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Accredited Drug Testing provides extensive drug and alcohol testing at our 35 testing centers in the Makakilo, Hawaii area. We conduct both DOT and non-DOT urine tests, breathalyzer alcohol checks, EtG alcohol tests, and hair drug screenings to meet the needs of individuals, employers, and legal directives. Rapid result testing and SAMSA certified lab analyses are available with same-day service; most locations are conveniently close to your residence or workplace in Makakilo, HI. We also offer Occupational Health Testing, Clinical Testing, and Background Checks.
Contact us at (800) 221-4291 or register through our website. Just choose your test and select a nearby venue—testing is accessible for yourself, employees, or another person. Arranging a test is quick and simple; use our 24/7 online platform or call our scheduling team. Our efficient and straightforward process ensures drug testing in or near Makakilo is hassle-free.
* 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 Makakilo 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 2022, Honolulu County reported a 15% increase in opioid-related incidents in Makakilo, HI.
Methamphetamine was the most confiscated drug in Makakilo, HI in 2021, with over 100 seizure incidents reported.
The rate of drug overdoses in Makakilo, HI saw a 20% rise from 2020 to 2021, according to Honolulu County reports.
In 2020, Honolulu County authorities handled 50 drug-related arrests specifically in the Makakilo area.
Makakilo, HI schools reported a 5% increase in student suspensions related to drug incidents in Honolulu County in 2021.
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
Employers in Makakilo, HI have implemented stringent drug testing policies to ensure a safe work environment. Many companies conduct pre-employment screenings, random drug tests, and provide support programs for employees struggling with addiction. Compliance with state labor regulations is a priority for businesses in Honolulu County.
Workplaces often partner with Employee Assistance Programs (EAPs) to offer confidential counseling and treatment options. This approach not only maintains productivity but also helps employees receive the necessary support. Local businesses are committed to fostering drug-free environments and adhere to state guidelines for testing and rehabilitation.
The government has been proactive in addressing drug problems in Makakilo, HI. Initiatives include increased funding for rehabilitation centers and community outreach programs. The Honolulu Police Department (HPD) has partnered with local agencies to combat drug trafficking and decrease substance abuse rates.
Additionally, state-led efforts focus on education and prevention strategies through the Hawaii Department of Health's substance abuse division. Collaborations with federal agencies aim to provide resources and training for local law enforcement to tackle drug issues more effectively.
Recent drug busts in Makakilo, HI highlight ongoing efforts to curb illicit activities. In early 2023, a joint operation led by the Honolulu Police Department resulted in the seizure of a large quantity of methamphetamine and the arrest of several key figures involved in drug trafficking networks.
Community events, such as drug take-back days, are regularly organized to encourage safe disposal of unused medications. These events aim to reduce the availability of prescription drugs in households, thereby decreasing the risk of abuse. The success of these initiatives is a testament to the community's active role in addressing drug-related issues.
Accredited Drug Testing offers fast, reliable employment screening services in Makakilo, HI. Trusted by employers nationwide for accurate results and exceptional service.
Hawaii Department of Health - Substance Abuse
Honolulu Police Department
Hawaii Drug Free Coalition
Alcohol and Drug Abuse Division - Hawaii
Hina Mauka - Substance Use Treatment
Hawaii Department of Health
Makakilo Drug Rehab Centers
Substance Abuse and Mental Health Services Administration
Hawaii Academy for Addictions Professionals
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Time was running out before my Cdl got downgraded because of a violation I had on clearinghouse. I couldn't find an employer to send me for my return to duty test, but these guys had my test scheduled and done in the same day! They saved my cdl. Thank you again!
Michael Williams - 12/2/2024
I always have a good experience setting up company driver drug screens through ADT. I'm really happy I found them while searching online, they have made my job much easier.
Exodus Heath - 2/13/2025
I use their service for new hire and DOT employee's. Spoke with Taisha Walker this morning, and she was very helpful. She made the process smooth and seamless.
Christina Galdos - 3/9/2025