Drug Testing Locations - North Pushmataha, OK

Drug Testing in North Pushmataha, OK

North Pushmataha, Oklahoma Statistics

In 2022, North Pushmataha, OK saw a 15% increase in drug-related arrests, according to Pushmataha County records.

The overdose rate in North Pushmataha was 25 per 100,000 residents in 2021, per the Oklahoma State Department of Health.

A 2021 survey revealed that 20% of high school students in North Pushmataha experimented with illicit drugs.

In North Pushmataha, OK, heroin-related hospital admissions rose by 10% between 2020 and 2021.

The Pushmataha County Sheriff's Office reported seizing 200 pounds of methamphetamines in 2021 alone.

Alcohol abuse remains prevalent in North Pushmataha, with 30% of DUI cases linked to alcohol in 2021.

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 North Pushmataha, OK & Drug Testing Policies

Employers in North Pushmataha, OK, have adopted stringent drug testing policies to ensure a safe working environment. Many businesses conduct pre-employment drug screenings as part of the hiring process to deter drug users from applying.

Random drug testing is a common practice among larger employers, ensuring ongoing compliance with company policies. This approach is in line with guidelines provided by the Oklahoma Department of Mental Health and Substance Abuse Services.

Moreover, some companies provide employee assistance programs (EAPs) to support workers dealing with substance abuse, facilitating access to counseling and treatment resources.

Government Efforts with Drug Problems in North Pushmataha, OK

The government of North Pushmataha, OK, has implemented several initiatives to curb drug abuse. The Pushmataha County Health Department collaborates with local organizations to provide education and prevention programs. Resources are available through the Office of the Attorney General.

The Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBNDDC) has increased their presence in North Pushmataha, enhancing efforts to intercept drug trafficking routes. The OBNDDC regularly conducts community outreach and works closely with law enforcement.

Local Drug Busts & News in North Pushmataha, OK

North Pushmataha has been the site of several significant drug busts in recent years. In July 2022, the Pushmataha County Sheriff's Office cracked down on a large methamphetamine distribution network, resulting in 15 arrests.

The local task force, supported by the Oklahoma Highway Patrol, dismantled a heroin trafficking ring in North Pushmataha in early 2023, seizing drugs with a street value exceeding $300,000.

Community events like the annual anti-drug march and public information sessions have raised awareness about drug-related issues, with participation from local schools and businesses.

Occupational Health Services

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Resources & Citations

Open Society Foundations

Oklahoma Department of Mental Health and Substance Abuse Services

Oklahoma Bureau of Narcotics and Dangerous Drugs Control

Substance Abuse and Mental Health Services Administration

Richland Transformations

Oklahoma State Department of Health

Oklahoma Recovery Network

Nar-Anon Family Groups

OK Drug Dangers

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