Normal creatinine levels are between 20 and 350 mg/dL. Under rare conditions, certain kidney diseases may show dilute urine.
PERFORMANCE CHARACTERISTICS
Accuracy
A side-by-side comparison was conducted using the Multi-Drug One Step Screen Test Panel (Urine) and commercially available drug rapid tests. Testing was performed on approximately 300 specimens previously collected from subjects present for drug screen testing. Presumptive positive results were conrmed by GC/MS. The following results were tabulated:
% Agreement with Commercial Kit
Specimen AMP
Positive >99% * 97% >99% * 90% 88% * >99% 95% >99% * * * * 98%
Negative >99% * >99% 99% * 97% >99% * >99% >99% >99% * * * * >99%
Total >99% * 98% 99% * 94% 97% * >99% 98% >99% * * * * 99%
Specimen THC
Positive * >99% * * * >99% 98% >99% >99% 99% 96% 98% >99% * 95%
Negative * >99% * * * 80% >99% 99% >99% >99% 99% >99% >99% * >99%
Total * >99% * * * 87% 99% 99% >99% >99% 98% >99% >99% * 99%
300
150
AMP
AMP BAR BZO
500
MTD EDDP
100
EDDP
300
BZO BUP** ACL COC
200
MET
MET
300
MET MDMA MOP
500
COC COT FTY KET HRN THC 20THC
150
OPI
300
OXY PCP PPX TRA TCA
2000
* NOTE: Commercial kit unavailable for comparison testing. ** NOTE: BUP was compared to the self-reported use of Buprenorphine.
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% Agreement with GC/MS
Specimen AMP
Positive >99% 98% 97% 92% 98% 97% 98% >99% 99% 96% >99% 99% 99% >99% 87% 96%
Negative 99% >99% 95% 98% 99% 95% >99% >99% >99% 90% >99% 90% >99% 95% 99% 97%
Total 99% >99% 96% 95% 99% 96% >99% >99% 99% 93% >99% 93% >99% 95% 95% 96%
Specimen THC
Positive 91% 99% 98% >99% 97% >99% 99% >99% >99% 98% 98% >99% 94% 99% >99%
Negative 96% 94% >99% 94% >99% 96% 94% 98% 94% 97% 99% 96% 99% 96% 89%
Total 96% 96% 99% 96% 98% 98% 96% 99% 97% 98% 99% 97% 96% 97% 91%
* NOTE: BUP, COT, FTY and TRA were based on LC/MS data instead of GC/MS. ** NOTE: TCA was based on HPLC data instead of GC/MS.
Analytical Sensitivity
A drug-free urine pool was spiked with drugs to the concentrations at ± 50% cut-o󰀨 and ± 25% cut-o󰀨. The results are summarized below.
Drug Conc.
(Cut-o󰀨 range)
0% Cut-o󰀨 30 0 30 0 30 0 30 0 60 0 30 0 90 0 90 0 30 0 30 0 90 0
-50% Cut-o󰀨 30 0 30 0 30 0 30 0 60 0 30 0 90 0 90 0 30 0 30 0 90 0
-25% Cut-o󰀨 27 3 30 0 22 8 27 3 60 0 27 3 75 15 82 8 24 6 30 0 90 0 Cut-o󰀨 13 17 24 6 12 18 22 8 22 38 11 19 60 30 39 51 14 16 4 26 46 44
+25% Cut-o󰀨 4 26 0 30 2 28 8 22 2 58 5 25 31 59 0 90 7 23 0 30 5 85 +50% Cut-o󰀨 0 30 0 30 0 30 2 28 0 60 0 30 0 90 0 90 0 30 0 30 0 90
Drug Conc.
(Cut-o󰀨 range)
0% Cut-o󰀨 90 0 90 0 90 0 30 0 30 0 90 0 30 0 90 0 90 0 30 0 30 0
-50% Cut-o󰀨 90 0 90 0 90 0 30 0 30 0 90 0 29 1 90 0 90 0 30 0 30 0
-25% Cut-o󰀨 85 5 N/A N/A 90 0 27 3 12 18 90 0 24 6 90 0 90 0 27 3 23 7 Cut-o󰀨 49 41 N/A N/A 57 33 24 6 1 29 46 44 21 9 37 53 51 39 15 15 13 17
+25% Cut-o󰀨 13 77 N/A N/A 3 87 17 13 1 29 5 85 2 28 8 82 14 76 4 26 8 22 +50% Cut-o󰀨 0 90 0 90 0 90 5 25 0 30 0 90 0 30 0 90 0 90 0 30 0 30
Drug Conc.
(Cut-o󰀨 range)
0% Cut-o󰀨 30 0 30 0 30 0 30 0 30 0 30 0 30 0 30 0 90 0
-50% Cut-o󰀨 30 0 30 0 30 0 30 0 30 0 30 0 30 0 30 0 90 0
-25% Cut-o󰀨 30 0 26 4 25 5 25 5 30 0 19 11 24 6 29 1 90 0 Cut-o󰀨 18 12 17 13 17 13 15 15 18 12 16 14 17 13 18 12 61 29
+25% Cut-o󰀨 1 29 4 26 1 29 6 24 6 24 6 24 7 23 5 25 21 69 +50% Cut-o󰀨 0 30 0 30 0 30 0 30 0 30 0 30 0 30 0 30 2 88
AMP
300
150
AMP BAR BZO
500
MTD EDDP
AMP
300
- + - + - + - + - + - + - + - + - + - + - +
FTY HRN KET THC 20 THC THC 150 MTD EDDP
- + - + - + - + - + - + - + - + - + - + - +
MET MDMA MOP
- + - + - + - + - + - + - + - + - +
100
AMP
500
EDDP
300
BZO BUP* ACL COC
200
MET
MET
300
AMP BAR BZO 200 BZO BUP ACL COC
300
MET MDMA MOP
500
OPI
OXY PCP PPX TCA TRA
2000
COC COT* FTY* HRN KET THC 20THC
150
OPI
300
OXY PCP PPX TRA* TCA**
2000
150
EDDP
100
300
COC COT
MET 300 MET 500
14
Analytical Specicity
The following tables lists the concentration of compounds (ng/mL) that are detected positive in urine by the Multi-Drug One Step Screen Test Panel (Urine) at 5 minutes.
AMPHETAMINE 300 d-Amphetamine 300 d,l-Amphetamine 390 l-Amphetamine 50 000 p-Hydroxyamphetamine 1 560 p-Hydroxynorephedrine 100 000 3,4-Methylenedioxyamphetamine
(MDA) β-Phenylethylamine 100 000 Phenylpropanolamine (d,l-
Norephedrine) Tyramine 100 000
1 560
100 000
AMPHETAMINE 500 d-Amphetamine 500 d,l-Amphetamine 1 500 l-Amphetamine 50 000 p-Hydroxyamphetamine 190 3,4-Methylenedioxyamphetamine
(MDA) Phentermine 1 500 AMPHETAMINE d-Amphetamine 1 000 d,l-Amphetamine 3 000 l-Amphetamine 50 000
781
d,l-3,4-Methylenedioxyampheta­mine (MDA)
Phentermine 3 000 BARBITURATES
Secobarbital 300 Alphenal 150 Amobarbital 300 Aprobarbital 200 Butabarbital 75 Butalbital 2 500 Butethal 100 Cyclopentobarbital 600
2 000
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Pentobarbital 300 Phenobarbital 100 BENZODIAZEPINES 200 Oxazepam 200
Alprazolam 30 7-Aminoclonazepam 4 000 7-Aminounitrazepam 390 7-Aminonitrazepam 625 Bromazepam 390 Chlordiazepoxide 300 Clobazam 48 Clorazepate 97
Desalkylurazepam 1 560 Diazepam 97
Estazolam 125 Flunitrazepam 25 000
α-Hydroxyalprazolam 30 d-Lorazepam 3 125 Midazolam 195 Nitrazepam 780 Norchlordiazepoxide 780 Nordiazepam 780 Temazepam 33 Triazolam 150 BENZODIAZEPINES Oxazepam 300
Alprazolam 196 Bromazepam 1 562 Chlordiazepoxide 1 562 Clobazam 98 Clonazepam 781 Clorazepate 195
Delorazepam 1 562 Desalkylurazepam 390 Diazepam 195
Estazolam 2 500 Flunitrazepam 390
α-Hydroxyalprazolam 1 262 d,l-Lorazepam 1 562 RS-Lorazepam glucuronide 156 Midazolam 12 500 Nitrazepam 98 Norchlordiazepoxide 195 Nordiazepam 390 Temazepam 98 Triazolam 2 500 BUPRENORPHINE Buprenorphine 10 Buprenorphine 3-D-glucuronide 15 Norbuprenorphine 20 Norbuprenorphine
3-D-glucuronide
200
CLONAZEPAM
7-Aminoclonazepam 100 Alprazolam 6 7-Aminounitrazepam 6 7-Aminonitrazepam 5 Bromazepam 6 Chlordiazepoxide 24 Clobazam 6 Clonazepam 49 Clorazepate 50
Delorazepam 100
Desalkylurazepam 12 Diazepam 25
Estazolam 2 Flunitrazepam 100
α-Hydroxyalprazolam 5 α-Hydroxymidazolam 10 α-Hydroxytriazolam 1 d,l-Lorazepam 400 Lorazepam glucuronide 10 000 Midazolam 200 Nitrazepam 12 Norchlordiazepoxide 50 Nordiazepam 6 Oxazepam 98 Oxazepam glucuronide 10 000 Temazepam 12 Temazepam glucuronide 5 000 Triazolam 24 COCAINE 150
Benzoylecgonine 150 Cocaethylene 6 250 Cocaine 400 Ecgonine 12 500
Ecgonine methylester 50 000 COCAINE
Benzoylecgonine 300 Cocaethylene 12 500 Cocaine 780 Ecgonine 32 000
COTININE
l-Cotinine 100
S-l-Nicotine 12 500 FENTANYL Norfentanyl 20
Alfentanyl 562 500 Buspirone 12 500 Fenuramine 37 500 Fentanyl 100 Sufentanyl 57 500
Risperidone 1 000 9-hydroxyrisperidone 1 000 HEROIN 6-Acetylmorphine 10 6-Acetylcodeine 1 562 Heroin 10 Morphine 500 000 KETAMINE Ketamine 1 000 Norketamine 50 000 Pentobarbital 50 000
Secobarbital 100 000
MARIJUANA 20
8
11-nor-Δ
-THC-9 COOH 20
9
11-nor-Δ
-THC-9 COOH 20
Cannabinol 12 500
8
Δ
− THC 10 000
9
Δ
− THC 12 500
MARIJUANA
9
11-nor-Δ
-THC-9 COOH 50
8
11-nor-Δ
-THC-9 COOH 30
Cannabinol 20 000
8
Δ
− THC 15 000
9
Δ
− THC 15 000
MARIJUANA 150
9
11-nor-Δ
-THC-9 COOH 150
8
11-nor-Δ
-THC-9 COOH 500
Cannabinol 25 000
8
Δ
− THC 25 000
9
Δ
− THC 25 000 METHADONE Methadone 300 Doxylamine 50 000 EDDP 100 2-Ethylidene-1,5-dimethyl-3,3-
diphenylpyrrolidine (EDDP)
100
EDDP 300 2-Ethylidene-1,5-dimethyl-3,3-
diphenylpyrrolidine (EDDP)
300
METHAMPHETAMINE 300 d-Methamphetamine 300 d,l-Amphetamine 100 000 Chloroquine 25 000 Ephedrine 100 000 (1R,2S)-l-Ephedrine 100 000 l-Epinephrine 50 000 Fenuramine 12 500 p-Hydroxymethamphetamine 25 000 Mephentermine 50 000 l-Methamphetamine 3 125 3,4-Methylenedioxymetham-
phetamine (MDMA)
780
Trimethobenzamide 25 000 METHAMPHETAMINE 500 d-Methamphetamine 500 d,l-Amphetamine 75 000 d-Amphetamine 50 000 Chloroquine 12 500 (1R,2S)-l-Ephedrine 50 000 p-Hydroxymethamphetamine 15 000 Mephentermine 25 000 l-Methamphetamine 4 000 3,4-Methylenedioxymetham-
phetamine (MDMA)
1 000
l-Phenylephrine 100 000 β-Phenylethylamine 75 000 METHAMPHETAMINE d-Methamphetamine 1 000 p-Hydroxymethamphetamine 30 000 Mephentermine 50 000 l-Methamphetamine 8 000 d,l-3,4-Methylenedioxy-
methamphetamine (MDMA) METHYLENEDIOXYMETHAMPHETAMINE
(MDMA) d,l-3,4-Methylenedioxy-
methamphetamine (MDMA) d,l-3,4-Methylenedioxy-
amphetamine (MDA) 3,4-Methylenedioxyethylampheta-
mine (MDEA)
2 000
500
3 000
300
MORPHINE 300 Morphine 300 Codeine 300 Ethylmorphine 6 250 Hydrocodone 50 000 Hydromorphone 3 125 Levorphanol 1 500
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6-Acetylmorphine 400 Morphine 3-β-D-glucuronide 1 000 Norcodeine 6 250 Normorphine 100 000 Oxycodone 30 000 Oxymorphone 100 000 Procaine 15 000 Thebaine 6 250 OPIATE 2000 Morphine 2 000 Codeine 2 000 Ethylmorphine 5 000 Hydrocodone 12 500 Hydromorphone 5 000 Levorphanol 75 000 6-Acetylmorphine 5 000 Morphine 3-β-D-glucuronide 2 000 Norcodeine 12 500 Normorphine 50 000
Oxycodone 25 000 Oxymorphone 25 000 Procaine 150 000 Thebaine 100 000 OXYCODONE Oxycodone 100 Hydrocodone 6 250 Hydromorphone 50 000 Levorphanol 50 000 Naloxone 37 500 Naltrexone 37 500 Oxymorphone 200 PHENCYCLIDINE Phencyclidine 25 4-Hydroxyphencyclidine 12 500 PROPOXYPHENE d-Propoxyphene 300 d-Norpropoxyphene 300
TRAMADOL Cis-tramadol 100 d,l-O-Desmethyl venlafaxine 25 000 n-Desmethyl-cis-tramadol 195 o-Desmethyl-cis-tramadol 6 250 Phencyclidine 100 000 Procyclidine 100 000 TRICYCLIC ANTIDEPRESSANTS Nortriptyline 1 000
Amitriptyline 1 500 Clomipramine 12 500
Desipramine 200 Doxepin 2 000
Imipramine 400 Maprotiline 2 000
Nordoxepin 1 000 Promazine 1 500 Promethazine 25 000 Trimipramine 3 000
Cross-Reactivity
A study was conducted to determine the cross-reactivity of the test with compounds in either drug-free urine or Amphetamine 300, Amphetamine 500, Amphetamine, Barbiturates, Benzodiazepines 200, Benzodiazepines, Buprenorphine, Clonazepam, Cocaine 150, Cocaine, Cotinine, Fentanyl, Heroin (6-acetylmorphine), Ketamine, Marijuana 20, Marijuana, Marijuana 150, Methadone, EDDP 100 (Methadone metabolite), EDDP 300 (Methadone metabolite), Methamphetamine 300, Methamphetamine 500, Methamphetamine, Methylenedioxymethamphetamine, Morphine 300, Opiate 2000, Oxycodone, Phencyclidine, Propoxyphene, Tramadol and Tricyclic Antidepressants positive urine. The following compounds show no cross-reactivity when tested with the Multi-Drug One Step Screen Test Panel (Urine) at a concentration of 100 μg/mL.
Non Cross-Reacting Compounds
4-Acetamidophenol Diclofenac Labetalol Prednisolone Acetone Dicyclomine Lidocaine Prednisone Acetophenetidin Diunisal Lindane d,l-Propanolol Acetylsalicylic acid Digoxin Lithium Quinacrine Albumin 4-Dimethylaminoantipyrine Loperamide Quinidine alpha-Naphthaleneacetic Acid Diphenhydramine l-Thyroxine Quinine
Aminopyrine 5,5-Diphenylhydantoin Meperidine R(-) Deprenyl Amoxapine EMDP Meprobamate Riboavin Amoxicillin Erythromycin Methaqualone Salicylic acid Ampicillin β-Estradiol Methoxyphenamine Serotonin
Apomorphine Estrone-3-sulfate Methylphenidate Seroquel Ascorbic acid Ethyl alcohol Metoprolol Sertraline
Aspartame Ethyl-p-aminobenzoate N-Acetylprocainamide Sodium Chloride Atropine Etodolac Nalidixic acid Sulfamethazine
Benzilic acid Famprofazone Nalorphine Sulindac Benzoic acid Fenoprofen Naproxen Tetracycline Benzydamine Fluoxetine Niacinamide Tetrahydrozoline Brompheniramine Furosemide Nifedipine Theophylline Ca󰀨eine Gentisic acid Nimesulide Thiamine Cannabidiol d-Glucose Norethindrone Thioridazine Chloral Hydrate Guaiacol Glyceryl Ether Noscapine Tolbutamide Chloramphenicol Hemoglobin d,l-Octopamine Trans-2-phenylcyclopropylamine Chloroquine Hydralazine Orphenadrine Trazodone Chlorothiazide Hydrochlorothiazide Oxalic acid Triamterene Chlorpromazine Hydrocortisone Oxolinic acid Triuoperazine Chlorprothixene o-Hydroxyhippuric acid Oxymetazoline Trimethoprim Cholesterol 3-Hydroxytyramine Papaverine d,l-Tryptophan Cimetidine Ibuprofen Pemoline d,l-Tyrosine Clonidine Iproniazid Penicillin Uric acid
Cortisone Isoproterenol Pentazocine Verapamil Creatinine Isoxsuprine Phenelzine Zomepirac
Deoxycorticosterone Kanamycin Pheniramine Dextromethorphan Ketoprofen Phenothiazine
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BIBLIOGRAPHY
1. Tietz NW. Textbook of Clinical Chemistry. W.B. Saunders Company. 1986; 1735
2. Cody B, J.T., “Specimen Adulteration in drug urinalysis. Forensic Sci. Rev., 1990, 2:63.
3. Tsai C, S.C. et.al., J. Anal. Toxicol. 1998; 22 (6): 474
4. Baselt RC. Disposition of Toxic Multi-Drugs and Chemicals in Man. 2nd Ed. Biomedical Publ., Davis, CA. 1982; 488
5. Hawks RL, CN Chiang. Urine Testing for Drugs of Abuse. National Institute for Drug Abuse (NIDA), Research Monograph 73, 1986
SVT/Adulterant Color Chart
OX
Abnormal Abnormal
Oxidants/Pyridinium
PCC
chlorochromate
NIT Nitrite
Normal Normal S.G. Specic gravity GLUT Glutaraldehyde
pH pH GLUT Creatinine
Index of Symbols
Attention, see instructions
for use
For in vitro
diagnostic use only
30°C
2°C
Store between 2-30°C Lot Number
Keep in a cool, dry place Keep away from sunlight
Manufacturer
GIMA S.p.A.
GIMA Spa
Via Marconi, 1 - 20060
Via Marconi, 1 - 20060
Gessate (MI) - Italia
Gessate (MI) - Italia
Made in China (P.R.C.)
Tests per kit Manufacturer
Use by Do not reuse
Catalog 24550 / 24549 /
24551
Please read instructions
carefully
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