Nicotine and Cotinine Metabolite
Order Code: NICO
Epic Lab Code: LAB3714
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
6240 RCP
356-3527
Specimen:
Serum
Collection Medium:
and
Red top tube Red top tube
Alternate Collection Media:
Lavender top tube 4 mL (EDTA), Green top tube 4 mL (Na Heparin), Pink top tube
Minimum:
Collect TWO full red top or lavender top tubes. Recommended minimum: 4.0 mL serum or plasma Absolute minimum: 2.0 mL serum or plasma
Rejection Criteria:
Specimens exposed to repeated freeze/thaw cycles. Serum separator tubes and plasma/whole blood from light blue (sodium citrate).
Analytic Time:
4 days upon receipt at reference laboratory
Reference Range:
Unexposed non-tobacco user Passive exposure Nicotine Less than 2 ng/mL Less than 2 ng/mL Cotinine Less than 2 ng/mL Less than 8 ng/mL 3-OH-Cotinine Less than 2 ng/mL Less than 2 ng/mL Abstinent user for more Active tobacco product use than 2 weeks Nicotine Less than 2 ng/mL 30 - 50 ng/mL Cotinine Less than 2 ng/mL 200 - 800 ng/mL 3-OH-Cotinine Less than 2 ng/mL 100 - 500 ng/mL Reference range source: Clinical Chemistry 48:9 1460-1471, 2002
Interpretive Data:
1. Drugs covered: nicotine, cotinine, 3-OH-cotinine. 2. Positive cutoff: 2 ng/mL 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, 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:
No gel separator tubes.
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry
CPT Code:
83887