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Ethanol and Cocaethylene in Hair (24-Hour Quantification)

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

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.

Quick summary

["Hair tests help track long-term substance use, including alcohol and cocaine exposure, beyond what urine tests can reveal."]

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

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?
Hair drug screens typically take 1 to 2 weeks to complete, depending on lab processing times and any additional confirmatory testing required.
Can I shower or wash my hair before the test?
Yes, you can shower or wash your hair before the test, but avoid using products that may leave residues (like hair dyes or oils). Follow your healthcare provider’s specific instructions for preparation.
Is this test painful or invasive?
No, this test is not painful. A small sample of hair is collected, usually with a gentle pull or clipping, similar to getting a haircut.
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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