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What is a Confirmatory Drug Test?

Mark Halsey
Chief Editor of - Cleanbreak Recovery

Mark Halsey is a licensed therapist, founder, and chief editor of Clean Break Recovery. With over a decade of addiction treatment experience, Mark deeply understands...Read more

As employers continue to implement drug testing policies to ensure a drug-free workplace, many are turning to confirmatory drug tests to ensure accuracy. A confirmatory drug test is an additional test conducted after an initial drug test to confirm the results of the initial test. This type of test is especially important when the initial results are positive, as it helps to accurately identify the presence of the drug in question. In this article, we’ll discuss what a confirmatory drug test is, why it’s important, and how it works.

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What is a Confirmatory Drug Test?

A confirmatory drug test is a test used to determine the presence of a specific drug or drugs in a person’s body. It is typically used when a drug screening test has returned a positive result, but the individual being tested believes that the result is wrong or inaccurate. Confirmatory drug tests are more accurate than screening tests, but they are also more expensive and take more time to get results.

Types of Confirmatory Drug Tests

Confirmatory drug tests come in several forms, including gas chromatography/mass spectrometry (GC/MS), liquid chromatography/mass spectrometry (LC/MS), and immunoassay. Gas chromatography/mass spectrometry is the most accurate and reliable type of confirmatory drug test. This type of test separates the substances in the sample into individual components and then uses a mass spectrometer to identify and quantify each component. Liquid chromatography/mass spectrometry is similar to GC/MS, but it uses liquid instead of gas to separate the components. Immunoassay tests use antibodies to detect the presence of certain drugs in the sample.

Why is a Confirmatory Drug Test Used?

Confirmatory drug tests are often used to verify the results of a screening test. Screening tests are less accurate and can produce false-positive results. By using a confirmatory drug test, any false-positive results from the screening test can be eliminated. Confirmatory drug tests are also used to detect low levels of drugs that may not be detected with a screening test.

What is the Process of a Confirmatory Drug Test?

The process of a confirmatory drug test typically involves collecting a sample of the person’s saliva, urine, or blood. The sample is then analyzed using the appropriate type of test. If the test indicates the presence of a drug, the sample is further analyzed to determine the exact type of drug and the amount present.

Are Confirmatory Drug Tests Accurate?

Confirmatory drug tests are highly accurate, especially when compared to screening tests. However, there is still a small chance that a confirmatory drug test could produce a false-positive result. This is why it is important to follow up a positive result with a more accurate test, such as a GC/MS or LC/MS test.

How Long Does it Take to Get Results?

The amount of time it takes to get results from a confirmatory drug test depends on the type of test used. Immunoassay tests can usually produce results within a few hours, while GC/MS and LC/MS tests can take up to a few days.

What is the Cost of a Confirmatory Drug Test?

The cost of a confirmatory drug test can vary depending on the type of test used and the laboratory performing the test. Generally, immunoassay tests are the least expensive, while GC/MS and LC/MS tests are more expensive.

Few Frequently Asked Questions

What is a Confirmatory Drug Test?

A confirmatory drug test is a type of laboratory test used to confirm the presence of drugs or metabolites in a sample. It is typically used to confirm a positive result from a screening test, as screening tests are designed to detect the presence of a drug in a sample and cannot always accurately determine the exact identity of the drug. The confirmatory test is usually a more precise and specific test that can identify the exact drug or metabolite present in the sample.

What Types of Substances are Tested in a Confirmatory Drug Test?

A confirmatory drug test can be used to test for a wide range of substances, including illicit drugs like marijuana, amphetamines, cocaine, and opiates, as well as prescription drugs like benzodiazepines and opioids. It can also be used to identify metabolites that are produced when the body metabolizes a drug, such as the presence of THC-COOH in a urine sample.

What is the Purpose of a Confirmatory Drug Test?

The primary purpose of a confirmatory drug test is to confirm the presence of a substance or metabolites that were detected in a screening test. It is an important part of the testing process, as it can help to identify the exact substance that is present in the sample, which can help to determine the best course of action for treatment or prevention.

What Types of Samples are Used for Confirmatory Drug Tests?

Confirmatory drug tests typically use a variety of samples, including urine, blood, saliva, sweat, and hair. Urine is the most commonly used sample for confirmatory drug tests, as it contains metabolites that can be used to identify the presence of drugs. Other samples may be used depending on the type of drug being tested.

What is the Difference Between a Screening and a Confirmatory Drug Test?

The main difference between a screening and a confirmatory drug test is the level of accuracy. A screening test is designed to detect the presence of drugs or metabolites in a sample, but it cannot always accurately determine the exact identity of the drug. A confirmatory test is a more precise and specific test that can identify the exact drug or metabolite present in the sample.

What Kind of Equipment is Used for Confirmatory Drug Tests?

Confirmatory drug tests are typically performed using laboratory equipment such as gas chromatography, mass spectrometry, and liquid chromatography. These tests allow for the identification of specific drugs or metabolites in a sample and can provide results in a matter of minutes. Additionally, some tests may require the use of specialized devices such as spectrophotometers or infrared spectrophotometers.

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A confirmatory drug test is a vital tool in ensuring that workplaces are safe from illicit drugs and other substances. With the use of this type of testing, employers can be certain that their employees are not using any substances that could impair their job performance or put them and their coworkers at risk. By utilizing confirmatory drug testing, businesses can be confident that their employees are abiding by the policies and laws in their workplace.

Mark Halsey is a licensed therapist, founder, and chief editor of Clean Break Recovery. With over a decade of addiction treatment experience, Mark deeply understands the complex needs of those struggling with addiction and utilizes a comprehensive and holistic approach to address them. He is well-versed in traditional and innovative therapies, including cognitive-behavioral therapy, motivational interviewing, and mindfulness-based interventions.

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