Benzodiazepines Homogeneous Enzyme Immunoassay (HEIA™) Benzodiazepines are among the most commonly prescribed medications in the United States, being used in the treatment Target Analyte: Oxazepam (Serax®) of anxiety, pain relief, sedation and as anti-convulsants. Although more than 2,000 different benzodiazepines have 200 ng/mL Cutoff been produced, only about 15 are currently FDA-cleared in the United States. They are usually classified by how long their Semi-Quantitative or Qualitative Testing effects last. Ultra-short acting – midazolam (Versed®), triazolam (Halcion®) Accurate and Reliable Short-acting – alprazolam (Xanax®), lorazepam (Ativan®) Long-acting – chlordiazepoxide (Librium®), diazepam (Valium®) Liquid, Ready to Use Common Brand Names: Xanax®, Valium®, Ativan®, Serax® Abuse Potential: Benzodiazepines have a high potential for abuse, especially when used with other depressants. This abuse is partially related to the toxic effects that they produce and also to their widespread availability. They can be chronically abused or, as seen more commonly in hospital emergency departments, intentionally or accidentally taken in overdose. Death and serious illness rarely result from benzodiazepine abuse alone; however, they are frequently taken with either alcohol or other medications. Versed® and Librium® are registered trademarks of Roche Laboratories, Halcion® and Xanax® are registered trademarks of Pharmacia & Upjohn, Ativan® is a registered trademark of American Home Products Corp., Valium® is a registered trademark of Roche Products, Serax® is a registered trademark of Wyeth Laboratories. Tel 909.482.0840 | Toll Free 888.664.8378 | Fax 909.482.0850 www.immunalysis.com ISO 13485:2003 CERTIFIED Benzodiazepines (HEIA™) Assay Specifications Cross-Reactivity Methodology: Homogeneous Enzyme Immunoassay Cutoff: 200 ng/mL Calibrator Range: 0-1000 ng/mL Analyte Analyte Conc. (ng/mL) Oxazepam α-hydroxyalprazolam Alprazolam 7-Aminoclonazepam 7-Aminoflunitrazepam 7-Aminonitrazepam Bromazepam Chlordiazepoxide Clorazepate Clobazam Clonazepam Demoxepam Desalkylflurazepam Diazepam Estazolam Flunitrazepam Flurazepam Lorazepam Lorazepam Glucuronide Lormetazepam Medazepam Midazolam Nitrazepam Norchlordiazepoxide Nordiazepam Oxazepam Glucuronide Prazepam Temazepam Temazepam Glucuronide Triazolam Nominal Distribution % Overlap: Benzodiazepines (200 ng/mL Cutoff) Rate (ΔmA/min) Recovered Concentration (ng/mL) Analytical Recovery: Benzodiazepines Benzodiazepines Equiv. (ng/mL) 200 110 100 90,000 4,500 30,000 650 2,000 225 550 200 6,000 85 125 275 150 165 100 375 60 550 50 750 2,000 180 1,500 125 125 700 70 Cross-Reactivity (%) 200 188 193 213 212 191 198 185 184 212 192 187 194 191 212 208 199 205 213 205 200 203 187 195 217 194 187 197 195 210 100.00 170.90 193.00 0.20 4.70 0.60 30.50 9.30 81.80 38.50 96.00 3.10 228.20 152.80 77.10 138.70 120.60 205.00 56.80 341.70 36.40 406.00 24.90 9.80 120.56 12.90 149.60 157.60 27.90 300.00 No interference was observed by the addition of concentrations up to 100,000 ng/mL of the following potentially interfering substances. Acetaminophen, Acetylsalicylic Acid, Benzoylecgonine, Caffeine, Diphenhydramine and Methadone were added up to 500,000 ng/mL. Spiked Concentration Benzodiazepines (ng/mL) LC-MS/MS Confirmation (200 ng/mL) HEIA (200 ng/mL) Positive Negative Positive 25 0 Negative 8 47 ORDER - Benzodiazepines (HEIA) 4-bromo-2,5-dimethoxyphenethylamine, 6-Acetylcodeine, 6-Acetylmorphine, Acetaminophen, Acetylsalicyclic Acid, Amitriptyline, Amobarbital, S-(+)-Amphetamine, Benzoylecgonine, Benzylpiperazine, Buprenorphine, Bupropion, Butabarbital, Caffeine, Carbamazepine, Chlorpromazine, cis-Tramadol, Clomipramine, Cannabidiol, Cannabinol, Carisoprodol, Cocaine, Codeine, Cotinine, Cyclobenzaprine, Delta-9-THC, Desipramine, N-desmethyltapentadol, Dextromethorphan, Dihydrocodeine, Diphenhydramine, Doxepin, Ecgonine, Ecgonine methyl ester, EDDP, 1R,2S(-)-Ephedrine, 1S,2R(+)-Ephedrine, Ethyl β-D-glucuronide, Ethylmorphine, Fenfluramine, Fentanyl, Fluoxetine, Heroin, Hexobarbital, Hydrocodone, Hydromorphone, 11-hydroxy-delta-9-THC, Ibuprofen, Imipramine, Ketamine, Lamotrigine, Levorphanol Tartrate, Lidocaine, LSD, Maprotiline, (+)-MDA, MDEA, MDMA, Meperidine, Meprobamate, Methadone, S(+)-Methamphetamine, Methaqualone, Methylphenidate, Morphine, Morphine-3-glucuronide, Morphine-6-glucuronide, Nalorphine, Naloxone, Naltrexone, Norbuprenorphine, Norcodeine, Normorphine, Norpropoxyphene, Norpseudoephedrine, Nortriptyline, Oxycodone, Oxymorphone, PCP, Pentazocine, Pentobarbital, Phentermine, Phenobarbital, Phenylephedrine, Phenylpropanolamine, Phenytoin, PMA, Proproxyphene, Propranolol, Protriptyline, R,R(-)-Pseudoephedrine, S,S(+)-Pseudoephedrine, Ranitidine, Ritalinic Acid, Salicylic Acid, Secobarbial, Sertraline, Sufentanil Citrate, 11-nor-9-carboxy THC, Theophylline, Thioridazine, Trifluoromethylphenyl piperazine, Trimipramine, Trazodone, Venlafaxine, Zolpidem Tartrate Semi-Quantitative Precision (200 ng/mL) Interday Precision (N = 80) Concentration (ng/mL) Mean Concentration (ng/mL) CV% 50 47.0 12.4 100 99.7 6.2 150 Control LOW 145.2 4.6 Catalog # Description 200 202.6 3.5 314UR-0025 / -0100 / -0500 25 mL / 100 mL / 500 mL Kit 250 Control HIGH 268.1 3.6 300 308.6 2.7 350 347.5 2.7 400 398.9 2.5 For calibrator and control set information, please refer to the product insert. For Forensic Use Only Information on Qualitative Testing is provided in the product insert. ©2015 Immunalysis Corporation. All rights reserved. Immunalysis, Immunalysis Logo and HEIA are trademarks of Immunalysis Corporation. MKT-1103-IMM REV. A
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