Pubdate: Sun, 10 Oct 2004 Source: Wisconsin State Journal (WI) Copyright: 2004 Madison Newspapers, Inc. Contact: http://www.wisconsinstatejournal.com/ Details: http://www.mapinc.org/media/506 Author: Beth Williams, Wisconsin State Journal Bookmark: http://www.mapinc.org/testing.htm (Drug Testing) Bookmark: http://www.mapinc.org/youth.htm (Youth) DRUG TEST KITS: SHOULD PARENTS USE THEM? Some Say They Don't Always Work And That Talking To Children About Abuse Is The Most Effective Way To Prevent Abuse. (first And Third Editions) Drug Test Kits: Should Parents Use Them? Some Say They Don't Always Work And That Talking To Children About Drug Abuse Is The Most Effective Way To Prevent It. (second Edition) Is keeping your children off drugs as simple as an at-home test kit? A national drugstore chain is promoting just that. But a Dane County doctor and others are cautioning parents that the tests don't always work and that talking to children about drugs is still the most effective way to prevent abuse. "My nightmare is a parent getting one of these false positives and doing something abusive to a child," said Dr. Teresa Darcy, medical director of clinical labs at UW Hospital. Darcy said drug test results are often tricky to decipher. Walgreen Drug Stores is promoting the At Home Drug Test kit as a deterrent parents can use to keep their children drug free. Local Walgreens pharmacists referred questions to the company's Deerfield, Ill., office. A spokesperson there did not return phone or e-mail requests for comment made since Wednesday. The ad, which ran in the Wisconsin State Journal and The Capital Times on Wednesday, argues that the test could keep children drug free without parents even opening the kit. "And, simply knowing you have it gives your kids a powerful weapon to fight peer pressure and avoid substance abuse," the ad reads. Teens here were quick to disagree. "If somebody wants to do drugs, nobody can stop them," said Adam Albright, 16, a sophomore at Madison's Memorial High School. San Diego-based Phamatech, which makes the tests advertised by Walgreens, markets them as a way to stop drug experimentation. "We feel the At Home Drug Test gives parents a convenient and inexpensive method to open communications and, if necessary, use the product as a tool to confirm suspected drug use in their children," Phamatech Vice President Carl Mongiovi said in a statement announcing the kits in 1999. "Hopefully it can deter kids from experimenting with drugs at all." Though the tests still aren't big sellers here, Madison pharmacist Peter Kiesch said more people are becoming interested in the tests because their costs are coming down and many can now offer nearly instant results instead of waiting for mail-in lab results. The Walgreens products to test for cocaine, marijuana and other drugs cost between $15 and $30. "I think rather than resorting to (testing) it's more important to work on communication and the root of the problem," said Mary Whitcomb, whose three teens attend Memorial High School. "I think it's pretty sad for a kid to feel like their parent doesn't trust them." It has nothing to do with trust, said Kathy Sorenson, program director of the non-profit Project Hugs, a group that advocates for parents of children with drug and alcohol problems. "Some of these ads almost make you feel like you're a bad parent if you don't (test)," Sorenson said. "I just say save your money." That's because, Sorenson said, even a positive drug test won't tell parents what's wrong with their child because it doesn't answer why the child is using. And she doubted that troubled teens would comply with the test anyway. Sorenson and Darcy both encourage parents to seek professional help by calling their child's school or family doctor. The Phamatech tests advertised by Walgreens were among the first at-home drug tests approved by the federal Food and Drug Administration in 1998. "FDA approval doesn't mean they have to work, it just means whatever the manufacturer claims (in terms of accuracy), the government can reproduce," Darcy said. For FDA approval, manufacturers list a percentage of the time the test can determine if the particular drug is present. But certain foods and other drugs can easily throw that off, Darcy said. In a lab, doctors and others are trained to look for that and can often determine if the result is false, Darcy said. To prevent these false positives, some of these drug tests can also miss smaller amounts of the drug. "What we see is a huge number of tests being marketed over the Internet that are not being approved," Darcy said. Phamatech makes tests for marijuana, cocaine and multiple drugs. Their tests, which Walgreens keeps near the diabetic testing supplies, use a test strip that changes color in urine to indicate the presence or absence of drugs. Tests can be mailed in for laboratory confirmation, and parents can call a toll-free phone number for referrals to drug treatment professionals. Phamatech company officials could not be reached for comment. Their tests are not the only versions available. Larger pharmacies often carry the tests and smaller independent pharmacies can often order them, said pharmacist Tony Peterangelo of McFarland Pharmacy. Peterangelo, who has worked at 10 Dane County pharmacies, said he can recall being asked once a couple of years ago about the tests. The various tests can use test strips that change color in urine, mouth swabs or even hair samples sent in for laboratory analysis. At Community Pharmacy, 341 State St., the do-it-yourself drug tests cost anywhere from $21 to about $57. "We don't sell many of these," pharmacist Peter Kiesch said. "Mostly these are used by people who want to make sure they're clean for a job." Lt. Brian Ackeret of the Dane County Narcotics and Gang Task Force said law enforcement hasn't had much of a problem with people trying to use these products to defeat police tests. But Ackeret offered this advice to parents trying to steer their children away from illegal drugs. "The one thing that seems to be the biggest success in terms of teens or pre-teens and drug use is parents communicating with their children," Ackeret said. "Keep your eyes open and lines of communication with your children." - --- MAP posted-by: Derek