Nicotine and Cotinine Metabolite
| Order Code: | NICOU |
| Epic Lab Code: | LAB414 |
| Order Form: | A-1a Miscellaneous Request or Epic Req |
Commercial Mail-out Laboratory
01250 PFP
356-3527
01250 PFP
356-3527
Specimen:
Random Urine
Minimum:
Preferred Minimum: 4 mL random urine with no additives or
preservatives
Absolute Minimum: 2 mL random urine with no additives or preservatives
Absolute Minimum: 2 mL random urine with no additives or preservatives
Rejection Criteria:
Specimens exposed to repeated freeze/thaw cycles.
Turn Around
Time:
4 days upon receipt at reference laboratory
Reference Range:
Unexposed non-tobacco user Passive exposure
Nicotine Less than 2 ng/mL Less than 20 ng/mL
Cotinine Less than 5 ng/mL Less than 20 ng/mL
3-OH-Cotinine Less than 50 ng/mL Less than 50 ng/mL
Nornicotine Less than 2 ng/mL Less than 2 ng/mL
Anabasine Less than 3 ng/mL Less than 3 ng/mL
Abstinent user for greater Active tobacco product use
than 2 weeks
Nicotine Less than 30 ng/mL 1000 - 5000 ng/mL
Cotinine Less than 50 ng/mL 1000 - 8000 ng/mL
3-OH-Cotinine Less than 120 ng/mL 3000 - 25000 ng/mL
Nornicotine Less than 2 ng/mL 30 - 900 ng/mL
Anabasine Less than 3 ng/mL 3 - 500 ng/mL*
Reference: Clinical Chemistry 2002;48:1460-1471
Interpretive Data:
Compounds covered: nicotine, cotinine, 3-OH-cotinine, nornicotine, and
anabasine. Positive cutoff for anabasine is 3 ng/mL; 2 ng/mL for all
other compounds.
The absence of expected drug(s) and/or drug metabolite(s) may indicate
non-compliance, inappropriate timing of specimen collection relative to
drug administration, poor drug absorption, diluted/adulterated urine,
or limitations of testing. The concentration value must be greater than
or equal to the cutoff to be reported as positive.
For medical purposes only; not valid for forensic use.
Comments:
Random urine collections acceptable.
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry
CPT Code:
83887
