Understanding Your Laboratory Test: What It Is, Why It's Done, and How to Read Your Results
A screening test to detect benzodiazepine drugs in saliva or oral fluid samples.
{"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"}
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
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?
Will a positive result mean I'm taking illegal drugs?
How long do benzodiazepines stay detectable in saliva?
Do I need a confirmation test?
Can mouthwash or dental products affect the results?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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