The effect of creatine ingestion on urinary creatinine concentration: Does supplementation mask a heavy dilution?


Journal

Drug testing and analysis
ISSN: 1942-7611
Titre abrégé: Drug Test Anal
Pays: England
ID NLM: 101483449

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 03 09 2021
received: 27 07 2021
accepted: 15 09 2021
pubmed: 25 9 2021
medline: 24 3 2022
entrez: 24 9 2021
Statut: ppublish

Résumé

A high volume of fluid can strongly reduce a drug's concentration in urine. Therefore, to detect diluted samples, the concentration of creatinine in urine is determined during testing drugs of abuse. If the concentration is below 20 mg creatinine/dl urine, the urine sample is usually rejected for drug testing. It should be examined whether creatine or creatinine ingestion can mask urine dilution by increasing the creatinine concentration. A total of 18 subjects drank 1.3 L of water and 0.2 L of orange juice on each of the three testing days: (1) without creatine, (2) with 20 g of creatine, and (3) with 20 g of creatine following incubation for 4 days in orange juice at room temperature; an acidic environment should promote conversion of creatine to creatinine. The lowest creatinine concentrations in urine were observed on average 2 h after fluid intake. At that time, ingestion of fluid without creatine, with creatine, and with creatine(ine)-orange juice mixture resulted in mean values of 11.6, 22.5, and 28.3 mg creatinine/dl urine, respectively. It can be concluded that ingestion of creatine or creatinine can increase the concentration of creatinine in urine and thus mask dilution of a sample. The conversion of creatine in orange juice further increases availability of creatinine as it is obvious from urine creatinine concentration. Therefore, creatine ingestion during drug testing will give rise to negative results due to matrix adulteration. In a case of suspected creatine supplementation, the creatine content of the sample should be determined in addition to creatinine.

Identifiants

pubmed: 34559477
doi: 10.1002/dta.3165
doi:

Substances chimiques

Water 059QF0KO0R
Creatinine AYI8EX34EU
Creatine MU72812GK0

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

162-168

Informations de copyright

© 2021 John Wiley & Sons, Ltd.

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Auteurs

Simon Franz (S)

Forensic Toxicological Center (FTC) Munich, Munich, Germany.

Gisela Skopp (G)

Forensic Toxicological Center (FTC) Munich, Munich, Germany.

Frank Musshoff (F)

Forensic Toxicological Center (FTC) Munich, Munich, Germany.

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