Cotinine/Nicotine testing

Hi Laura, we don't have surgeons ordering both POC cotinine and nicotine testing on preop or otherwise. Just ordering POC cotinine, but then again, 'nicotine' is not a POC order currently. Because no one came forward asking for it.
Have you found a waived (depending on CLIA in place where it would be performed) nicotine test?
We did not at the time our Plastics docs needed a test; we offered cotinine, surgeons accepted readily and have never come back asking about a nicotine test at the point of care.

When I presented the oral Cotinine test to the surgical sites any my organization, there was some concern from one of my locations on only getting a Cotinine result (instead of a Nicotine and Cotinine result).  I was asked if there was a Nicotine option by one of the surgical teams.  The only FDA cleared waived Nictoine test I know of is the NicCheck urine test which as far as I am concerned is really subjective with varying shades of pink.  There might be other FDA cleared waived Nicotine tests but that is the only one I am familiar with. 

  I appreciate your feedback that you are only testing Cotinine at your location.  It always helps to know what our peers are doing!

Laura, the product you mention is the one we've used for many years.

I dug out our initial review and consideration of using this product (2009!) and it was all about 'metabolites' but in looking at the product as it appears in a distribution 'ad' today, definitely 'to detect nicotine' is included in the product description.

I wasn't able to get the online latest IFU and I don't have the time I'd need to drive to one of the very few physical locations that we stock the kit; however, I found an online Clinical Chemistry abstract citation from Vanderbilt University. Published 2025; that team evaluated the performance of NicCheck I tst strips 'to detect nicotine and it's metabolites in urine samples'.
I've attached.
I believe this will be of interest to you if you haven't seen it yet.
Good Luck!

hvaf086.371.pdf