Lab test

Nicotine Urine Test - Nicotine Testing

This urine test measures nicotine and its metabolites, including cotinine, to assess recent exposure to tobacco or other nicotine products.

Typical price
From $159
Results
1-3 business days
Preparation
See preparation notes below
Sample
Blood draw or sample collection at a local center

About this test

This urine test measures nicotine and its metabolites, including cotinine, to assess recent exposure to tobacco or other nicotine products. It is commonly used to monitor the success of smoking cessation programs, check for nicotine use in clinical or wellness settings, and detect passive exposure. Because nicotine is broken down quickly while cotinine lingers longer, the combination gives a practical picture of recent use. The test does not measure the health effects of tobacco; it shows whether nicotine has been used.

What this test measures

  • Nicotine The parent compound in tobacco and nicotine products, detectable briefly after use.
  • Cotinine The main nicotine metabolite and the primary marker of recent nicotine exposure in urine.

Who this test may be right for

  • People enrolled in a smoking cessation program
  • Individuals whose provider is monitoring nicotine abstinence
  • Patients being assessed for nicotine exposure
  • People concerned about secondhand smoke exposure

Before your visit

  • No special preparation is usually needed
  • Avoid nicotine products before collection if abstinence is being checked
  • Disclose nicotine replacement products and medications
  • Follow any specific instructions from your program

Understanding your results

Detectable nicotine or cotinine indicates recent nicotine exposure from smoking, vaping, smokeless tobacco, nicotine replacement, or secondhand smoke. Lower levels may reflect lighter or passive exposure. Because detection times vary with use and individual metabolism, results are interpreted in context. Discuss your urine nicotine result and what it means for your health goals with a healthcare provider.

Order this test online

  • Buy online in a few minutes - no doctor's visit needed for most tests.
  • Sample collection at a patient service center near you.
  • Results are typically ready within 1-3 business days.
  • Secure, lab-reviewed results delivered to your account.
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Questions people ask

What nicotine marker does this urine test look for?

It looks for nicotine and its main metabolite, cotinine. Cotinine is the more useful marker because it stays in the body longer after nicotine use.

How is a nicotine urine test used in cessation programs?

It can confirm abstinence or detect continued use, giving a program objective information to support a person's quit plan.

Can passive smoking cause a positive nicotine urine test?

Yes. Secondhand smoke can produce detectable nicotine and cotinine, though usually at lower levels than active use.

How long does nicotine stay detectable in urine?

Nicotine clears quickly, while cotinine can remain detectable for a few days depending on use, metabolism, and the test.

What does the Nicotine Urine Test - Nicotine Testing measure?

This urine test measures nicotine and its metabolites.

Do I need to fast before this test?

Follow the lab's instructions.

How long do results take?

Most Nicotine Urine Test - Nicotine Testing results are released in 1-3 business days. Specialty testing can take longer.

Is this test right for me?

This page is educational and not medical advice. Talk to a licensed healthcare provider about which tests fit your situation.

Ready to book? Order online, then visit a patient service center for your sample collection.

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