For whom this test is useful?
Trycyclic drug test is helpful in various situations and places in identifying the victims of the Tricyclic Antidepressant drug and helping them before anything miserable happens.

Employers:
You can make tricyclic drug test as a part of your recruitment process, which will help you in identifying candidates with high TCA levels. This test can be administered on the existing employees also to find out individuals with suicidal tendencies in your organization.

Parents:
When you find that your children under stress, and not able to concentrate on their regular work, then Tricyclic drug test is very much useful. By administering this test on your children, you can find their TCA levels, which is an indicator of suicidal tendency. This will helps you to know their problems and address them before things run out of your hands.

Investigating Agencies:
The private investigative agencies and police can use this drug test effectively. Sometimes forensic lab tests may be wrongly diagnosed due to human error or by an accident. In this case Tricyclic drug test is very much helpful in finding the right cause for death. In some cases you don’t need to wait for the lab reports and can move forward with the TCA result.

Defense forces:
• We have seen large number of suicide cases registered in Armed forces in the recent past. Financial times dated 29 may 2008 quoted that, the number of U.S.soldiers committed suicides rose to a record high of 112 in 2007. This shows how People working in these forces come under tremendous pressure, and sometimes they are not able to discharge their regular works. Identifying people of this kind is simplified by administering tricyclic drug test on them. This will help authorities to identify those who are with suicidal tendency.

It is easy to perform the test and to interpret results
Collect the urine and dip the test trip in the urine sample for 10 seconds and don’t disturb it. Then remove the strip and place it in non-absorbent surface and don’t disturb it for five minutes. Then check the color lines to find out positive or negative.

If people with high TCA levels are isolated, it will increase the chances of committing suicide. This tricyclic drug test is helpful in identifying people of such kind and consequently you can take necessary steps to ensure their safety.

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• Prior to the test:
One has to be very carefull in conducting the swap drug test. In order to attain the accurate test result, the person who is about to undergo test is advised not to eat, smoke or drink for at least 10 minutes before performing the test. If the donor has had something, he has to wait for 10 minutes to give the sample for the test for accurate results.

• Sample collection:
In swab drug test collecting the sample is very easy. The cotton swabs are used for collecting the saliva samples from the donor. The donor has to place this cotton swab below the tongue for about 10 to 15 minutes. The strip will absorb saliva from the donor, which is further used as the sample to test drug abuse or the level of alcohol presence in the sample.

• Lab testing:
The next process after sample collection is laboratory testing. The saliva sample collected in swab is put into a small specimen vial and is sealed. The specimen is tested through an appropriate testing strip in the laboratory, to test the drug abuse and the level of alcohol present in the sample.

The swab drug test is just a process of few minutes, but gives out accurate results. This test helps in detecting active drugs present in the saliva. This test is very helpful to an individual because it is accurate and instant result oriented. More over this test can be performed at any place and at any time according to the convenience. An individual can perform the test independently without others assistance even for the first time as it is a single step process.

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There is dramatic increase in the teenagers who are abusing prescribed drugs. This is Drug Misuse. Drug misuse means, use of any drug (legal or illegal) for a medical or recreational purpose when other alternatives are available, practical or warranted, or when drug use endangers either the user or others with whom he or she may interact.

Nearly one in five teens (19 percent or 4.5 million) report abusing prescription medications to get high and one in 10 (10 percent or 2.4 million) report abusing cough medicine to get high.

Based on the Partnership Attitude Tracking Study (PATS) survey:

· Nearly one in five (19 percent or 4.5 million) teens has tried prescription medication (pain relievers such as Vicodin and OxyContin; stimulants like Ritalin and Adderall) to get high.

· One in 10 (10 percent or 2.4 million) teens report abusing cough medicine to get high.

· Abuse of Rx and OTC medications is on par or higher than the abuse of illegal drugs such as Ecstasy (8 percent), cocaine/crack (10 percent), methamphetamine (8 percent) and heroin (5 percent).

According to the data, an alarming number of teens have a false sense of security about the safety of abusing Rx and OTC medications:

· Two in five teens (40 percent or 9.4 million) agree that Rx medicines, even if they are not prescribed by a doctor, are much safer to use than illegal drugs.

· Nearly one-third of teens (31 percent or 7.3 million) believe there is nothing wrong with using Rx medicines without a prescription once in a while.

· Nearly three out of 10 teens (29 percent or 6.8 million) believe prescription pain relievers even if not prescribed by a doctor are not addictive.

· More than half of teens (55 percent or 13 million) do not agree strongly that using cough medicines to get high is risky.

To reduce this abusive trend, educating the teenagers and their parents is very important. Kids who report learning a lot about the risks of abuse from their parents are up to 50 percent less likely to use drugs as those who do not. Unfortunately, most parents are either unaware or in denial about their kids vulnerability and exposure to the intentional abuse of prescribed medicines.

So it is a preventive act to encourage parents to educate themselves about the medications kids are abusing, communicate with their kids about the difference between good medicine and bad behavior and to safeguard their own medications – and ask their friends to do the same.

In addition to press outreach and public relations efforts, components of the campaign will include highlighting the risk of intentional abuse to Prescribed medicines on Television, Radio, Magazine and Newspaper is also helpful in reducing drug misuse.

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Education and Training of Drug Testing

Every company has to provide the educational materials for their drivers, which explains the requirements and policies for testing drug and alcohol ingestion regulations. According to the Sec.382.601 (b), the educational materials should include the following discussions.

· Personal identity of the drivers designated by the employer to answer the questions regarding the material.

· Requirements of the drivers, subject to the misuse of alcohol and controlled substance requirements.

· Explanation of safety-sensitive function to understand the period of workday that is required for the drivers to be in compliance.

· Specific information regarding the conduct of the driver that is prohibited.

· The circumstances under which the driver will be tested for drug, alcohol or any other substances.

· The test procedure of DOT conducted for the presence of drug or alcohol substances.

· The list of requirements for submitting the alcohol or drug tests by the driver.

· Explanation of what constitutes the refusal to submit the drug or alcohol testing.

· The consequences for drivers found to be dishonored the rules of prohibition of alcohol or other substances. This includes, immediate removal of driver safety-sensitive functions.

· The information about the affects of drugs, alcohol, or any such substances on the health and work of the people.

Drugs That DOT Test

As specified by the DOT, the companies should test for alcohol and the following five drugs:

· Marijuana, Cocaine, Opiates, Amphetamines and Phencyclidine (PCP).

Different Tests That DOT Require

According to the rules of DOT, drivers have to perform the following drug and alcohol tests: Pre-Employment Testing, Reasonable Suspicion Testing, Post-Accident Testing and Random Testing.

Apart from these four tests, the “Return-to-duty” and “Follow-up tests” are linked to the employer’s consequences policy, which are to be performed under the DOT rule.

This information makes you aware about the DOT drug and alcohol tests and educational measures that every company provides for their employees.

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Drug addiction can be physical, psychological, or both. Physical dependence refers to the physiological effects of drug use. On the other hand, using a drug to numb unpleasant feelings, to relax, or to satisfy cravings are examples of psychological addiction. Physical addiction is characterized by ‘tolerance’ – the need for increasingly larger doses in order to achieve the initial effect and withdrawal symptoms when the user stops.

Signs and Symptoms of Drug Abuse: -

The more drug use begins to affect and control a person’s life, the more likely it is that he or she has a drug problem. Drug abusers often try to conceal their symptoms and downplay their problem. However, there are a number of warning signs you can look for:

· Engaging in secretive or suspicious behaviors, such as making frequent trips to the restroom, basement, or other isolated areas where drug use would be undisturbed.

· Talking incoherently or making inappropriate remarks.

· Sudden changes in work or school attendance and quality of work or grades.

· Talking about drugs all the time and pressuring others to use.

· Angry outbursts, mood swings, irritability, manic behavior, or overall attitude change.

· Expressing feelings of exhaustion, depression, and hopelessness.

· Deterioration of physical appearance and grooming.

· Frequently borrowing money, selling possessions, or stealing items from employer, home, or school.

· No longer spending time with friends who do not use drugs and/or associating with known users.

The path to drug addiction begins with the act of taking drugs. Compulsive, drug craving, seeking, and use that persist even in the face of negative consequences characterize drug addiction. It is easier to prevent and stop drug addiction during the initial stages before a person becomes compulsively addicted to drugs.

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Drug abuse by employees cause many expensive problems for businesses ranging from absenteeism, lost productivity, accidents, and an increase in the health insurance claims.

A survey by the federal government showed full-time employees who admitted to being current illicit drug users tend to be: between the ages of 18 and 25, less educated, male, divorced or never married, white and low paid employees. The industries with highest rates of illicit drug use are food preparation workers, waiters, waitresses, and bartenders, construction workers and the workers in transportation and material moving.

The loss to companies in the United States due to alcohol and drug-related abuse by employees’ totals $100 billion a year, according to the National Clearinghouse for Alcohol and Drug Information. There are many impacts due to drug in workplace.

Drug Abuse lowers productivity: Studies have shown that substance-abusing employees function at about 67% of their capacity. Problems related to alcohol and drug abuse cost American businesses roughly $81 billion in lost productivity in just one year.

§ Drug abuse causes accidents and injuries: Employees who use drugs are 3.6 times more likely to be involved in a workplace accident and 5 times more likely to file a workers’ compensation claim. Up to 40 percent of industrial fatalities and 47 percent of industrial injuries are linked to alcohol use and alcoholism.

§ Drug abuse increases absenteeism and turnover: An estimated 500 million workdays are lost annually due to alcoholism. Illicit drug users are more than twice as likely than those who do not use drugs to have changed employers three or more times in the past year.

§ Drug abuse increases an employer’s medical costs: Employees who abused to drugs, costs twice in medical claims to their employers, compared to the other normal employees.

§ Higher Rates Turnover: Employees who tested positive on their pre-employment drug tests were 77 % more likely to be discharged within the first three years of employment and absent from work 66 % more often than those who tested negative according to US Postal Service.

Preventive actions

A study of the economic impact of substance abuse treatment in Ohio found significant improvements in job-related performance:

· 97 percent decrease in on-the-job injuries· 93 percent decrease in mistakes in work· 88 percent decrease in problems with supervisors· 91 percent decrease in absenteeism

When organizations take the preventive actions by establishing comprehensive programs, both employers and employees are benefited.

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• A considerable number of people are abusing prescription drugs. According to National Institute of Drug Abuse, an estimated 48 million people (20%) who are aged 12 and above of US population have used prescription drugs for non-medical purposes or reasons.

• According to SAMSHA, non-medical use of prescription-type drugs among young adults increased from 5.4 percent in 2002 to 6.4 percent in 2006. This was primarily due to an increase in the rate of pain relievers’ usage, which was 4.1 percent in 2002 and 4.9 percent in 2006.

• Non-medical use of tranquilizers also increased over the 5-year period, from 1.6 in 2002 to 2.0 percent in 2006.

• Teenagers and youngsters are the main sections involved in prescription drug abuse. It is found that, 15.4 percent of high school seniors reported non-medical use of at least one prescription medication within the last year (2006).

• NIDA states that OxyContin use in the last year was reported by 1.8 percent of 8th-graders, 3.9 percent of 10th-graders, and 5.2 percent of 12th- graders.

• Vicodin use in 2006 was reported by 2.7 percent of 8th-graders, 7.2 percent of 10th-graders, and 9.6 percent of 12th-graders, remaining stable at relatively high levels for each grade.

• Friends or relatives are becoming the first reason and an easy source for the prescription drug abuse. Among persons aged 12 or older who used pain relievers non-medical reasons in the past 12 months (2006), 55.7 percent reported that the source of the drug most recently they used, was from a friend or relative for free.

• Doctors are also an easy source to obtain narcotic medications. 19.1 percent of the prescription drug abusers reported they got the drug from just one doctor.

The above facts clearly state that, youngsters are clearly becoming vulnerable to prescription drug abuse. All the sections of the society should take serious steps to stop prescription drug abuse from doing further damage to the community.

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Benefits:
There are many benefits of using drug testing kits instead of getting tested at traditional laboratories, which are as follows-

• Drug testing kit avoids the trouble of visiting clinics and saves time from waiting for a long time for reports.

• Test kits are designed such that the testing procedures are very simple.

• It is easy to use without requiring help from anyone.

• It provides quick and accurate results.

• It can be purchased through internet or phone call.

• Test kits are delivered at your door steps.

Different Types of Testing Kits:
There are different types of drug testing kits that can be use for various purposes under various circumstances. They are listed as below-

• Urine drug test
• EZ test cups
• Alcohol testing
• Nicotine test
• Oral drug test
• Pregnancy test

Utility of Test Kits:
Test kits can be used by various types of user groups based on their requirements. They are as below-

• Individuals: Home test kits are inexpensive, less time consuming and can be used without requiring help from anyone. You can maintain your privacy while using home test kits unlike when you go to the laboratory.

• Offices: As an employer, it is important for you to choose a drug testing kit that is easy to screen and get accurate results. It is also cost effective to the company. Testing kits save time of employees to get back soon to their work instead of going to laboratory.

• Educational institutions: Testing kits are useful to take drug test for multiple persons at one time. Testing kits are economical and easy to use.

• Rehabilitation centers: Testing kits helps to prepare reports fast and helps in easy decision making.

• Sports: Testing kits help the anti doping agencies to get quick and accurate results.

From the above information you can know that drug testing kits are self test products, which can give instant results with accuracy. They are helpful for individuals as well as institutions like many health care centers to refrain drug abuse.

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Drugs tested
Laboratory urine drug testing detects the presence of many drugs with accurate results. This drug testing can detect maximum of 10 most commonly used drugs at once. It detects the parent drug or its metabolites by demonstrating recent use of prescription medications like opioids, benzodiazepines, amphetamines, barbiturates and illegal substances like heroin, illicit cocaine, marijuana, phencyclidine (PCP). This test is used as a screening tool to determine the prior use and concentrations of drugs present in the body.

Procedure followed
For laboratory urine drug test, collection and testing urine specimen is done under the presence of an authorized person. After this, tests are conducted on collected specimen for detection of drug tests by immunoassay screen followed by GS-MS confirmation test. Chemical highlighted test strip is used for this test. The test strip should be examined carefully with the help of lab testing devices depending upon the types of substances to be detected.

For each drug the detection periods and cut off levels depend on the nature and usage of the drug. The detection period of any drug through laboratory urine drug testing is from 6 hours to 3 days from the time of consumption. All screening tests are performed by the immunoassay based on the technology of the testing kit. Confirmatory tests are performed using either gas chromatography/mass spectrometry (GC/MS) or any other superior technique. The samples are treated with either the technical or all of these methods to verify the results. Confirmation results are reported as positive or negative based on SAMSHA cut off levels and all non-negative results are confirmed prior to any disclosure.

Laboratory urine drug test is used as standard test for drug detection. Reliable results are possible with this laboratory drug testing and they can be used as a proof drug abuse. The above information gives you a helpful insight about the laboratory urine drug test, drugs detected through this and the procedure followed.

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Characteristics Of Hair Drug Testing And Saliva Drug Testing

Hair drug testing method is usually preferred in forensic studies due to its highly accurate results and many organizations use hair drug testing to find drug abuse for longer periods. Saliva drug testing is used in businesses, schools and in sports as results can be obtained immediately and due to its portability.

Hair drug testing and Saliva drug testing methods, both are donor friendly and difficult to adulterate. However, they have specific characteristics in respect of applications of usage.

• Easiness:
- The procedure followed to test drug presence using hair drug testing is easy. It is required to collect some hair samples and to send to a lab for testing.
- Saliva drug testing is easy to use and test can be conducted at the site of specimen collection.
• Duration For Drug Detection:
- Using Hair Drug Testing method, drug presence can be detected even after 90 days from the time of abuse. This test is widely accepted due to its effectiveness in results.
- Saliva drug testing is considered as an effective method to determine recent drug abuse and the duration of detection is 1-2 days from the time of abuse. Effectiveness of the results in saliva drug testing is based on the collection of the specimen.
• Adulteration:
- Adulteration of test samples in hair drug testing is highly impossible.
- In saliva drug testing, it is harder to adulterate but it is good to collect the specimen under the supervision for better results.
• Detects Major Drugs:
- Five major drugs abuse can be detected using hair drug testing using enzyme-immunoassay method.
- Seven major drugs can be detected using saliva drug testing, and using GC/MS method.
• Easy And Convenient:
- Hair drug testing technique is used at laboratories to detect drug presence from the test samples. Performing this test is easy, and convenient for those who know how to perform.
- Saliva drug testing is easy, and convenient to perform the test. This technique is more sensitive than any other drug testing method.
• Accuracy Of Results:
- Hair drug testing results are 100% accurate and these results are used as evidence for drug abuse.
- Accuracy of results in saliva drug testing is 95-98% and often performed in post accident situations.
• Skills Required For Conducting The Test:
- To perform a hair drug test, the person may need relevant knowledge to conduct the test. This test is usually conducted in highly equipped labs.
- Saliva drug testing can be performed by anyone, and at both home and lab.

This information gives characteristics of Hair drug testing and Saliva drug testing to understand the specific applications and to use both the testing methods effectively.

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