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Tianeptine/Creatinine Ratio, Urine

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

A urine test that measures tianeptine relative to creatinine, helping assess drug exposure while accounting for differences in urine concentration.

Quick summary

["This test can help determine whether tianeptine is present in the urine and interpret its level relative to urine concentration."]

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

Key facts at a glance

LOINC
101795-3
Short code
Tianeptine/Creat Ur Cfm
Synonyms
Tianeptine/Creat Ur Cfm
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
confirm
CPT
85610
SNOMED
396252006
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 tianeptine, an antidepressant medicine, in urine and compares it with the amount of creatinine in the same sample. Creatinine is a waste product commonly used to help account for how concentrated a urine sample is.

Why might I need this test?

A clinician may order this test to assess recent tianeptine exposure, monitor medication use, or evaluate concerns about adherence. It may also be used as part of a broader drug-testing program when use of tianeptine is uncertain.

How is the test performed?

A urine specimen is collected and analyzed in the laboratory to determine the tianeptine and creatinine amounts. The laboratory then reports the tianeptine-to-creatinine ratio.

How do I prepare for the test?

Follow the collection instructions provided by the laboratory or clinician. Tell the healthcare team about all medicines and supplements you take, and do not stop or change tianeptine or other medicines unless your clinician instructs you to do so.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: urine

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A detectable result generally indicates that tianeptine was present in the urine at the time of collection. A high or low ratio may reflect differences in medication dose, timing, urine concentration, kidney function, or individual metabolism, so results should be interpreted alongside the clinical history. The test alone cannot establish the exact dose taken, the time it was taken, or whether misuse occurred.

Short name

Urine tianeptine-to-creatinine ratio

Frequently asked questions

Does this test show how much tianeptine I am taking?
Not precisely. The result can indicate drug exposure, but urine levels vary with dose, collection timing, hydration, metabolism, and kidney function.
Why is creatinine included in the result?
Creatinine is used as a reference measure for urine concentration. Comparing tianeptine with creatinine can make results less dependent on whether the urine is dilute or concentrated.
Will this test detect other antidepressants or drugs?
No. This test is specific for tianeptine; additional tests are needed to evaluate other medicines or substances.
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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