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Methadone (Body-Mass-Adjusted) and Creatinine, Urine — Mass Concentration

Published: August 9, 2026Updated: August 16, 2026

A urine test measuring methadone and creatinine. Methadone may be adjusted for body mass, while creatinine helps account for differences in urine concentration.

Quick summary

["This test can help assess recent methadone exposure, treatment monitoring, and possible drug accumulation."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
78770-5
Short code
Methadone adj bodymass+crea Ur-mCnc
Synonyms
Methadone adj bodymass+crea Ur-mCnc
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures the amount of methadone in a urine sample. It may also measure urinary creatinine and adjust the methadone result for body mass, which can help make results more comparable between people.

Why might I need this test?

A clinician may order this test to monitor methadone treatment, check adherence, assess possible toxicity, or evaluate an unexpected result. It may also be used when there is concern about drug interactions or excessive sedation.

How is the test performed?

You provide a urine sample, which is analyzed in a laboratory to determine the methadone and creatinine concentrations. If the report includes a body-mass adjustment or creatinine comparison, your clinician will interpret it along with your dose, timing, and other findings.

How do I prepare for the test?

Fasting is usually not required, but collection time and instructions from the laboratory are important because methadone levels can change throughout the day. Take methadone and other medicines as prescribed unless your clinician tells you otherwise, and tell the clinician about medications or supplements you use.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher methadone concentration may reflect recent dosing, a high dose, slow metabolism, drug interactions, or medication accumulation. A lower result does not always mean that methadone was not taken because timing, urine concentration, and individual metabolism can affect the result. Creatinine and body-mass adjustments can make the result more useful, but the clinician must interpret it with the clinical situation.

Short name

Urine Methadone and Creatinine

Frequently asked questions

What does a body-mass-adjusted methadone result mean?
It means the measured urine methadone concentration is calculated in a way that accounts for body size. The adjustment can make results easier to compare across people, but it does not replace clinical judgment.
Why is creatinine measured with urine methadone?
Creatinine helps show how concentrated or dilute the urine sample is. This can help a clinician interpret the methadone concentration more accurately.
Does a high urine methadone level always mean an overdose?
No. A high level may be expected depending on the dose and timing, but it can also suggest accumulation or a risk of excessive effects. Your clinician should interpret the result using symptoms, medications, and your treatment history.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy