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Benzodiazepines

Published: August 9, 2026Updated: August 16, 2026

A hair test that detects the presence and amount of benzodiazepine drugs in your hair, showing drug use over the past weeks to months.

Quick summary

Measures benzodiazepine levels in hair samples Can detect drug use over 1-3 months or longer Used to monitor medication compliance or detect drug abuse Hair testing is less affected by recent food or medication intake Results are reported as positive/negative or quantitative levels

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
13933-7
Short code
BENZHAIR
Synonyms
Benzodiaz Hair-mCnt
Category
chemistry
Sample
serum
Container
Foil-wrapped hair specimen envelope or sterile specimen container; chain of custody container if forensic testing required
Units
N/A
Ref low
0
Ref high
0.01
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) or Gas Chromatography-Mass Spectrometry (GC-MS) following sample preparation and extraction
CPT
80347 or G0480
SNOMED
169480009
Specimen volume
100-200 strands of hair (approximately 50-100 mg); proximal 3 cm segment of head hair preferred, cut close to scalp
Stability
Hair specimen stable indefinitely at room temperature in dry, dark conditions; stable for extended periods when stored in paper envelopes at ambient temperature
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
72–168 hours
Order
routine

What is this test?

This is a laboratory test that helps your healthcare team evaluate your health. Depending on the specific test ordered, it may involve a small blood sample, a urine sample, or another specimen collected at a clinic or laboratory, and the results provide your provider with important information about how your body is functioning.

The Benzodiazepines Hair Test is a laboratory test that measures the presence and concentration of benzodiazepine drugs in a hair sample. Benzodiazepines are a class of prescription medications commonly used to treat anxiety, insomnia, seizures, and muscle spasms. Examples include diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), and clonazepam (Klonopin).

How does it work?

Your sample is collected by a trained professional and sent to a laboratory, where specialized equipment and experienced staff analyze it. The lab measures specific substances or markers in your sample and reports the results to your provider, who then interprets them alongside your symptoms, medical history, and other findings.

When benzodiazepines are taken, they enter the bloodstream and tiny amounts become trapped in the hair follicles as hair grows. A small sample of hair (usually from the scalp) is collected and sent to a laboratory for analysis. The test can detect drug use over an extended period—typically the past 1-3 months, depending on hair length—making it useful for understanding long-term drug use patterns.

Why is this test ordered?

Doctors order this test to help diagnose a possible condition, monitor an ongoing illness, check how well a treatment is working, or screen for health problems before symptoms appear. Your provider may also include it as part of a routine checkup or use the results to guide decisions about your ongoing care plan.

Healthcare providers may order this test for several reasons: to monitor patient compliance with prescribed benzodiazepine therapy, to detect undisclosed or illicit benzodiazepine use, to evaluate patients with unexplained symptoms, or in forensic/legal settings. It may also be used in addiction treatment programs to verify abstention from benzodiazepines.

Reference range

Negative: <0.01 ng/mg (cutoff varies by laboratory). Positive findings interpreted based on clinical context; chronic benzodiazepine use typically yields concentrations >0.05 ng/mg depending on agent and frequency of use.N/A

Specimen: serum

No fasting required. Patients should be informed that chemical treatments (bleaching, perming, dyeing), cosmetic products, and environmental contamination may affect results. Hair should not be cut or chemically treated for at least 4-6 weeks prior to collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results indicate benzodiazepine use within the检测 period. The test can differentiate between different benzodiazepines, helping providers understand which specific drugs were used. Quantitative results (showing actual levels) may help distinguish between therapeutic use and overdose. In treatment settings, hair testing can help verify patient reports of medication adherence or abstinence. Negative results suggest no significant benzodiazepine use during the检测 window, though very occasional use might fall below detection thresholds.

Frequently asked questions

Does the test hurt?
No, hair sample collection is quick and painless. A small bunch of hair (about 100-120 strands) is cut close to the scalp, usually from the back of the head. The amount taken is small and not noticeable once cut.
Can hair products affect the results?
Standard hair treatments like coloring, perming, or bleaching may slightly affect results but typically do not completely eliminate drug detection. The test analyzes the inner core of the hair shaft where drugs are incorporated, so surface treatments have limited impact.
How long can benzodiazepines be detected in hair?
Benzodiazepines can typically be detected in hair for 1-3 months or longer, depending on hair length. Each centimeter of hair growth represents approximately one month of history. Longer hair can provide a longer detection window.
Will secondhand exposure cause a positive result?
It is unlikely that secondhand exposure (being near someone who took benzodiazepines) would cause a positive hair test. The amount of drug incorporated into hair from environmental exposure is minimal compared to actual use.
Do I need to fast before this test?
No fasting is required for a hair test. Unlike blood or urine tests, hair testing is not affected by recent meals, beverages, or medications taken just before sample collection.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy