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Understanding Your Laboratory Test: What It Is, Why It's Done, and How to Read Your Results

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

A screening test to detect benzodiazepine drugs in saliva or oral fluid samples.

Quick summary

{"This test checks for benzodiazepine drugs (e.g., Xanax, Valium, Ativan) in your saliva","It is mainly used to monitor medication compliance or detect drug abuse","The test is a screening method only and positive results may need confirmation","Sample is collected by swabbing inside your cheek","Results are typically reported as positive or negative"}

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

Key facts at a glance

LOINC
72757-8
Short code
BENZSAL
Synonyms
Benzodiaz Sal Scn-mCnc
Category
chemistry
Sample
serum
Container
Saliva/oral fluid collection device (e.g., Quantisal, Oral-Eze, or equivalent)
Units
N/A
Ref low
0
Ref high
50
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
screen
CPT
80307
SNOMED
395174006
Specimen volume
1-2 mL of oral fluid
Stability
Refrigerated (2-8°C): 7 days; Frozen (-20°C or lower): 30 days
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test? This test is a laboratory analysis performed on a sample of your blood, urine, or another body fluid to help your doctor evaluate how well your body is functioning and to screen for, diagnose, or monitor a wide range of medical conditions.

This test screens for benzodiazepines in your saliva or oral fluid. Benzodiazepines are prescription medications commonly used to treat anxiety, insomnia, seizures, and muscle spasms. Examples include diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), and clonazepam (Klonopin).

Why is this test performed? Your doctor may order this test as part of a routine health checkup, to investigate symptoms you have been experiencing, to confirm or rule out a suspected diagnosis, or to track how well an existing treatment is working over time.

The test is typically ordered to: 1) Monitor patients taking benzodiazepine medications for compliance, 2) Detect possible drug abuse or misuse, 3) Evaluate unexplained symptoms that may be related to medication use, or 4) Screen for drug use in certain clinical or occupational settings.

How is the sample collected? A trained healthcare professional will usually draw a small amount of blood from a vein in your arm using a sterile needle, a process that takes only a few minutes; some tests instead require a urine sample, a swab, or another specimen collected according to specific instructions.

A healthcare provider will collect the sample by placing a swab inside your cheek and rubbing it to collect saliva or oral fluid. The process is quick and painless. You may be asked to avoid eating, drinking, smoking, or chewing gum for a short time before sample collection to ensure accurate results.

Understanding your results: Your report will show your measured values next to the reference range considered typical for healthy people; a value outside this range does not automatically mean you are ill, so your doctor will interpret the numbers together with your symptoms, medical history, and other findings before recommending any next steps.

This is a screening test, so results are typically reported as either "Positive" (benzodiazepines detected) or "Negative" (no benzodiazepines detected). A positive result means benzodiazepines were found in your saliva, but this screening test does not identify the specific drug or amount. If needed, a confirmatory test using a different method (such as blood or urine testing) may be recommended to verify the result.

Reference range

Negative (cutoff: typically 10-50 ng/mL depending on assay). Positive results should be confirmed by a definitive method such as GC-MS or LC-MS/MS.N/A

Specimen: serum

No special preparation required. Patient should refrain from eating, drinking, or using oral hygiene products for at least 10 minutes prior to sample collection to avoid contamination of oral fluid specimen.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Benzodiazepine screening in oral fluid is useful for monitoring therapeutic drug use, as these medications have a high potential for dependence and abuse. The test can help healthcare providers ensure patients are taking medications as prescribed, or identify individuals who may be misusing these controlled substances. Positive results should be interpreted in the context of the patient's medical history and current prescriptions.

Frequently asked questions

Do I need to fast before this test?
You may be asked to not eat, drink, smoke, or chew gum for 10-30 minutes before sample collection. Follow any specific instructions provided by your healthcare provider.
Will a positive result mean I'm taking illegal drugs?
Not necessarily. Benzodiazepines are legal prescription medications. A positive result could indicate that you are taking a prescribed benzodiazepine as directed. Always inform the testing facility about any prescription medications you are taking.
How long do benzodiazepines stay detectable in saliva?
Benzodiazepines can typically be detected in saliva for several hours to a few days after use, depending on the specific drug, dosage, and individual metabolism.
Do I need a confirmation test?
If the screening test is positive and you have a valid prescription, no further testing may be needed. However, if the result needs verification (such as for legal or employment purposes), a confirmatory test using a different method may be required.
Can mouthwash or dental products affect the results?
Certain mouthwashes and dental products may interfere with the test. Inform your healthcare provider about any oral care products you have used recently.
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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