Drug Testing Locations - Robbins, NC

Drug Testing in Robbins, NC

Robbins, North Carolina Statistics

In Robbins, NC, Moore County, the rate of drug-related arrests increased by 15% from 2020 to 2022.

Moore County reported a 25% rise in opioid-related overdoses in Robbins, NC, between 2021 and 2022.

Robbins, NC had a 10% increase in admissions to drug rehabilitation centers in Moore County over the past year.

The number of drug-related emergency visits in Robbins, NC, Moore County doubled in the last two years.

Police in Robbins, NC, Moore County seized over 50 pounds of illegal drugs in 2022.

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 Robbins, NC & Drug Testing Policies

Employers in Robbins, NC, have established clear drug testing policies to maintain workplace safety. Many companies implement pre-employment drug screenings as well as random testing to deter drug use among employees. These policies are in line with guidelines provided by the U.S. Department of Labor (DOL).

Furthermore, some businesses offer access to Employee Assistance Programs (EAPs), which provide counseling and rehabilitation services. These initiatives underscore the commitment of Robbins' employers to foster a drug-free work environment while supporting employees who may struggle with substance abuse.

Government Efforts with Drug Problems in Robbins, NC

The government of Robbins, NC, and Moore County has implemented several initiatives to tackle drug issues. This includes the establishment of community outreach programs aimed at educating citizens on the dangers of drug abuse. In collaboration with local law enforcement, workshops and seminars are conducted regularly to prevent substance abuse.

On the state level, the North Carolina Department of Health and Human Services (NCDHHS) provides resources and support for addiction treatment. Federal support is also available, with funding from the Substance Abuse and Mental Health Services Administration (SAMHSA). These efforts are crucial in providing Robbins' residents with the tools to battle addiction effectively.

Local Drug Busts & News in Robbins, NC

Recent law enforcement actions in Robbins, NC, have successfully disrupted several drug trafficking operations. A notable drug bust in 2023 saw the seizure of significant quantities of methamphetamine and the arrest of multiple suspects involved in the distribution network throughout Moore County.

Community events, such as the annual Drug Take-Back Day, allow residents to safely dispose of unused prescriptions, reducing the risk of drug misuse. Local police departments continue to work diligently to identify and eliminate drug-related activities, contributing to the safety and well-being of Robbins' citizens.

Occupational Health Services

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

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Resources & Citations

NCDHHS

SAMHSA

North Central Mental Health

Moore County Health Department

North Carolina Medical Society

National Council on Alcoholism and Drug Dependence

Carolina Partners in Mental HealthCare

Coastal Carolina Psychiatric Services

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