Puet MARRCH presentation handout 103017
10/16/2017
Drug Testing Interpretation in Addiction Care
Brandi Puet, Pharm.D.
Objectives
? Describe the difference between immunoassay and confirmatory testing.
? List explanations for unexpected negative or positive drug testing results.
? Demonstrate the ability to interpret urine drug testing results through case studies.
Background
? Clinical Scientist and Fellowship Director at a healthcare toxicology laboratory
? Doctor of Pharmacy ? Auburn University ? Postgraduate Training
? PGY-1 Pharmacy Practice at VA Tennessee Valley Healthcare System (Nashville)
? PGY-2 Medication Use Safety at Hospital Corporation of America (Nashville)
Which is Nonadherent?
Patient A
Rx: none
EtG: 36,800 ng/mL
Patient B
Rx: Suboxone
Buprenorphine: 69,007 ng/mL
Patient C
Rx:Methadone
Methadone: 209 ng/mL
EtS:
Norbuprenorphine: EDDP:
None detected 48 ng/mL
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