The rising popularity of hair drug testing has seen a rise in the amount of “how to cheat your hair drug test” videos and online suggestions. Some of the methods include shaving all of the hair off, detox shampoos, and home remedies including substances like tar shampoo, laundry detergent, detox salts, and vinegar.
Some people even dye their hair after using these remedies to help mask the changes made to their hair. But is it actually possible to cheat and pass a hair drug test? Over the years employment drug hair testing has increased in popularity for several reasons: there is a window of history (or window of detection) of approximately 90 days (making it the drug test with the longest time frame), the results are processed by an outside lab and then signed by a Medical Review Officer (MRO), and the results are sustainable in a court of law because the results are hard to alter.
Because the results are hard to alter and easily collected, it is very easy to identify drug users within a certain time frame. For these reasons, these tests are typically requested as court-ordered tests.
How do you remove EtG from hair?
Abstract – Background: Hair analysis of ethyl glucuronide (EtG) has become, beside fatty acid ethyl ester, a valuable marker for the detection of moderate and chronic excessive alcohol consumption. So far, only few studies exist about the influence of cosmetic treatment on EtG content in hair.
The aim of this study was to evaluate the effect of coloring, bleaching, and perming on the concentration of this alcohol marker in hair. Studies were also performed to evaluate the chemical stability of EtG in the presence of hydrogen peroxide and ammonium thioglycolate. Methods: Six air samples were treated in vitro by the different commercial cosmetics following the suppliers’ instructions.
After washing, pulverization, incubation in ultrasonic bath, and solid phase extraction, EtG was determined by GC/MS-NICI after solid phase extraction and heptafluorobutyric anhydride derivatization. Results: The results showed that samples (n = 10) treated with the coloring product did not show any important change in the EtG results.
In the bleaching study (n = 23), a mean decrease of 73.5% was observed. After incubation of a solution of EtG with hydrogen peroxide (15%), a decrease of 45% was shown supporting the hypothesis of a chemical degradation of EtG and a leaching out effect from the hair matrix. In the perm treatment study (n = 23), a mean decrease of 95.7% of EtG was found.
Incubation of a solution of EtG with ammonium thioglycolate (5%) showed a total decrease of EtG supporting the hypothesis of a chemical degradation. Conclusions: Coloring treatment did not importantly influence EtG content in hair. However, an important decrease of EtG in hair could be found after bleaching and permanent wave treatment.
Does chlorine reduce EtG in hair?
EtG positive hair samples were obtained from 3 regular drinkers and incubated for 0, 2, 4, 6, 8, and 10 hours at room temperature. EtG concentrations in hair were reduced after 2 hours of incubation in chlorinated water by 20 ± 12% (range: 4–33%), in deionized water by 24 ± 5% (range: 18–29%).
Will two drinks show up on a hair follicle test?
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Drug and alcohol testing has become increasingly common in workplaces and other organizations. One of the most accurate methods of testing is the hair follicle test. In this article, we’ll answer some frequently asked questions about hair testing for drugs and alcohol.
How far back can a hair drug test show? Hair drug testing can detect drug use going back 90 days, although the standard testing period is usually a little less. This is because it takes about 5-10 days for drug-containing hair to grow above the scalp. Will one night of drinking show up in a hair follicle test? No, a single night of drinking will not show up in a hair follicle test.
However, regular and heavy alcohol consumption can be detected in hair samples. Can you refuse a hair follicle drug test? While it is technically possible to refuse a hair follicle drug test, employers and other organizations can refuse employment or other opportunities if a test is not taken.
- It is important to note that refusing a test may be viewed as an admission of drug use.
- What medications can cause a false positive hair follicle test? Some prescription medications and over-the-counter medications can cause false positive results on a hair follicle drug test.
- That is why we have a medical doctor who will call you to verify those prescriptions to avoid a false positive.
What does a 5 panel hair follicle test for? A 5 panel hair follicle test is designed to test for the presence of five different drugs, including cocaine, marijuana, opioids, amphetamines, and PCP. What does a 10 panel hair follicle drug test test for? A 10 panel hair follicle drug test is designed to test for the presence of ten different drugs, including Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Standard and Extended Opiates Like Hydrocodone and Hydromorphone, Marijuana, Methadone, Methamphetamines, Phencyclidine and Propoxyphene.
Can a hair test detect alcohol? Yes, a hair test can detect alcohol consumption. An ETG alcohol hair follicle test can detect alcohol use going back approximately 90 days. At Fastest Labs, we offer a range of services to meet your needs. Our pricing for hair drug testing starts at $135, and we offer hair drug tests that can get you results in as little as one business day.
We can get your test done in 15 minutes, so you don’t have to wait for hours like you will at other places. If you make a same-day appointment, we’ll give you a $10 discount (must mention this discount). We want to remind our customers that at-home hair drug tests are unreliable and are not used by employers.
It can take weeks to get results from these tests, and the person doing their own test is not trained to do the test which may lead to an incorrect result. You can save a few bucks and then lose your job. Instant hair drug tests are also available, but they are new and unreliable. These tests are only 96% accurate and can lead to false positives or false negatives.
For this reason, we do not offer instant hair drug testing at this time. Our hair alcohol tests are available for $179, plus we can test for up to 17 different drugs and alcohol affordably. In conclusion, hair testing for drugs and alcohol is a highly accurate and reliable method of testing.
Can Hairspray affect hair follicle test?
So what ingredients should I look for? – Alcohol is chemically known as “Ethanol”. The consumption of ethanol in beverages is the compound that leads in the formation of EtG and FAEE. The repeated use of ethanol-containing hair products may increase the level of FAEEs in hair, into the range of concentrations found for excessive drinkers.
- Such products contain the ingredient of “ethanol”, or other commonly known abbreviations “alcohol denat” or “SD alcohol 40” or “ethyl alcohol”.
- Therefore, any hair products that contain one or more of these ingredients are likely to contribute to the FAEE concentration in the hair sample.
- In addition to the hair products, there are other alcohol-containing products that have been questioned, such as hand sanitisers, especially during the pandemic, that may impact the hair tests.
Some hand sanitisers contain ethanol. Therefore, if this product was applied directly onto the hair, it would have a similar effect as alcohol-containing hair products. However, generally, hand sanitiser is applied, as per the manufacturer’s instructions, to the hands, where the ethanol content evaporates quickly as it dries.
What can cause a false positive EtG hair test?
Monday, September 23, 2019 According to the National Survey on Drug Use and Health conducted in 2015, 86.4% of people over the age of 18 reported drinking alcohol at some point in their lifetime, with 33.9% of these individuals reporting either binge drinking or heavy alcohol use in the past month.1 Of those that drink alcohol, approximately 15.1 million adults have been diagnosed as having alcohol use disorder (AUD), with only 6.7% of adults with AUD receiving treatment.1 With alcohol use and abuse both incredibly high in the US, it is important for providers to be aware of their patients’ use patterns and the potential drug interactions with their prescribed medications.
However, as with all testing, there are things providers should be aware of when considering the interpretation of their patients’ test results regarding alcohol findings. Ethanol can be directly detected in all matrices offered by Aegis – blood, oral fluid, and urine – at a threshold of 10 mg/dL. Ethanol is only detectable for up to 8 hours post ingestion, which is indicative of recent ingestion.
Aegis can also analyze samples for two ethanol metabolites, ethyl glucuronide (EtG) and ethyl sulfate (EtS), with detection periods up to 72 hours post-ingestion at positive thresholds of 500 ng/mL and 200 ng/mL respectively. Period of detection is influenced by patient-specific factors, amount ingested, and chronicity of ingestion.2,3 Due to the variability of ethanol metabolism, it is possible to observe differing amounts of the metabolites or the presence of one metabolite in absence of another.
- There are several scenarios that providers should be aware of that may result in unexpected positives.
- Post-collection fermentation is a common cause of positive results for ethanol and/or EtG only and has been shown to be responsible for up to one-third of unexpected positive results.4 Post-collection fermentation is of particular concern when the sample has been left at room temperature for a day or longer, which can allow yeast naturally present in the body to ferment excreted glucose and form ethanol, which in turn can be converted to EtG in the presence of bacteria.5,6 This phenomenon is often seen in samples from diabetic patients as they can excrete a greater than normal amount of glucose in their urine.
EtG and EtS testing may have unexpectedly positive results stemming from “incidental exposures” such as electronic cigarette use, heavy use of hand sanitizer, or consuming certain foods/beverages.7-9 Though generally an uncommon practice, the consumption of raw, live Baker’s yeast, when taken in combination with a source of sugar, can result in in vivo fermentation.10 Some patients consuming large amounts of grape juice may have detectable EtS levels due to the natural fermentation of fruit’s sugar.11 When considering positive results, it is important to discuss the use of “nonalcoholic” beers and wines with patients as these beverages may contain up to 0.5 vol.
% ethanol.12 Heavy consumption of these “nonalcoholic” beers and wines can lead to EtG and EtS levels at or above the Aegis reporting threshold.11,13,14 Other fermented beverages such as kombucha, a drink consisting of tea, sugar, bacteria, and yeast, may have up to a 3% alcohol content despite being listed as a non-alcoholic beverage and may cause an unexpected positive result.15-17 Providers should also keep alcohol-containing medications in mind (prescription and over the counter ), which patients may not report using prior to their test.
Certain formulations of particular concern are: cough and cold syrups, tinctures, allergy medications, anti-diarrheals, laxatives, and toothache, cold sore, and canker sore medications. Advise patients to consult product labels or their pharmacist for alcohol content in OTC or prescription medications.
- While OTC medications are restricted to a maximum of 10% alcohol content, some prescription drugs may exceed this level.
- If heavy medication use is suspected or known, or if the presence of alcohol metabolites conflicts with a patient’s treatment agreement, advise patients to use non-alcoholic formulations when possible.
Clinicians should be aware of the rare possibility that a patient may have auto-brewery syndrome. This syndrome causes patients to naturally make large amounts of ethanol in vivo, Individuals affected by this disease will likely have severe bowel dysfunction, an overabundance of yeast, and a carbohydrate rich diet which worsens their symptoms.18,19 A common misconception regarding alcohol testing is that mouthwash or perfume/cologne use may lead to a positive test.
Aegis has not found any data that indicates that proper use of mouthwash or personal scent products will result in a positive test, however, improper use, such as purposefully consuming these products for their alcohol content, can produce positive results.14,20 Additionally, when conducting definitive testing for alcohol, it must be noted that there is no correlation between the amount ingested and the concentration detected in urine.
Furthermore, there is not a correlation between the amount detected and the patients’ impairment or intoxication when the sample was collected.21 Though definitive testing reports concentrations of ethanol, EtG, and EtS, these concentrations cannot be used to infer the exact time or amount of alcohol last ingested.
NOTICE: The information above is intended as a resource for health care providers. Providers should use their independent medical judgment based on the clinical needs of the patient when making determinations of who to test, what medications to test, testing frequency, and the type of testing to conduct.
DOWNLOAD CLINICAL UPDATE References: 1. National Institute on Alcohol Abuse and Alcoholism – Alcohol Facts and Statistics: https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics 2. Kissack JC, Bishop J, Leatherwood Roper A.
Ethyl glucuronide as a biomarker for ethanol detection. Pharmacotherapy.2008;(6):769-81.3. Helander A, Beck O. Ethyl sulfate: a metabolite of ethanol in humans and a potential biomarker of acute alcohol intake. J Anal Toxicol,2005;29(5):270-4.4. Crews B, West R, Gutierrez R, et al. An improved method of determining ethanol use in chronic pain population.
J Opioid Manage.2011;7(1):27-34.5. Sulkowski HA, Wu AHB, McCarter YS. In-vitro production of ethanol in urine by fermentation. J Forensic Sci.1995;40:990-3.6. Helander A, Olsson I, Dahl H. Postcollection synthesis of ethyl glucuronide by bacteria in urine may cause false identification of alcohol consumption.
Clin Chem.2007;53(10):1885-7 7. Valentine GW, Jatlow PI, Coffman M, Nadim H, Hueorguleva R, Sofuoglu M. The effects of alcohol-containing e-cigarettes on young adult smokers. Drug Alcohol Depend.2016;159:272-6.8. Reisfield GM, Goldberger BA, Crews BO, et al. Ethyl glucuronide, ethyl sulfate, and ethanol in urine after sustained exposure to an ethanol-based hand sanitizer.
J Anal Toxicol.2011;35(2):85-91.9. Arndt T, Schröfel S, Güssregen B, Stemmerich K. Inhalation but not transdermal resorption of hand sanitizer ethanol causes positive ethyl glucuronide findings in urine. Forensic Sci Int.2014;237:126-30.10. Thierauf A, Wohlfarth A, Auwärter V, Perdekamp MG, Wurst FM, Weinmann W.
- Urine tested positive for ethyl glucuronide and ethyl sulfate after the consumption of yeast and sugar.
- Forensic Sci Int.2010;202(1-3):e45-7.11.
- Musshoff F, Albermann E, Madea B.
- Ethyl glucuronide and ethyl sulfate in urine after consumption of various beverages and foods-misleading results? Int J Legal Med.2010;124:623-30 12.U.S.
Food and Drug Administration. CPG Sec.510.400 Dealcoholized wine and malt beverages-labeling.U.S. Food and Drug Administration website. https://www.fda.gov/iceci/compliancemanuals/compliancepolicyguidancemanual/ucm074430.htm Published Oct 1, 1980. Updated November 29, 2005.
Accessed August 27, 2019.13. Thierauf A, Gnann H, Wohlfarth A. et al. Urine tested positive for ethyl glucuronide and ethyl sulphate after the consumption of “non-alcoholic” beer. Forensic Sci Int.2010;202(1-3):82-5.14. Hoiseth G, Yttredal B, Karinen R, Gjerde H, Christophersen A. Levels of ethyl glucuronide and ethyl sulfate in oral fluid, blood, and urine after use of mouthwash and ingestion of nonalcoholic wine.
J Anal Toxicol.2010;34(2):84-8.15. Nummer BA. Kombucha brewing under the Food and Drug Administration model food code: Risk analysis and processing guidance. J Environ Health.2013;76(4):8-11.16. Ebersole B, Liu Y, Schmidt R, Eckert M, Brown PN. Determination of ethanol in kombucha products: Single-laboratory validation, First Action 2016.12.
- J AOAC Int.2017;100(3):732-6.17.
- Ombucha Information and Resources.
- Alcohol and Tobacco Tax and Trade Bureau website https://www.ttb.gov/kombucha/kombucha-general.shtml.
- Updated March 29, 2019.
- Accessed August 27, 2019.18.
- Welch BT, Coelho Prabhu N, Walkoff L, Trenkner SW.
- Auto-brewery syndrome in the setting of long-standing Crohn’s disease: A case report and review of literature.
J Crohns Colitis.2016;10(12):1448-50.19. Logan BK, Jones AW. Endogenous ethanol “Auto-Brewery Syndrome” as a drunk-driving defence challenge. Med Sci Law.2000;40(3):206-15.20. Reisfield GM, Goldberger BA, Pesce AJ, et al. Ethyl glucuronide, ethyl sulfate, and ethanol in urine after intensive exposure to high ethanol content mouthwash.
J Anal Toxicol.2011;35(5):264-8.21. Ingall GB. Alcohol Biomarkers. Clin Lab Med.2012;32(3):391-406 Additional Resources 1. Clinical Reference Guide: Drug Testing in Healthcare, Aegis Sciences Corporation, 2019.2. National Institute of Drug Abuse: https://www.drugabuse.gov/drugs-abuse/alcohol 3. Auto-brewery Syndrome Stat Pearls: https://www.ncbi.nlm.nih.gov/books/NBK513346/ 4.
Aegis Labs Clinical Update Site: https://www.aegislabs.com/resources/clinical-update/ 5. Athena Clinical Page: https://athena.aegislabs.com/departments/clinicalscience/Pages/Home.aspx