Search found 908 matches

by Robert Swotinsky MD
Fri Jul 03, 2020 9:36 pm
Forum: Drug and Alcohol Testing
Topic: Dark Matter
Replies: 1
Views: 12

Re: Dark Matter

As you may already have gathered by Google Search, MHP Dark Matter is a product marketed for weightlifters and contains vitamins, amino acids, and other such supplements. Cocaine is not sold in energy drinks, at least not legally. If someone consumes cocaine, even orally, I suppose it is possible to...
by Robert Swotinsky MD
Sun Jun 14, 2020 9:46 pm
Forum: Drug and Alcohol Testing
Topic: Hand sanitizer and urine alcohol testing
Replies: 1
Views: 169

Re: Hand sanitizer and urine alcohol testing

Yes for EtG and EtS, especially at the lower concentrations, e.g., at EtG of <500 ng/mL.

I am not aware of such exposure causing positive results for ethanol.
by Robert Swotinsky MD
Thu Jun 11, 2020 10:16 pm
Forum: Fitness-for-duty (e.g., preplacement) exams, non-DOT
Topic: Color vision deficiency and surgeons
Replies: 1
Views: 192

Re: Color vision deficiency and surgeons

The abstract and references at https://www.nature.com/articles/s41433-019-0486-z seem relevant. I suspect this issue has been raised in some of those references, but doubt you'll find a black and white answer to the question.
by Robert Swotinsky MD
Wed May 27, 2020 5:43 pm
Forum: Drug and Alcohol Testing
Topic: Questions on the revised CCF
Replies: 3
Views: 4466

Re: Questions on the revised CCF

Questions regarding the new CCF revisions. 1. What can we use to sign-off on a result if Copy 2 is missing, since we can no longer use copy 3-4-5. Find Copy 2. (Sorry. We will no longer have the luxury of substituting copies 3, 4, or 5.) 2. Why is it that on Step 1-C SS# or Employer ID was not repl...
by Robert Swotinsky MD
Sat May 16, 2020 7:06 pm
Forum: Drug and Alcohol Testing
Topic: Safety-sensitive notification to employers
Replies: 2
Views: 456

Re: Safety-sensitive notification to employers

40.327 When must the MRO report medical information gathered in the verification process? (a) As the MRO, you must, except as provided in paragraph (c) of this section, report drug test results and medical information you learned as part of the verification process to third parties without the emplo...
by Robert Swotinsky MD
Wed May 06, 2020 2:29 pm
Forum: Drug and Alcohol Testing
Topic: 6th Edition
Replies: 2
Views: 1291

Re: 6th Edition

should be out this Fall 2020. Thank you for asking!
by Robert Swotinsky MD
Mon Apr 20, 2020 7:53 pm
Forum: Fitness-for-duty (e.g., preplacement) exams, non-DOT
Topic: Preemployment lab test requirements for pharmacy technicians
Replies: 1
Views: 2377

Re: Preemployment lab test requirements for pharmacy technicians

I am not aware that there is a federal regulation or guideline about preemployment laboratory testing for pharmacy tech work.
by Robert Swotinsky MD
Mon Apr 13, 2020 6:04 am
Forum: DOT Physicals
Topic: Sublocade (bupronorphine extended release) and DoT Physical
Replies: 2
Views: 2825

Re: Sublocade (bupronorphine extended release) and DoT Physical

Buprenorphine is prescribed to treat opioid dependence. A person with opioid dependence is at increased risk in highly safety-sensitive activities like driving a truck. This is one of the primary reasons that FMCSA put methadone as a recommended disqualifier in the Medical Advisory Criteria that, wh...
by Robert Swotinsky MD
Wed Mar 25, 2020 9:31 pm
Forum: Drug and Alcohol Testing
Topic: Breath alcohol testing during coronavirus
Replies: 1
Views: 1436

Re: Breath alcohol testing during coronavirus

DOT's requirements for breath alcohol testing remain in place. A recent announcement from DOT (see the ink below) acknowledges that employers may find fewer service agents open and ready to perform such testing. DOT also acknowledges that patients may raise Covid 19 as a concern, and thus DOT expect...
by Robert Swotinsky MD
Wed Mar 25, 2020 8:04 am
Forum: Drug and Alcohol Testing
Topic: Methamphetamine
Replies: 9
Views: 5653

Re: Methamphetamine

A donor who is currently using both methamphetamine and amphetamine would likely test positive for both methamphetamine and amphetamine. This type of dual-positive result does not prove the use of both drugs. Methamphetamine is metabolized to amphetamine. So, I don't know that there is a test that w...