Ethanol and Cocaethylene in Hair (24-Hour Quantification)
This test measures the presence of ethanol (alcohol) and cocaethylene—a metabolite formed when alcohol combines with cocaine—in hair over a 24-hour period. Hair testing can detect substance use for weeks or months after exposure.
["Hair tests help track long-term substance use, including alcohol and cocaine exposure, beyond what urine tests can reveal."]
Key facts at a glance
- LOINC
- 49072-2
- Short code
- Cocaethylene Hair Ql
- Synonyms
- Cocaethylene Hair Ql
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Specimen volume
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
What Does This Test Measure?
Hair testing analyzes small amounts of substances trapped in your hair follicles. Ethanol and cocaethylene are detected through specialized laboratory methods that identify their chemical signatures in hair strands. This method is particularly useful for detecting prolonged substance exposure that may not be captured by urine tests.
Why Might Your Doctor Order This Test?
Your healthcare provider may recommend this test if they suspect long-term substance use, such as chronic alcohol or cocaine exposure, or if you’re part of a program monitoring substance use over time. It can also be used in workplace safety assessments or legal cases requiring evidence of prolonged substance use.
How Is This Test Performed?
A small sample of hair is collected, usually from the scalp or other areas. The hair is processed in a lab where advanced techniques, such as mass spectrometry or chromatography, break down the hair into components to detect ethanol and cocaethylene. Results are reported as concentrations of these substances in the hair.
What Do the Results Mean?
Results indicate the presence and relative amount of ethanol and cocaethylene in your hair. Positive results suggest recent or ongoing exposure to alcohol and cocaine, but interpretation depends on the concentration levels and clinical context. Consult your doctor for guidance on what these findings may imply for your health or situation.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Hair Drug Screen (Ethanol & Cocaethylene)
Frequently asked questions
How long does it take to get results from this test?
Can I shower or wash my hair before the test?
Is this test painful or invasive?
Sources
- 1
- 2Lab Tests OnlineSource
- 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