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TML One Step Tramadol Test
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SUMMARY

Tramadol(TML) is a quasi-narcotic analgesic used in the treatment of moderate to severe pain. It is a synthetic analog of codeine, but has a low binding affinity to the mu-opioid receptors. Large doses of tramadol can develop tolerance and physiological dependency and lead to its abuse. Tramadol is extensively metabolized after oral administration. Approximately 30% of the dose is excreted in the urine as unchanged drug, whereas 60% is excreted as metabolites. The major pathways appear to be N- and O- demethylation, glucoronidation or sulfation in the liver.

DIRECTIONS FOR CASSETTE USE
Allow the test, urine specimen, and/or controls to reach room temperature (15-30°C) prior to testing.
1. Bring the pouch to room temperature before opening it. Remove the test cassette from the sealed pouch and use it within one hour. 
2. Place the test cassette on a clean and level surface. Hold the dropper vertically and transfer 3 full drops of urine (approx. 120μL) to the specimen well (S) of the test cassette, and then start the timer. Avoid trapping air bubbles in the specimen well (S). See the illustration below.
3. Wait for the colored line(s) to appear. Read results at 5 minutes. Do not interpret the result after 10minutes. 


DIRECTIONS FOR PANEL USE
Allow the test, urine specimen, and/or controls to reach room temperature (15-30°C) prior to testing.
1. Remove the test panle from the sealed pouch and use it within one hour. 
2. Remove the cap. 
3. With the arrow pointing toward the urine specimen, immerse the test panel vertically in the urine specimen for at least 10 to 15 seconds. Immerse the strip to at least the level of the wavy lines, but do not touch the plastic device.
4. Replace the cap and place the test panel on a non-absorbent flat surface.
5. Start the timer and wait for the colored line(s) to appear.
6. The result should be read at 5 minutes. Do not interpret the result after 10 minutes.



DIRECTIONS FOR STRIP USE
Allow the test, urine specimen, and/or controls to reach room temperature (15-30°C) prior to 
testing.
1. Bring the pouch to room temperature before opening it. Remove the test Strip from the sealed pouch and use it within one hour. 
2. With arrows pointing toward the urine specimen, immerse the test Strip vertically in the urine specimen for at least 10-15 seconds. Do not pass the maximum line (MAX) on the Test Strip when immersing the strip. See the illustration below. 
3. Place the test Strip on a non-absorbent flat surface, start the timer and wait for the colored line(s) to appear. Read results at 5 minutes. Do not interpret the result after 10 minutes.