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Hair Drug Testing

Recently, hair testing has come to be seen as a powerful tool for the detection of drug and alcohol use. Hair provides a long-term history of drug and alcohol use by trapping biomarkers in the fibers of the growing hair strand. When collected close to the scalp, hair can provide up to approximately a 3-month history of alcohol and drug use. Hair offers a simple sample to collect, somewhat difficult to adulterate, and easy to ship. A 1.5-inch sample of about 200 strands of hair (about the size of a #2 pencil) closest to the scalp will give 100mg of hair, the ideal sample for screening and confirmation. For EtG, add-ons, and/or tests above 10 panels, 150mg of the specimen is recommended. We recommend weighing the specimen on a jeweler’s scale. If scalp hair is unavailable, an equal amount of body hair may be collected. When referring to head hair, we are referring to scalp hair only. Body hair refers to all other hair types (facial, axillary, etc.).

D/L Methamphetamine Isomer Testing

D/L Methamphetamine Isomer Testing is available upon request for specimens that test positive for methamphetamine.

At this time, cotinine and assays 15-panel and above are not available for specimens originating from the State of New York.

Hair Fact Sheet

If you are interested in lower-panel options, please reach out to us here!

 

Drug Panels

  • 19 Panel
  • 17 Panel
  • 16 Panel
  • 14 Panel
Amphetamines
amphetamine, methamphetamine, MDA, MDMA, MDEA
Cannabinoids
carboxy-Δ9-THC, native-THC (environmental exposure/special request), cannabidiol
Cocaine
benzoylecgonine, cocaethylene, cocaine, norcocaine
Opiates
6-MAM, codeine, hydrocodone, hydromorphone, morphine, norhydrocodone
Phencyclidine
phencyclindine (PCP)
Benzodiazepines
alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam
Barbiturates
amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital
Methadone
methadone, EDDP
Propoxyphene
propoxyphene, norpropoxyphene
Oxycodone
oxycodone, oxymorphone, noroxycodone
Meperidine
normeperidine
Tramadol
tramadol
Fentanyl
fentanyl, norfentanyl, alfentanil, acetyl fentanyl, acety norfentanyl, sufentanil, norsufentanil
Sufentanil
norsufentanil, sufentanil
Ketamine
ketamine, norketamine
Buprenorphine
buprenorphine, norbuprenorphine
Zolpidem
zolpidem (e.g. Ambien®)
Kratom
mitragynine, 7-hydroxymitragynine
Gabapentin
gabapentin (GABA)
*Click the green and white plus sign beside each drug class to view the substances within each class.
Add-Ons Available
Diphenhydramine
diphenhydramine
High-Potency Opioids (HPOs)
6-β-Naltrexol (naltrexone metabolite), butorphanol (e.g. Stadol®), nalbuphine (e.g. Nubain®), naloxone (e.g. Narcan®), naltrexone (e.g. Revia®)
EtG (Direct Ethanol Biomarker)
ethyl glucuronide (EtG)
Propofol Glucuronide
propofol glucuronide (e.g. Diprivan®)
Kratom
mitragynine, 7-hydroxymitragynine
Gabapentin
gabapentin (GABA)
Cotinine
cotinine, nicotine

Collection

Collection Instructions
Client Services

By Phone: 1.800.235.2367

Business Hours (CST)

Monday 6am-8pm
Tuesday 6am-8pm
Wednesday 6am-8pm
Thursday 6am-8pm
Friday 6am-8pm
Saturday 8am-5pm

Contact Client Services

Testing Details

Panel Name: HairTesting

Panel Description: Hair Testing Drug Panel

Type: Profile

Matrix: Hair

Collection Container: Foil in Secure Envelope

Sample Amount: 100 mg = 200 strands @ 1.5 inches for panels up to  9-panel, 150mg = 300 strands @ 1.5 inches for testing  10-panel and above or for any panel plus an add-on or ETG.
(We recommend weighing the specimen on a jeweler’s scale.)

Storage Conditions: Room Temperature

Transport Conditions: Ambient

Method: Initial screen and confirmation

Turnaround Time: Generally, the standard turnaround time for reporting negative screening test results is the next business day, with an additional 1-2 business days for specimens that require confirmatory testing. Turnaround time begins from receipt of the valid specimen –accompanied by a properly documented valid order– into the laboratory. Some tests require additional time to process and will fall outside the standard turnaround time window.

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Can a second test of a different specimen type be used to prove that a previously taken test was inaccurate?

No. The results of any second collected specimen have absolutely no bearing on the validity of the results of the first collected specimen. Furthermore, each matrix has its own advantages, disadvantages and limits of interpretation.

Can a hair test determine how much or how often someone is using a drug?

No. Hair is a reservoir matrix, where drugs can collect and/or degrade over time. When testing any reservoir matrix, you are unable to back-track and determine time, dosage or frequency because there are simply too many variables involved.

Can I use the reported value (the number) from a hair, nail, meconium, umbilical cord tissue, or urine test to determine how much or how often someone is using a drug (either prescription of illicit)?

No. These specimen types act as reservoir, where drugs and their metabolites may accumulate and/or degrade over time. When testing any reservoir matrix, it is impractical to back-track to determine time, dosage, or frequency. There are too many variables involved. The reported values (the numbers) have no therapeutic or clinical value. You cannot use the number to estimate how much the donor used or to what extent the donor was exposed.

Can someone test positive in hair because of passive or environmental exposure?

Yes, drugs are incorporated into hair by three major routes: environmental exposure, sweat and sebum from the scalp and blood flow through the follicle. Environmental exposure however will only generate a positive for the parent drug. Example: methamphetamine only. The other two mechanisms lay down drug and drug metabolites. Example: amphetamine/methamphetamine positive.

Can the drug test from a maternal specimen (such as maternal hair, nail or urine) differ from the result from a neonatal specimen such as neonatal urine, meconium or umbilical cord tissue?

Yes, the results can be different. Each specimen type has its own advantages, disadvantages, threshold to positivity, and detection time window. One test does not refute the other. The test results are cumulative. For instance, if the maternal urine is positive for cocaine and newborn meconium is positive for methamphetamine, the results do not rule each other out. The appropriate interpretation is that the mother consumed both cocaine and methamphetamine.

Can the reported quantitation of drug or metabolite in hair, nail, meconium, umbilical cord, or urine be used to determine the timing of the drug use, how often the donor uses the drug, or the extent of the donor’s drug use?

No, when testing a reservoir specimen type, a specimen type where analytes tend to accumulate, you may not backtrack to determine time, dosage, or frequency. The result is positive or negative for the appropriate detection window associated with the specimen type.

Does race make a difference in hair testing results?

Hair color, not race, is one of the most important variables in determining the quantity of drug found in the hair. Dark hair binds drug tighter than light hair.

Can the use of any isopropanol (rubbing alcohol) containing product explain an ethyl glucuronide (EtG) result?

No, the use of any product that contains isopropanol will NOT explain the presence of EtG. Isopropanol forms its own glucuronide, isopropyl glucuronide and does not interfere with the LC-MS/MS detection of ethyl glucuronide (EtG).

Can I use the reported value (the number) from a hair, nail, meconium, umbilical cord, or urine test to determine how much or how often someone is using a drug (either prescription or illicit)?

No. These specimen types act as a reservoir, where drugs and their metabolites may accumulate and/or degrade over time. When testing any reservoir matrix, it is impractical to back-track to determine time, dosage or frequency. There are too many variables involved. The reported values (the numbers) have no therapeutic or clinical value. You cannot use the number to estimate how much the donor used or to what extent the donor was exposed.

Does the use of Xylocaine® (lidocaine) explain a positive cocaine or cocaine metabolite in any specimen type?

No, Lidocaine will NOT explain a GCMS or LCMSMS confirmed positive cocaine or cocaine metabolite in any specimen type (blood, urine, hair, nails, meconium, umbilical cord segment, etc…). The compounds are very structurally different and breakdown into very different metabolites.

Can the drug test result from a maternal specimen (such as maternal hair, nail or urine) differ from the result from a neonatal specimen such as neonatal urine, meconium or umbilical cord tissue segment?

Yes, the results can be different. Each specimen type has its own advantages, disadvantages, threshold to positivity, and detection time window. One test does not refute the other. The test results are cumulative. For instance, if the maternal urine is positive for cocaine and newborn meconium is positive for methamphetamine, the results do not rule each other out. The appropriate interpretation is that the mother consumed both cocaine and methamphetamine.

Have results been used in court cases?

Yes, the analysis of a number of tissue types for the presence of drugs of abuse has been used in every state for decades. Specifically, our umbilical cord testing has been used to provide evidence of drug use by the mother in numerous states. Additionally, the detection of drug in umbilical cord was used as evidence of maternal drug consumption in a murder case in South Carolina and that interpretation was upheld on appeal to the SC Supreme Court.

How long can drugs be detected in body hair?

Body hair has a different growth cycle compared to head hair. Body hair may go dormant and remain in place up to one year. A positive result reflects exposure up to 12 months.

Why are both ethyl sulfate (EtS) and ethyl glucuronide (EtG) included in urine testing for alcohol use, but only EtG in fingernail or hair testing?

A: For urine testing, it is standard practice in the field of toxicology to include both EtS and EtG, because EtG is subject to bacterial production and degradation if a urine sample is contaminated (e.g. when the donor has a urinary tract infection). EtS is not subject to bacterial production or degradation, and provides a second, more reliable alcohol biomarker in these urine contamination scenarios. Other specimens types, such as fingernails and hair, do not have this issue, so only EtG is measured in those sample types.

What does a positive hair test result mean?

The only interpretation that can come from a positive hair test is that the individual used or was exposed to drug during the three months prior to collection.

Why do we test for EtG in hair and not FAEE?

FAEE is less sensitive and can produce false positives. Hairspray and other hair products can produce FAEEs in hair. There is no enzyme in our hair that can create ETG from those products.

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1.800.235.2367

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