Barbiturate Confirmation, Urine
Urine Barbiturates Screen, Downers, Yellows, Blues, Bluebirds, Rainbows, Reds, Red Devils, M&M's, Barbiturates Screen, Urine
Test Codes
EPIC: LAB6917, BRBCF
Department
Toxicology
Specimen Collection Criteria
Collect: 50 mL random urine in a screw-capped container (preferred) or other sterile collection cup with no preservative. (Minimum: 30 mL)
- Refrigerate the specimen immediately after collection.
- Record the exact time of specimen collection on the container or in the computer system.
Physician Office/Draw Specimen Preparation
Maintain specimen refrigerated (2-8°C or 36-46°F) prior to transport.
Preparation for Courier Transport
Transport: 50 mL urine, refrigerated (2-8°C or 36-46°F). (Minimum: 30 mL)
Rejection Criteria
- Specimens not collected and processed as indicated.
- Urine Vacutainer® tubes. Urine received in a glass or plastic tube with a rubber stopper may contain insufficient sample volume, preclude confirmatory testing, and give rise to contaminants and artifacts.
In-Lab Processing
Analyze specimen immediately upon receipt in the Laboratory.
Storage
Specimen Stability for Testing:
Room Temperature (20-26°C or 68-78.8°F): 72 hours
Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): 3 months
Specimen Storage in Department Prior to Disposal:
Refrigerated (2-8°C or 36-46°F): 7 days
Laboratory
Canton Main Laboratory
Dearborn Toxicology Laboratory
Farmington Hills Toxicology Laboratory
Grosse Pointe Toxicology Laboratory
Lenox Main Laboratory
Royal Oak Toxicology Laboratory
Troy Toxicology Laboratory
Taylor Toxicology Laboratory
Trenton Toxicology Laboratory
Wayne Toxicology Laboratory
NOTE: Screens are performed at Canton, Dearborn, Farmington Hills, Grosse Pointe, Royal Oak, Taylor, Trenton, Troy and Wayne. All confirmations are performed at Royal Oak Toxicology Laboratory.
Performed
Results available within 3-5 business days.
Test Methodology
Gas Liquid Chromatography/Mass Spectrometer (GC/MS).
The confirmation component of this test was developed by Beaumont Health. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes and should not be regarded as investigational or for research.
Interpretation
Drugs identified: Phenobarb, Butalbital, Secobarb, Pentobarb
Concentrations of drugs and/or metabolite(s) detected in urine have not been correlated to drug levels in the bloodstream or with the degree of impairment. The presence of a drug and/or metabolite(s) in urine is only an indication of previous drug exposure. It may be appropriate to request serum quantitation to assess the extent of toxicity.
Clinical Utility
Barbiturates are central nervous system depressants. They are used therapeutically as sedatives, hypnotics, and anticonvulsants. The legal availability of barbiturates has declined but they remain frequently abused sedatives or hypnotic drugs. The most commonly abused barbiturates are the short-acting compounds such as secobarbital, pentobarbital and amobarbital. Tolerance to these drugs can develop from chronic use and death may occur from overdose.
CPT Codes
80345 (alternate: G0479, G0480).
LOINC: 70155-7, 20421-4
Contacts
Canton Laboratory – CTN
734-454-8024
Name: Canton Laboratory – CTN
Location:
Phone: 734-454-8024
Chemistry Laboratory – DBN
313-436-2196
Name: Chemistry Laboratory – DBN
Location:
Phone: 313-436-2196
Chemistry Laboratory – FH
947-521-5252
Name: Chemistry Laboratory – FH
Location:
Phone: 947-521-5252
Chemistry Laboratory – GP
313-473-1807
Name: Chemistry Laboratory – GP
Location:
Phone: 313-473-1807
Lenox Laboratory – LNX
947-523-4070
Name: Lenox Laboratory – LNX
Location:
Phone: 947-523-4070
Toxicology Laboratory – RO
248-551-8058
Name: Toxicology Laboratory – RO
Location:
Phone: 248-551-8058
Chemistry Laboratory – TYL
313-295-5360
Name: Chemistry Laboratory – TYL
Location:
Phone: 313-295-5360
Chemistry Laboratory – TRN
734-671-3165
Name: Chemistry Laboratory – TRN
Location:
Phone: 734-671-3165
Chemistry Laboratory – TR
248-964-8070
Name: Chemistry Laboratory – TR
Location:
Phone: 248-964-8070
Main Laboratory –WYN
734-467-4274
Name: Main Laboratory –WYN
Location:
Phone: 734-467-4274
Last Updated
8/30/2023
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