Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025
Nicotine addiction is a behavioral and psychological condition typically diagnosed through clinical assessment and standardized questionnaires. There is no blood test that can definitively diagnose nicotine addiction itself; however, laboratory testing plays a valuable role in measuring nicotine exposure and assessing usage patterns.
This test measures both nicotine and cotinine levels in urine using advanced LC/MS/MS technology. Cotinine is the primary metabolite of nicotine and remains detectable longer than nicotine itself. High levels of urinary cotinine can indicate heavy use of tobacco products and potential nicotine addiction, making this test valuable for assessing the extent of tobacco exposure and monitoring cessation efforts.
Laboratory tests can objectively measure the levels of nicotine and its metabolites in the body, providing concrete evidence of tobacco use and helping healthcare providers understand the extent of exposure. This information can be fundamental for developing appropriate cessation strategies and monitoring progress during treatment.
Cotinine levels can help distinguish between light, moderate, and heavy tobacco use. While these measurements don't diagnose addiction, they provide objective data that healthcare providers can use alongside clinical assessment to develop personalized treatment plans for smoking cessation.
The information here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for diagnosis and treatment of nicotine addiction.