In the absence of the drug in the urine, the colored antibody-colloid gold
AMP AMPHETAMINE
conjugate moves with the sample fluid by capillary action along the
membrane until it reaches the immobilized drug conjugate in the test band
MonlabTest®
region. At this point, the antibody-colloid gold conjugate reacts with the
pre-coated drug conjugate to produce a visible pink colored line as the
antibodies form complexes with the drug conjugate. The formation of a visible color line on the test band region indicates the urine sample tested is negative for amphetamine. Product code: PRESENTATION
When the drug is present in the urine, the drug/metabolite antigen will compete with the drug conjugate coated in the test band region for the
MO-806010 20 strips MonlabTest
limited antibody sites. When a sufficient concentration of drug is present, it
Only for in vitro diagnostic use
will fill the limited antibody binding sites, and thus preventing the
attachment of the colored antibody-colloid gold conjugate to drug
conjugates pre-coated in the test band region. An absence of the color band on the test region indicates a positive result. INTENDED USE
A control band with a different antigen/antibody reaction is also added to
membrane strip to indicate that the test is performed properly. This control
immunochromatographic assay intended for professional laboratory use
line should always be seen. A negative urine sample produces two distinct
only in the qualitative detection of Amphetamine metabolite, D-
color bands. A positive sample produces only one color band in the control
Amphetamine in urine with a cutoff at 1000ng/ml. It is for professional
zone. If insufficient urine sample volume is used, there may not be a
laboratory use and for in-vitro diagnostic use only.
Control line, indicating the test is invalid.
Note: This test provides only a preliminary analytical result. A more
MATERIALS PROVIDED
specific alternate chemical method must be used in order to obtain a
confirmed analytical result. Gas chromatography/mass spectrometry
(GC/MS) is the preferred confirmatory method. Other chemical
confirmation methods are available. Clinical consideration and
professional judgment should be applied to any drug of abuse test
MATERIALS NEEDED BUT NOT PROVIDED
result, particularly when preliminary positive results are used.
Clean glass or plastic container for specimens collection
SUMMARY & EXPLANATION
Amphetamine is a sympathomimetic amine whose biological effects
REAGENTS
include potent central nervous system stimulation, appetite reduction,
hyperthermia, insomnia, increase in heart rate, increase in blood
pressure, and the feeling of euphoria. It is usually taken orally,
a. Control region (C): Goat anti-mouse (IgG) polyclonal antibody
intravenously, or by smoking. Amphetamines are readily absorbed from
b. Test region (T): Amphetamine-BSA conjugate
the gastrointestinal tract. They are then either deactivated by the liver or
excreted in its unchanged form in the urine. Amphetamine is metabolized
Colloidal gold conjugate of mouse monoclonal anti-Amphetamine
into deaminated hippuric and benzoic acids and hydroxylated
metabolites. Studies have shown that heavy dosage may result in
permanent damage to certain essential nerve structures in the brain. The
SPECIMEN COLLECTION
effects of amphetamines generally last 2–4 hours following use, and the
drug has a half-life of 4–24 hours in the body. About 30% of
A fresh urine specimen should be used, no special pre-treatment is
amphetamines are excreted in the urine in unchanged form, with the
necessary. Specimens should be collected in a clean glass or plastic
remainder as hydroxylated and deaminated derivatives
container. The specimen may be refrigerated (2-8°C) and stored up to 2
days. For longer storage, freeze samples at -20°C or below. Refrigerated
The AMP Amphetamine MonlabTest® is a fast, qualitative, and visually
samples should be allowed to come to room temperature and mixed
read, immunoassay for screening without the use of an instrument. The
thoroughly before assaying. Frozen samples should be thawed completely
method employs a unique monoclonal antibody to selectively identify D-
allowed to come to room temperature, and mixed thoroughly before
Amphetamine in test urine at or above the concentration of 1000 ng/mL.
This product is not intended to monitor drug levels, but only to screen
TEST PROCEDURE PRINCIPLE OF THE TEST
To begin the testing, open the foil pouch at the notch and remove the
test strip from the pouch and use it as soon as possible.
The AMP Amphetamine MonlabTest® is based on the principle of a
competitive inhibition immunoassay, in which a chemically labeled drug
Immerse the strip into the urine sample with the arrow end pointing
(drug conjugate) competes with the drug which may be present in urine
towards the urine. Do not immerse past the Mark line. Take the strip out
for the limited number of antibody binding sites. The test device consists
after 3 seconds and lay the strip flat on a clean, dry, non-absorbent surface
of a membrane strip, which is pre-coated with Amphetamine-BSA
conjugate on the test band region, and a colored anti-amphetamine
monoclonal antibody-colloid gold conjugate pad placed at the end of the membrane.
Monlab SL Selva de Mar 48 08019 BCN +34 93 433 58 60 Fax +34 93 436 38 94 pedidos@monlab.es www.monlab.es
Rev: june 2006
Read results in 10-20 minutes. It is important that the background is
clear before the result is read. Results obtained after more than 20
LIMITATIONS
1. This test is a qualitative, competitive screening assay. It is not designed
to determine the quantitative concentration of drugs or the level of
2. All positive samples must be confirmed by another method. Gas
chromatography / mass spectrometry (GC/MS) is the method of choice to
confirm the presence and concentration of the drug in urine.
3. The possibility exists that substances and factors not described in this
directional insert may interfere with the test, causing false results (e.g.,
4. This test has been developed for testing urine samples only. The
performance of this test using other specimens has not been substantiated.
5. Adulterated urine samples may produce erroneous results. Strong
oxidizing agents such as bleach (hypochlorite) can oxidize drug analytes. If
a sample is suspected of being adulterated, obtain a new sample.
6. As the AMP Amphetamine MonlabTest® is a competitive assay, no
INTERPRETATION OF RESULTS
7. Samples containing target drug concentrations below the cutoff
sensitivity for the test may produce a positive result occasionally.
Negative: In addition to one pink colored control (C) line in the
8. Result read after 20 minutes may not be consistence with the original
control region, a distinct pink colored line will also appear in the test (T)
reading obtain within the result window within 10-20 minutes.
region. The color intensity of the test line may be weaker or stronger than
PERFORMANCE CHARACTERISTICS Positive: Only one pink colored line appears in the control (C) region.
No apparent line in the test (T) region. This indicates the presence of
amphetamine at a level of 1000 ng/mL or above.
Sensitivity – The sensitivity of the AMP Amphetamine MonlabTest® was
Invalid: No line appears in the control zone “C”, the test should be
determined in-house by trained technicians. Concentrations tested were
voided since an improper test procedure may have been performed or
zero, at the cutoff, the cutoff minus 25%, and the cutoff plus 25% using
deterioration of reagents may have occurred. This is due o the internal
spiked drug-free clinical urine samples. Results were as follows in Table 1.
control built in which a distinct control region (C) line always appears.
Repeat the test using a new device. If the problem persists, discontinue
Table 1: Cutoff Characterization of Amphetamine
using the test kit immediately and contact your local distributor.
D-Amphetamine 1250 ng / mL Note: A faint line on the test region indicates the amphetamine in sample Negative
is near the cut-off level for the test. These samples should be re-tested or confirmed with a more specific method before a clinical determination is
Positive
Specificity – The specificity of the AMP Amphetamine MonlabTest® was
determined by adding various drugs and drug metabolites to drug-free
control urine specimens and tested with the kit. The results are expressed
in terms of the concentration required to produce a positive result.
The following compounds exhibited no interference when dissolved in
drug-free control urine at 100µg/ml (Table 2). PH and specific gravity
studies completed concurrently on the spiked drug-free control urine
specimens also showed that there was no interference between the
Table 2 Non-Cross Reacting Compounds (100µg/ml)
Mark line Negative Positive Invalid
Monlab SL Selva de Mar 48 08019 BCN +34 93 433 58 60 Fax +34 93 436 38 94 pedidos@monlab.es www.monlab.es
Rev: june 2006 WARNINGS & PRECAUTION
2. For professional use only. 3. Do not use test kit beyond the expiry date.
4. The test device should not be reused. 5. Urine specimens may be infectious; insure proper handling and dispose
of all used reaction devices into a biohazard container.
STORAGE AND STABILITY
The test kit can be stored at temperatures between 2 to 30°C in the
sealed pouch to the date of expiration. The test kit should be kept away
from direct sunlight, moisture and heat. The expiration dating was
established under these storage conditions.
QUALITY CONTROL
Good laboratory practice recommends the use of external controls
(negative and positive) to ensure proper kit performances which are available from commercial sources.
BIBLIOGRAPHY & SUGGESTED REFERENCE
a. Urine Testing for Drugs of Abuse, National Institute on Drug Abuse (NIDA),
The following Amphetamine -related compounds were positively
detected in spiked drug-free control urine samples with the AMP
b. Critical Issues in Urinalysis of Abused Substances: Report of the Substance Abuse
Amphetamine MonlabTest® at the concentration shown (Table 3)
Testing committee, clinical Chemistry, 34(3), 617 (1988)
c. Blum, K., Handbook of Abusable drugs, Gardener Press, Inc., NewYork, NY, 1st
Table 3 Cross-reactivity study of AMP Amphetamine MonlabTest® kit
d. Baselt RC., Disposition of Toxic Drugs and Chemicals in Man, 3rd Ed.,Chicago, IL.
Year Book Medical Publishers Inc., 780-783, (1990).
e. Mandatory Guidelines for Federal Workplace, Drug Testing Programs, Fed. Reg.
f. Liu R.H., Goldberger B.A., Hand book of Workplace Drug Testing, AACC Press
Karch S.B., Drug Abuse Handbook, CRC Press (1998)
h. Inaba T., Journal of Canadian Physuology and Pharmacology, 67:1554-57 (1989)
Method Comparison – The accuracy of the AMP Amphetamine
MonlabTest® was evaluated on clinical urine samples with GC/MS
1629 Fosters Way Delta BC V3M 6S7 Canada
concentrations for D-Amphetamine. 75 samples including 35 positive and
40 negatives clinical samples (30 drug-free) were purchased and tested
on site using IND Diagnostic One-Step Amphetamine Test Kit by a trained
76 Stockport Road, Timperley, UK WA15 7SN
technician. Overall, the percent agreement was 74/75 or 98.7%. Results
were run again further by another technician showing strong agreement
between results. Detailed results are shown in Table 4.
Table 4 Comparison of One-step Amphetamine Test with GC/MS
Positive Agreement Negative Positive ( > 50 % with GC / MS (between (between
Percent Agreement among Positives: 100.0%
Percent Agreement among Negatives: 97.5%
Monlab SL Selva de Mar 48 08019 BCN +34 93 433 58 60 Fax +34 93 436 38 94 pedidos@monlab.es www.monlab.es
Rev: june 2006
Q: What is endometrial cancer? A: Endometrial cancer is a cancer that starts in the inner lining of the womb (uterus). This lining is called the endometrium . The pictures below show where the uterus is found. The picture below shows the uterus and its adjacent structures. The uterus is a hollow organ, about the size and shape of a medium-sized pear. It has 2 main parts. The lower
REV CHIL OBSTET GINECOL 1999; 64(4): 281-285 MADURACION CERVICAL CON MISOPROSTOL* Drs. Fernando Martínez A., Gabriel Mitelman M., Gabriel Ramiro M., Claudio Caro T., Fernando Navia L., Carlos González S.** Servicio de Ginecología y Obstetricia. Hospital Félix Bulnes C. RESUMEN Los comprimidos para empleo oral de Misoprostol se están usando tanto en el extranjero como en nues