SUBSTANCES-OF-ABUSE
OCCUPATIONAL & ENVIRONMENTAL TOXICOLOGY

Pros and Cons of the Various Drug Testing Methods

TYPES OF TESTS PROS CONS WINDOW OF DETECTION
URINE
  • Highest assurance of reliable results.
  • Least expensive.
  • Most flexibility in testing different drugs, including alcohol and nicotine.
  • Most likely of all drug-testing methods to withstand legal challenge.
  • Specimen can be adulterated, substituted, or diluted.
  • Limited window of detection.
  • Test sometimes viewed as invasive or embarrassing.
  • Biological hazard for specimen handling and shipping to lab.
  • Typically 1 to 5 days.
  • HAIR
  • Longer window of detection.
  • Greater stability (does not deteriorate).
  • Can measure chronic drug use.
  • Convenient shipping and storage (no need to refrigerate).
  • Collection procedure not considered invasive or embarrassing.
  • More difficult to adulterate than urine.
  • Detects alcohol/cocaine combination use.
  • More expensive.
  • Test usually limited to basic 5-drug panel.
  • Cannot detect alcohol use.
  • Will not detect very recent drug use (1 to 7 days prior to test).
  • Depends on the length of hair in the sample. Hair grows about a half-inch per month, so a 1½-inch specimen would show a 3-month history.
  • ORAL FLUIDS
  • Sample obtained under direct observation.
  • Minimal risk of tampering.
  • Non-invasive.
  • Samples can be collected easily in virtually any environment.
  • Can detect alcohol use.
  • Reflects recent drug use.
  • Drugs and drug metabolites do not remain in oral fluids as long as they do in urine.
  • Less efficient than other testing methods in detecting marijuana use.
  • Approximately 10 to 24 hours.
  • SWEAT PATCH
  • Non-invasive.
  • Variable removal date (generally 1 to 7 days).
  • Quick application and removal.
  • Longer window of detection than urine.
  • No sample substitution possible.
  • Limited number of labs able to process results.
  • People with skin eruptions, excessive hair, or cuts and abrasions cannot wear the patch.
  • Passive exposure to drugs may contaminate patch and affect results.
  • Patch retains evidence of drug use for at least 7 days, and can detect even low levels of drugs 2 to 5 hours after last use.