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Test Code MPHNU Methylphenidate and Metabolite, Random, Urine


Additional Testing Requirements


If urine creatinine is required or adulteration of the sample is suspected, also order ADULT / Adulterants Survey, Random, Urine. For more information, see ADULT / Adulterants Survey, Random, Urine.



Specimen Required


Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube: Plastic urine container

Submission Container/Tube: Plastic, 5-mL tube

Specimen Volume: 5 mL

Collection Instructions:

1. Collect a random urine specimen.

2. No preservative.

Additional Information:

1. No specimen substitutions.

2. STAT requests are not accepted for this test.

3. Submitting less than 1 mL will compromise the ability to perform all necessary testing.


Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Specimen Type

Urine

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 10 days
  Frozen  28 days

Reject Due To

Gross hemolysis OK
Gross icterus OK

Clinical Information

Methylphenidate (MPH) is utilized for the treatment of attention-deficit hyperactivity disorder and narcolepsy. MPH has two chiral centers and is marketed as a racemic mixture and as the active d-enantiomer of racemic MPH. Although the exact mechanism of its action has not been fully defined, it blocks the reuptake of norepinephrine and dopamine into the presynaptic neuron thus increasing the concentrations of these monoamines in the extraneural space.

Reference Values

Negative (Positive results are reported with a quantitative result.)

 

Cutoff concentrations by liquid chromatography tandem mass spectrometry:

Methylphenidate: 10 ng/mL

Ritalinic Acid: 50 ng/mL

Day(s) Performed

Monday, Wednesday, Friday

Report Available

2 to 4 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

G0480

80360 (if appropriate for select payers)

Forms

If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.