Drug Testing Locations - Converse, SC

Drug Testing in Converse, SC

Converse, South Carolina Statistics

In Spartanburg County, which includes Converse, SC, opioid prescriptions decreased by 10% from 2019 to 2020.

Converse, SC saw a 15% increase in drug-related ER visits from 2018 to 2019.

Spartanburg County reported a 20% increase in opioid overdose deaths in 2020 compared to previous years.

In 2019, local law enforcement in Spartanburg County reported over 300 drug-related arrests.

Substance abuse treatment admissions in Spartanburg County rose by 8% from 2018 to 2019.

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 Converse, SC & Drug Testing Policies

Employers in Converse, SC, including manufacturing and retail sectors, often implement drug testing policies to maintain workplace safety. These policies may include pre-employment and random drug screenings, in alignment with federal standards set by U.S. Department of Labor.

Companies often collaborate with local organizations to provide employees access to substance abuse education and intervention programs, enhancing overall workplace health in Converse.

The adoption of comprehensive substance policies ensures that businesses can thrive in a safe and productive environment, benefiting both employers and employees in the local community.

Government Efforts with Drug Problems in Converse, SC

The government of Converse, SC and Spartanburg County have implemented various programs to combat drug abuse. Initiatives include expanding access to South Carolina Department of Health and Environmental Control resources and collaborating with community organizations to offer educational programs.

State efforts include the Just Plain Killers initiative which aims to raise awareness and reduce opioid abuse. These efforts have been crucial in addressing the community's drug concerns.

Local Drug Busts & News in Converse, SC

Converse, SC has experienced several drug-related events, including a major drug bust in Spartanburg County in 2020, which led to the seizure of significant quantities of illegal substances and multiple arrests.

Local law enforcement agencies regularly conduct operations targeting drug distribution networks, often in collaboration with state and federal agencies to curb drug activities effectively.

Community events focused on drug prevention and education are also organized, fostering awareness and encouraging community members to stay informed about drug-related issues in Converse.

Occupational Health Services

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

South Carolina DOT/Non DOT Physicals

South Carolina Vision Tests

South Carolina Audiograms

South Carolina Respirator Fit Tests

South Carolina Lift Tests

South Carolina Background Checks

Clinical Testing Services

TB Testing in SC

Diabetes Testing in SC

Infectious Disease Testing in SC

Sickle Cell Anemia Testing in SC

Women/Men's Health Testing in SC

Resources & Citations

South Carolina Department of Alcohol and Other Drug Abuse Services

Behavioral Health Services Association of South Carolina

Magnolia SC

Phoenix Center

Faces and Voices of Recovery - Upstate

Spartanburg Regional Healthcare System Behavioral Health Services

Carolinas Recovery Program

South Carolina Rethink Addiction Resources

Drug Testing Near Converse, SC

Southern Shops, SC

Macedonia, SC

Pacolet, SC

Central Pacolet, SC

Pacolet Mills, SC

Valley Falls, SC

Saxon, SC

Carlisle, SC

Mayo, SC

Spartanburg, SC

Cowpens, SC

Clifton, SC

Frequently Asked Questions

Customer Reviews