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Accredited Drug Testing delivers a full array of drug and alcohol screenings at 35 testing sites around Salem, Alabama. Our services include DOT and non-DOT urine drug tests, breath alcohol evaluations, EtG alcohol tests, and hair drug analysis serving personal, corporate, and legal purposes. In Salem, AL, we provide swift test results and SAMSA certified lab reviews. Services are quick, with most testing venues conveniently located near your home or work in Salem. We also offer Occupational Health, Clinical Testing, and Background Verification services.
Dial (800) 221-4291 or sign up through our website. Choose your test and select a local facility—testing is accessible for your needs, whether it's for personal use, employees, or someone else. Test scheduling is Quick and Simple; contact our scheduling team or plan your test online any time. Our efficient, straightforward system facilitates easy drug test arrangements in Salem.
* You must register by phone or online to receive your donor pass/registration prior to proceeding to the testing center. You must bring a valid government issued ID along with the registration/barcode number which was sent to you by email.
When you're searching for drug testing near me or drug testing locations, we provide a simple and convenient process to find a drug and alcohol testing location near you that is certified to provide all of your drug and alcohol testing needs.
At our Salem drug testing collection sites, Accredited Drug Testing provides one of the widest selections of drug and alcohol testing services available. Whether you're an employer, attorney, court, or private individual, we offer both DOT and non-DOT testing options—ranging from rapid tests to comprehensive lab-based screenings—capable of detecting nearly any substance.
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If you're an employer needing to test 25 or more employees and looking to save time and money, we offer mobile on-site drug testing where we come to you. Call us today for more information.
In Salem, AL, Lee County reported a 12% increase in drug-related crimes from 2022 to 2023.
Lee County, where Salem, AL is located, saw a 14% rise in opioid overdoses in 2023.
Salem, AL experienced a 9% increase in methamphetamine seizures in 2022.
In 2023, Salem, AL documented 45% more drug abuse cases compared to 2022.
Lee County Sheriff's Office reported a 15% decline in successful drug rehabilitation in Salem, AL for 2023.
Drug elimination is the sum of the processes of removing an administered drug from the body. In the pharmacokinetic ADME scheme (absorption, distribution, metabolism, and excretion), it is frequently considered to encompass both metabolism and excretion. Hydrophobic drugs, to be excreted, must undergo metabolic modification making them more polar. Hydrophilic drugs, on the other hand, can undergo excretion directly, without the need for metabolic changes to their molecular structures.
Although many sites of metabolism and excretion exist, the chief organ of metabolism is the liver, while the organ primarily tasked with excretion is the kidney. Any significant dysfunction in either organ can result in the accumulation of the drug or its metabolites in toxic concentrations.
A variety of other factors impact elimination — intrinsic drug properties, such as polarity, size, or pKa. Also other factors include genetic variation among individuals, disease states affecting other organs, and pathways involved in the way the drug distributes through the body, such as first-pass metabolism.
Drug elimination is the removal of an administered drug from the body. It is accomplished in two ways, either by excretion of an unmetabolized drug in its intact form or by metabolic biotransformation followed by excretion. While excretion is primarily carried out by the kidneys, other organ systems are involved as well. Similarly, the liver is the primary site of biotransformation, yet extrahepatic metabolism takes place in a variety of organ systems affecting multiple drugs.
Given the multiple organ systems and the variety of metabolic transformations present, drug elimination can entail a significant degree of complexity. Hydrophilic drugs are typically directly excreted by the kidneys, while hydrophobic drugs undergo biotransformation before excretion. The purpose here is twofold – biotransformation serves both detoxify the exogenous substances as well as to increase their hydrophilicity, ensuring their elimination via the kidneys.
Two broad metabolic pathways of hepatic drug transformation exist. Phase I is the direct modification of the target molecule, whereas phase II entails conjugation of the target to a polar molecule of low molecular weight. Phase I prepare the drug to enter phase II, but single-phase metabolism also exists.
Phase I involves oxidation, reduction, and hydrolysis of the exogenous molecule. These reactions are accomplished by hepatic microsomal enzymes, which reside in the smooth endoplasmic reticulum of the hepatocytes. Best known among them is the cytochrome P450 system, whose enzymes are predominantly involved in oxidative metabolism. Within the cytochrome P450 family (CYP), the enzyme responsible for the metabolism of more than 50% of existing drugs is the CYP3A4. Its activity encompasses various classes of medications, including opioids, immunosuppressants, antihistamines, and benzodiazepines. The enzymes can also be induced or inhibited by a variety of substances they interact with, including pharmaceuticals. The increase in metabolic activity with CYP induction results in a diminished activity of drugs targeted by that particular isoform. Conversely, CYP inhibition will result in increased drug plasma concentration, potentially leading toxicity. The CYP3A4 is induced by phenytoin, phenobarbital, and St. John's wort, while diltiazem, erythromycin, and grapefruit inhibit it. Caution is, therefore, necessary when administering CYP3A4-metabolized drugs in the presence of any of the inhibitors or inducers.
Phase II consists of covalent bonding of polar groups to nonpolar molecules to render them water-soluble and allow renal or biliary excretion. Target molecules enter phase II directly or via initial processing through phase I. A variety of polar adjuncts is transferred, including amino acids, glucuronic acid, glutathione, acetate, and sulfate. Glucuronidation is one of the major pathways of phase II biotransformation. The UDP-glucuronosyltransferase (UGT) enzyme family performs this activity. Typically, glucuronide derivatives possess less or no activity of the original drug, but in some cases, pharmacologically active compounds result. Morphine-6-glucuronide is a phase II metabolite of morphine with significant analgesic activity. As with the CYP enzymes, inducers, and inhibitors of phase II, enzymes exist and may influence the efficacy of drugs that rely on conjugation before excretion.
The first-pass effect is a feature of hepatic metabolism that also plays a role in the elimination of multiple drugs. Here, the enteric consumed drugs are exposed directly to the liver via the portal vein, where they undergo biotransformation before entering the systemic circulation. This activity reduces the bioavailability and needs to be factored into the dose administered to the patient. Intravenously administered drugs are not subject to the first-pass effect.
Extrahepatic drug metabolism takes place in the GI tract, kidneys, lungs, plasma, and skin.
Renal excretion completes the process of elimination that begins in the liver. Polar drugs or their metabolites get filtered in the kidneys and typically do not undergo reabsorption. They subsequently get excreted in the urine. Urinary pH has a significant impact on excretion, as drug ionization changes depending on the alkaline or acidic environment. Increased excretion occurs with weakly acidic drugs in basic urine and weakly basic drugs in acidic urine.
Excretion in the bile is another significant form of drug elimination. The liver can actively secrete ionized drugs with a molecular weight greater than 300 g/mol into bile, from where they reach the digestive tract and are either eliminated in feces or reabsorbed as part of the enterohepatic cycle.
Other pathways of excretion include the lungs, breast milk, sweat, saliva, and tears
In Salem, AL, employers have recognized the importance of implementing drug testing policies to ensure a safe work environment. Many companies conduct pre-employment, random, and post-accident drug testing using federally recognized methods as outlined by the U.S. Department of Transportation (DOT).
The Alabama Department of Labor (ADOL) also provides guidelines for maintaining a drug-free workplace, helping employers in Salem align their policies with state standards. Drug testing policies typically cover substances such as marijuana, opioids, methamphetamines, and cocaine, with an emphasis on maintaining confidentiality and providing support for employees seeking rehabilitation.
The government in Salem, AL has been proactive in combatting drug problems, primarily by implementing stricter regulations and increasing funding for local law enforcement agencies. The Lee County Sheriff's Office has intensified its community outreach programs and partnerships with organizations dedicated to drug prevention and education.
Additionally, the Alabama Department of Mental Health (ADMH) has expanded access to treatment services across the region, focusing on reducing the stigma associated with seeking help for drug addiction. Federal support is also provided through initiatives like the Office of National Drug Control Policy (ONDCP), enabling state and local partnerships in Salem, AL to develop more effective strategies to address substance abuse.
Recent drug busts in Salem, AL have highlighted the region's ongoing battle with narcotics. In March 2023, a significant operation led by the Lee County Sheriff's Office resulted in multiple arrests and the confiscation of large quantities of methamphetamine and fentanyl. These operations are part of a broader initiative to dismantle drug trafficking networks in the area.
Community events focusing on drug abuse awareness have increased, with local organizations hosting forums and workshops to educate residents about the dangers of drug use and the resources available for recovery. The goal of these events is to foster a community-wide effort to reduce drug abuse and its negative impact on Salem, AL.
Accredited Drug Testing offers fast, reliable employment screening services in Salem, AL. Trusted by employers nationwide for accurate results and exceptional service.
Addiction Center: Alabama Rehabs
Alabama Department of Mental Health: Substance Use Treatment Services
Narconon Gulf Coast
SAMHSA National Helpline
Al-Anon Family Groups of Alabama
The WellHouse
AA Home Group Alabama
Enjoy Change Drug Rehabilitation
Partnership to End Addiction
RISE Programs by NEAS
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Trish last week and Tatiana this week, very fun and easy folks to deal with. Well be using them more and more in the future.
Tom O - 12/19/2024
Trish was amazing and got me through the sytem very fast and swift. I had a hard time hearing her a couple of times, but she was super sweet and helpful throughout the process. Highly recommend her!
Sophia Schutze - 6/19/2024
I've had to use this service twice for out of state physicians we've hired and both times it was super easy. Both customer service reps I spoke with were super helpful and courteous. I won't hesitate to use their service again if needed.
Alicia Rau - 6/19/2024