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Hair Testing for Drugs

Hair analysis can provide valuable insight into past drug exposure, offering a longer detection window than blood or urine testing. It can be particularly useful when evaluating exposure that may have occurred weeks or months earlier.

What Does Hair Drug Testing Involve?

Hair drug testing involves analyzing a sample for drugs and their metabolites—the substances formed as the body processes a drug. A trained collector typically cuts a small sample of hair close to the scalp and identifies the scalp end before submitting it to a laboratory. The amount and length required depend on the purpose of testing and the laboratory’s procedures.

At the laboratory, the hair is generally washed to reduce external contamination, then cut into small pieces or ground before drugs and metabolites are extracted. Sensitive analytical methods, such as gas chromatography–mass spectrometry (GC-MS) or liquid chromatography–tandem mass spectrometry (LC-MS/MS), are used to identify and measure the substances included in the testing.

The findings require careful interpretation in light of the testing methods, possible external contamination, cosmetic treatments, and other factors that may affect the results. Washing helps reduce contamination but does not necessarily eliminate it, making expert interpretation an important part of the process.

Dark brown curly hair.
Man in the laboratory.

What Are the Advantages of Hair Drug Testing?

Testing hair for drugs offers several advantages compared to the testing of other specimens:

  • Drugs and metabolites will remain in hair for a much longer period compared to urine or blood.
  • Unlike urine tests, which can be manipulated, it is challenging to cheat with a hair test. The drugs become trapped inside the hair shaft as it grows, so it is difficult for individuals to tamper with the results.
  • Hair testing can identify a wide range of drugs, providing a comprehensive overview of an individual’s drug use history.
    The collection of a hair sample is non-invasive and painless, making it a more comfortable option for the individuals undergoing testing.

Hair Drug Testing Limitations

Hair drug testing is not perfect, so it is important to understand its limitations:

  • Only a few laboratories in the United States offer testing of hair for drugs.
  • Hair testing can be very expensive compared to the cost of testing the more traditional specimens.
  • Results from hair testing cannot determine the exact timing of drug use or exposure. Instead, the results of hair tests can only confirm the presence of drugs during the period of growth represented by the tested hair sample.
  • External contamination from environmental exposure to drugs can potentially lead to false-positive results. However, laboratories employ strict protocols to minimize this risk.
  • Hair testing is not suitable for detecting recent drug use, as it takes several days for drugs to become incorporated into the hair at the root and to grow above the scalp.
Braided long hair being cut using scissors.
Dr Marc LeBeau smiling to the camera while writing on a book on his desk.

Dr. LeBeau’s Experience in Hair Drug Testing

Dr. LeBeau brings more than 30 years of experience in hair drug testing and the interpretation of results. Through publications and presentations, he has contributed to improvements in hair sample collection, laboratory testing, and interpretation of findings. To learn more about his qualifications and experience, contact LeBeau Forensic Toxicology Consulting to request his curriculum vitae.

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About Us

With over 30 years of experience, Dr. LeBeau specializes in a wide range of areas, including drug-facilitated crimes, poisoning cases, standards of practice, and postmortem investigations.

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