title: Comparison of GC-MS and EIA results for the analysis of methadone in oral fluid.
abstract: The purpose of these studies was to evaluate the performance characteristics of the Cozart Microplate Enzyme Immunoassay (EIA) for the determination of methadone in oral fluid from patients in a drug misuse treatment program. Oral fluid specimens were collected using the Cozart RapiScan Collection system from 198 donors who were receiving treatment for their addiction and were monitored for drug misuse. Oral fluid specimens were also collected from forty volunteer donors who were not drug users. The specimens were analyzed in the laboratory by EIA and then analysed for methadone and its main metabolite EDDP by gas chromatography-mass spectrometry (GC-MS). A total of 103 samples were confirmed positive for methadone. The Cozart Microplate EIA for d-Methadone in oral fluid using a cutoff of 30 ng/mL in diluted oral fluid had a sensitivity of 91.3% +/- 2.8% and a specificity of 100% +/- 1.0% vs. GC-MS.
authors.affiliation: Cozart Bioscience Ltd, Abingdon, Oxfordshire, UK.
authors.forename: Gail
authors.initials: G
authors.lastname: Cooper
authors.forename: Lisa
authors.initials: L
authors.lastname: Wilson
authors.forename: Claire
authors.initials: C
authors.lastname: Reid
authors.forename: Dene
authors.initials: D
authors.lastname: Baldwin
authors.forename: Chris
authors.initials: C
authors.lastname: Hand
authors.forename: Vina
authors.initials: V
authors.lastname: Spiehler
mesh_terms: D005260:Female; D005554:Forensic Medicine; D008401:Gas Chromatography-Mass Spectrometry; D006801:Humans; D007124:Immunoenzyme Techniques; D008297:Male; D008691:Methadone / Q000032:analysis*; D009294:Narcotics / Q000032:analysis*; D012463:Saliva / Q000737:chemistry*; D012680:Sensitivity and Specificity; D015813:Substance Abuse Detection / Q000379:methods
chemical_list: D009294:Narcotics; D008691:Methadone