Thursday, May 2, 2024

Hair follicle drug test: How it works, what to expect, and accuracy

how far back does a hair follicle test detect drugs

The collector secures the hair sample in foil and completes chain of custody documentation in preparation for shipment to the testing laboratory. A hair follicle drug test, or a hair drug test, is done to screen a person for illicit drug use. It is also used to determine misuse of prescription medication by a person. If a drug test result is positive, a health care provider may ask questions to evaluate the patient for a substance use disorder or addiction. Regardless of whether a patient meets the criteria to be diagnosed with a substance use disorder, treatment is available for drug use and misuse. Collecting a sample of hair at a laboratory or at home involves cutting a lock of hair about the thickness of a pencil from the back of the head using scissors.

When should I get a hair follicle drug test?

However, the Schneider hair follicle test is not foolproof, as lawsuits and studies prove. Individuals can also test positive if they’ve been in the presence of or in the same room as cocaine users. A negative result indicates that the drugs tested for are not present or are not present in a high enough quantity to detect.

Ask a Laboratory Scientist

Detection times may depend on the type of drug, how much the person took, and how fast their metabolism works. Detection times refer to the amount of time it takes for the body to get rid of the byproducts of the drugs. Doctors may prescribe these drugs for certain medical issues, but they also have a risk of abuse. Many administrators prefer to use urine tests because of the accuracy and simplicity of the process.

Why Choose Hair Testing Over Urine Testing

A urine drug test can only detect drugs if you have used them in the past three days. A hair follicle test can detect drugs used in the last 90 days preceding the test. Follow-up testing after a hair follicle drug test depends on the test results and the purpose of drug testing. If only an initial test was performed, a confirmatory test may be ordered to confirm preliminary results. A common misconception of a hair drug test is that the test requires a sample of the actual hair follicle.

How Much Does a Hair Follicle Drug Test Cost?

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Our subject-matter experts are happy to share our perspective and insights with members of the press. Religious groups, including the Sikh community, have also objected to the screening practice since maintaining uncut hair is a primary expression of their faith. Hair follicle testing was first discovered in 1979 and came into practice as a commercial means to detect drug abuse in 1986. Hair follicle testing is used by employers to screen job candidates and employees for drug use.

A positive result means the drug or metabolite was found in the hair sample. All laboratories have no standard positive cutoff values, which may vary among labs. In a laboratory, a procedure called enzyme-linked immunosorbent assay (ELISA) is performed on the hair sample. The metabolites of a drug react to the test to show a positive, negative, or invalid response. The test can pick up drugs or drug metabolites inside the hair shaft that have been deposited through the bloodstream. Like urine tests, the drugs that can be detected will vary depending on the chosen panel.

Do I need follow-up tests?

Results of hair follicle drug testing are generally available within a few business days after the laboratory receives the sample. Processing times vary, so patients may find it helpful to ask their doctor or the laboratory when to expect results. The purpose of a hair follicle drug test is to detect evidence of drug use or misuse in a sample of a person’s hair. Drug misuse describes using prescription drugs in a manner that isn’t prescribed by a doctor or using legal substances in an unhealthy way.

how far back does a hair follicle test detect drugs

Detection Window for a 10-Panel Urine Test

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Opioids are detectable in urine for one to five days; in hair, the time frame is four to six months. Once received by the laboratory, the hair sample may be washed prior to testing. Specialized methods of washing the hair sample remove some external contaminants, dirt, and grease from the surface of the hair. Many parents consider using drug testing as a tool to prevent or confirm the use or misuse of drugs in children and adolescents.

Often called a hair follicle test, this is not the correct terminology. Testing a hair follicle would involve plucking hair out of the scalp. The laboratory tests the drug metabolites that are embedded into the hair. If a hair drug test is required for employment, the individual who shaved their entire body will not be eligible for the jog.

For EtG hair testing and for 12 or more drug panels, additional hair is needed 150 mg is recommended. Hair can be collected from several body locations (excluding pubic areas) and combined to obtain the required amount of hair. For body hair, collect at least 100mg of hair and more if the test is for EtG hair testing and if testing for 12 or more drugs. One 2017 study did find inconsistency between self-reporting of cannabis use and the results of hair drug tests.

Another misconception is that the test requires a sample of the hair follicle (pulled from the root). It only requires the hair to be trimmed capturing at least a 1.5-inch sample. For instance, a hair sample from a hairbrush could be contaminated or be from another person. Furthermore, Schneider tests commercial motor vehicle (CMV) drivers for drug use using both the hair follicle test and the DOT-mandated urine test.

The collection and testing of hair for this test follows a very specific set of standards to increase accuracy. During testing, the collected hair is washed and tested for environmental contamination that could change the results of the test. An inconclusive result isn’t common when testing procedures are followed. In some cases, improper collection of the hair specimen may result in the test being rejected completely. All nonnegative tests undergo a second test, called gas chromatography/mass spectrometry (GC/MS). Some states prohibit employers from drug testing their employees on a random basis.

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How Far Does Schneider Hair Follicle Test Go Back?

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