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Mental Health Services Administration (SAMHSA) in the United States has included saliva drug testing as an approved alternative to urine testing in its Mandatory Guidelines for Federal Workplace Drug Testing Programs. Similarly, the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) has recommended the use of saliva drug testing for roadside drug testing.
It's important to note that the use of saliva drug testing may be subject to regulatory and legal restrictions in certain jurisdictions, and should be performed in accordance with local laws and regulations. Additionally, the accuracy of saliva drug testing can be affected by various factors, such as the collection method, the type of drug being tested, and the frequency of drug use. Therefore, it's important to use saliva drug testing in conjunction with other testing methods and to interpret the results in the context of other clinical and behavioral factors.
References and Sources
1. U.S. Food and Drug Administration. "Medical Devices." Accessed October 22, 2021. https://www.fda.gov/medical-devices.
2. European Medicines Agency. "Medical Devices." Accessed October 22, 2021. https://www.ema.europa.eu/en/human-regulatory/overview/medical-devices.
3. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. "Mandatory Guidelines for Federal Workplace Drug Testing Programs." Accessed October 22, 2021. https://www.samhsa.gov/workplace/resources/drug- testing/mandatory-guidelines.
4. European Monitoring Centre for Drugs and Drug Addiction. "Drug Testing in Oral Fluid." Accessed October 22, 2021. https://www.emcdda.europa.eu/publications/topic- overviews/drug-testing-in-oral-fluid_en.
5. Vindenes, V. et al. "Oral fluid drug testing in Norway - An overview of the results from the first three years." Forensic Science International. 2014; 246: 97-106.
6. Kintz, P. "Saliva as a matrix for drug testing: physiological and pathological factors affecting interpretation." Journal of Chromatography B. 2002; 797(1-2): 267-277.
7. Huestis, M.A. et al. "Cannabinoid disposition in oral fluid after controlled smoked cannabis." Clinical Chemistry. 1996; 42(5): 757-763.
8. Lee, D. et al. "Saliva as a non-invasive specimen for detection of illicit drugs in drug treatment patients." Journal of Substance Abuse Treatment. 2004; 27(1): 59-65.
9. Cone, E.J. et al. "Oral fluid testing for drugs of abuse." Clinical Chemistry. 1997; 43(11): 1915-1933.
10. Wang, M. et al. "A liquid chromatography-tandem mass spectrometry method for the simultaneous quantification of THC, THC-COOH, CBD, and CBN in oral fluid." Journal of Analytical Toxicology. 2014; 38(7): 390-395.
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