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Drug Concentrations: Measurements01:23

Drug Concentrations: Measurements

Drug concentration is the quantity of a drug present in a biological sample. Measuring drug amounts in biological samples allows the clinician to understand how a drug is absorbed, distributed, metabolized, and excreted. Samples can be obtained through invasive or non-invasive methods. Invasive techniques involve surgical or parenteral interventions to gather blood, cerebrospinal fluid, or tissue biopsy. Conversely, non-invasive approaches provide samples like urine, feces, and saliva.
Plasma —...
Oral Drug Delivery Systems: Introduction01:23

Oral Drug Delivery Systems: Introduction

Oral drug delivery is the most common route of administration due to its convenience, cost-effectiveness, and high patient compliance. It enables precise formulation to ensure proper drug dosage and bioavailability. The development of oral dosage forms considers drug properties such as solubility, stability, and absorption to optimize therapeutic efficacy.Tablets, capsules, liquids, and chewable formulations enhance drug stability, mask undesirable tastes, and improve patient experience.
Serum Laboratory Studies, Stool Test, Breath Test01:30

Serum Laboratory Studies, Stool Test, Breath Test

Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
Drug Excretion: Pulmonary and Glandular Routes01:22

Drug Excretion: Pulmonary and Glandular Routes

Gaseous substances like general anesthetics are absorbed and excreted through the lungs via simple diffusion. This process depends on factors such as pulmonary blood flow, respiration rate, and the substance's solubility. Gaseous anesthetics like nitrous oxide with low blood solubility are excreted rapidly, while compounds like alcohol, with high blood and tissue solubility, are excreted slowly.
Drugs can also be excreted in breast milk, which is crucial for breastfeeding infants. The process...
In Vitro Drug Release Testing: Overview, Development and Validation01:10

In Vitro Drug Release Testing: Overview, Development and Validation

In vitro dissolution and drug release tests assess how quickly and how much of a drug is released from its dosage form into an aqueous medium under standardized laboratory conditions. These tests are essential tools in pharmaceutical development and quality assurance, offering insight into the drug's performance before clinical use.During formulation development, dissolution testing identifies incomplete or inconsistent drug release issues. It also supports decisions on selecting the optimal...
Therapeutic Drug Monitoring: Drug Analysis Methods01:26

Therapeutic Drug Monitoring: Drug Analysis Methods

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood or body tissues to tailor drug therapy effectively. This monitoring is critical for managing drugs with narrow therapeutic indices like digoxin and phenytoin, ensuring they are both safe and effective. For instance, monitoring theophylline levels in asthma patients involves precision and sensitivity to adjust doses according to individual responses to therapy, ensuring efficacy and...

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Related Experiment Video

Updated: Jul 6, 2026

High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
10:17

High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry

Published on: April 23, 2019

Current developments in drug testing in oral fluid.

Kristof Pil1, Alain Verstraete

  • 1Department of Clinical Chemistry, Microbiology and Immunology, Ghent University, Ghent, Belgium.

Therapeutic Drug Monitoring
|March 28, 2008
PubMed
Summary

Oral fluid drug testing has advanced, improving impairment correlation and addressing passive exposure issues. However, reliable point-of-care testing remains a challenge, especially for cannabinoids and benzodiazepines.

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Area of Science:

  • Forensic Toxicology
  • Analytical Chemistry
  • Pharmacokinetics

Background:

  • Oral fluid drug testing has seen significant advancements.
  • New pharmacokinetic studies and optimal cutoffs have been proposed.
  • Research is exploring the correlation between oral fluid drug concentrations and impairment.

Purpose of the Study:

  • To review recent developments in oral fluid drug testing.
  • To highlight challenges in point-of-care testing and confirmation analysis.
  • To discuss the increasing role of oral fluid in drug testing research.

Main Methods:

  • Review of recent pharmacokinetic studies.
  • Analysis of studies on oral fluid drug concentrations and impairment.
  • Examination of advancements in confirmation analysis techniques like liquid chromatography-tandem mass spectrometry.

Main Results:

  • New studies address false-positive results from passive marijuana exposure.
  • Reliable point-of-care drug testing for cannabinoids and benzodiazepines remains problematic.
  • Liquid chromatography-tandem mass spectrometry is increasingly important for confirmation analysis.

Conclusions:

  • Oral fluid is a growing alternative matrix for drug testing, particularly in driving under the influence research.
  • Further development is needed for reliable point-of-care testing devices.
  • Proficiency testing literature requires expansion to ensure result reliability and comparability.