How do I interpret the results of an opiates screening test?

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These recommendations are general, however all lab tests are different. Contact your local Clinical Pathology/Toxicology Laboratory directly if you have questions regarding interpretation of your patient’s UDT. What is an opiates screening panel?

Step 1: Select results of your opiate test as reported by your lab

Opiates Test	Negative	Positive
Opiates result:	(-)	(+)
Oxycodone:	(-)	(+)

Step 2: Select opiates prescribed or illicit drugs used

Buprenorphine
Codeine
Fentanyl
Hydrocodone
Hydromorphone
Heroin-MAM6
Meperidine
Methadone
Morphine
Oxycodone
Oxymorphone

Step 3: Click Interpret and Review Recommendations based on Opiates Test or Medication and Drugs Taken

How do I interpret the results of the UDT?

Opiates Test Results	Interpretation	Explanation
Opiates
Morphine
Oxycodone

What tests should I order to look for the drugs my patient is taking?

Medications/Drugs taken	Test Recommended	Interpretation	Explanation	False Positives
Buprenorphine				NA
Codeine				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Fentanyl				NA
Heroin-MAM6				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Hydrocodone				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Hydromorphone				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Meperidine				NA
Methadone				NA
Morphine				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Oxycodone				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin
Oxymorphone				>3 Poppy seed bagels, naloxone, dextromethorophan; dipnehydramine; fluoroquinolones; quinine, rifampin

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How do I interpret the results of an opiates screening test?

These medications are not testable using a UDT

For Prescribers

For Pharmacists

For Patients