Drug Testing Locations - Roebling, NJ

Drug Testing in Roebling, NJ

Roebling, New Jersey Statistics

In 2021, Roebling, Burlington County reported a 12% increase in opioid overdoses.

In 2019, high schoolers in Roebling, Burlington County reported a 15% increase in drug use.

Roebling, Burlington County saw a 5% decrease in drug-related arrests in 2020.

In Burlington County, where Roebling is located, 8% of the population sought drug treatment in 2022.

The Burlington County Health Department reported 300 opioid-related hospital admissions in Roebling in 2020.

Roebling, Burlington County experienced a 20% drop in prescription drug abuse from 2018-2020.

How does the body eliminate Drugs

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.

Issues of Concern

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 Roebling, NJ & Drug Testing Policies

Employers in Roebling, NJ, are increasingly implementing drug testing policies to create safer work environments. These policies often include pre-employment testing, as well as random and post-accident screenings. For guidance, businesses consult resources from the U.S. Department of Labor.

Local companies may also participate in the "Drug-Free Workplace" program, which is encouraged by the state. This not only maintains safety but also aligns with state efforts to reduce community drug issues. More information is available at the Substance Abuse and Mental Health Services Administration.

Government Efforts with Drug Problems in Roebling, NJ

The government of Burlington County, including Roebling, NJ, has initiated several programs to combat the growing drug problem. These include partnerships with local health departments and community outreach programs. More details can be found at the Burlington County Health Department website.

Roebling also benefits from state-wide initiatives set by New Jersey's government to curb substance abuse, including funding for rehabilitation centers and educational campaigns. The New Jersey Department of Human Services provides resources and support for these efforts.

Local Drug Busts & News in Roebling, NJ

Roebling, NJ, has been the scene of several drug busts in recent years. Local law enforcement agencies, in conjunction with county and state authorities, frequently conduct operations to dismantle drug trafficking networks.

A significant bust in 2021 led to the seizure of large quantities of drugs, along with the arrest of multiple individuals involved in an extensive trafficking ring. These operations often involve months of intensive investigation.

Community awareness events are also organized routinely to educate the public about drug abuse risks and prevention strategies. These events are crucial in fostering a safer community environment and are supported by video surveillance and anonymous tip lines.

Occupational Health Services

Accredited Drug Testing offers fast, reliable employment screening services in Roebling, NJ. Trusted by employers nationwide for accurate results and exceptional service.

New Jersey DOT/Non DOT Physicals

New Jersey Vision Tests

New Jersey Audiograms

New Jersey Respirator Fit Tests

New Jersey Lift Tests

New Jersey Background Checks

Clinical Testing Services

TB Testing in NJ

Diabetes Testing in NJ

Infectious Disease Testing in NJ

Sickle Cell Anemia Testing in NJ

Women/Men's Health Testing in NJ

Resources & Citations

New Jersey Prevention Network

PerformCare New Jersey

Reach NJ

Helping Arms Inc.

Narcotics Anonymous

Counseling Associates of New Jersey

Preferred Behavioral Health Group

NJ 211

Drug Testing Near Roebling, NJ

Jobstown, NJ

Beverly, NJ

Trenton, NJ

Willingboro, NJ

White Horse, NJ

Edgewater Park, NJ

Columbus, NJ

Jacksonville, NJ

Springside, NJ

Bordentown, NJ

Burlington, NJ

Fieldsboro, NJ

Florence, NJ

Florence-Roebling, NJ

Frequently Asked Questions

Customer Reviews