Antidepressants

Does a drug test detect O-desmethylvenlafaxine?

Yes. O-desmethylvenlafaxine is one of the 76 compounds in the LabX LC-MS/MS confirmation panel, reported as detected at or above 50 ng/mL. It is a breakdown product of venlafaxine (Effexor). O-desmethylvenlafaxine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

50 ng/mLLaboratory cut-off
50–5,000 ng/mLReportable range
LC-MS/MSConfirmation method

What is O-desmethylvenlafaxine?

O-desmethylvenlafaxine is the main active metabolite of venlafaxine. It is also prescribed in its own right as desvenlafaxine.

Also known as or found in: desvenlafaxine, Pristiq.

Medical use

As desvenlafaxine, it is prescribed for depression.

Because O-desmethylvenlafaxine comes from Venlafaxine, the two are reported side by side and read together.

How LabX tests for O-desmethylvenlafaxine

O-desmethylvenlafaxine is measured by liquid chromatography with tandem mass spectrometry (LC-MS/MS), which separates the compounds in a sample and identifies each one by its mass. That is different from a rapid screen, which reacts to a family of drugs and can occasionally react to a related substance. The laboratory reports O-desmethylvenlafaxine as detected when its concentration is at or above the cut-off of 50 ng/mL, within a reportable range of 50–5,000 ng/mL. It is one of 14 compounds in the antidepressants family on the 76-drug confirmation panel.

Detection window

The laboratory's confirmation report does not print a standard detection window for O-desmethylvenlafaxine. How long any compound stays measurable varies with the amount taken, how often it is used, metabolism and hydration, and a laboratory result cannot be used to work out when a substance was taken.

Screen versus confirmation

O-desmethylvenlafaxine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

Worth knowing

Because it can come from venlafaxine or from desvenlafaxine, this result is interpreted alongside the person's prescription history.

About this drug family

Commonly prescribed antidepressants and their metabolites. They are not part of standard drug screens and are identified when a clinician needs a full medication picture.

Common questions

Does a drug test detect O-desmethylvenlafaxine?

Yes. O-desmethylvenlafaxine is one of the 76 compounds in the LabX LC-MS/MS confirmation panel, reported as detected at or above 50 ng/mL. It is a breakdown product of venlafaxine (Effexor). O-desmethylvenlafaxine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

What is the laboratory cut-off for O-desmethylvenlafaxine?

LabX reports O-desmethylvenlafaxine as detected at or above 50 ng/mL, and the method's reportable range is 50–5,000 ng/mL. A result below the cut-off is reported as not detected; it does not prove none was present.

How long can O-desmethylvenlafaxine be detected?

The laboratory report does not print a standard window for O-desmethylvenlafaxine. Detection time varies with dose, frequency of use, metabolism and hydration.

Can a 12-panel drug screen detect O-desmethylvenlafaxine?

O-desmethylvenlafaxine is not one of the 12 lines on the LabX 12-panel screen. It is identified by adding laboratory confirmation, which tests for all 76 compounds on the panel.

Is O-desmethylvenlafaxine a prescription medicine?

As desvenlafaxine, it is prescribed for depression.

What drug does O-desmethylvenlafaxine come from?

O-desmethylvenlafaxine is a breakdown product of venlafaxine (Effexor). Laboratories measure it because it shows the parent drug was actually processed by the body.

Related compounds

Terms on this page: metabolite Β· cut-off Β· detection window Β· presumptive result Β· confirmation test. More questions: LabX answers.

Test for O-desmethylvenlafaxine and 75 other compounds

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At-home drug tests and test kits are not currently available to addresses in New York, New Jersey, Rhode Island or California. Results are not a diagnosis β€” review them with a licensed physician.

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Talk to a licensed physician. LabX Diagnostics and Vantage provide laboratory testing only. The information on this page is educational and is not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about test results, symptoms or medicines, and before making any health decision. If you think you may have a medical emergency, call 911. Read our medical disclaimer.

Medical disclaimer. LabX Diagnostics and Vantage provide laboratory testing only. Test results and information on this site are for informational purposes and are not medical advice, diagnosis or treatment. Always consult a licensed physician or other qualified healthcare provider about your results and before making any health decision. If you think you may have a medical emergency, call 911. Read the full disclaimer.

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