A 37-year-old female diagnosed with attention-deficit hyperactive disorder (ADHD) presented for her annual Adderall (amphetamine and d-amphetamine) compliance testing visit and prescription refill.
The confirmatory amphetamine urine test results were as follows:
Drug |
Result |
Cut-off |
Amphetamine |
15,988 ng/mL |
< 25 ng/mL |
Methamphetamine |
58 ng/mL |
< 25 ng/mL |
Phentermine |
negative |
< 25 ng/mL |
MDA |
negative |
< 25 ng/mL |
MDMA |
negative |
< 25 ng/mL |
Pseudoephedrine/ephedrine |
negative |
< 25 ng/mL |
This patient also had a history of polysubstance abuse (methamphetamines and cocaine); however, self-reported as being in remission for a number of years. Based on the results, the provider was concerned that the patient had relapsed and started abusing methamphetamine again.
This quiz is no longer available.Sarah Delaney, Ph.D. Fellow, Clinical Chemistry Mayo Clinic |
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Loralie Langman, Ph.D. Consultant, Clinical Biochemistry Mayo Clinic Professor of Laboratory Medicine and Pathology Mayo Clinic College of Medicine and Science |
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Paul Jannetto, Ph.D. Consultant, Clinical Biochemistry Mayo Clinic Associate Professor of Laboratory Medicine and Pathology Mayo Clinic College of Medicine and Science |