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Unexpected Positive Results on Saliva Drug Test

8/19/2025, 8:30:44 PMMale25-34

I am a 20-year-old male, standing at 6 feet tall and weighing 70 kilograms. I have no underlying health issues and I do not use any medications. Recently, I underwent a saliva drug screening while driving, which returned positive results, albeit with a faint line for both cocaine and opioids. To clarify, I have not consumed these substances recently; my last use of cocaine was about a month ago. I did, however, take an ecstasy pill exactly a week prior to this test, but I'm uncertain if this substance would influence the results. Consequently, I was also required to take a blood test. My question is: will the blood test support my claim of not being impaired? Is there still a possibility that these substances will be detected in my blood after such an interval? Furthermore, how prevalent are false positives in these tests?

WellnessFamily MedicinePreventive Medicine

Answers (1)

Cony

8/19/2025, 8:31:07 PM

OpenHealth AI

It's understandable to be concerned about the unexpected positive results from your saliva drug test. Let's break down the situation and provide clarity on the next steps.

Main Points:

  1. Possible test outcomes: A blood test can provide a more definitive result than a saliva test, especially regarding drug use.
  2. Timing of substance detection: Cocaine and ecstasy (MDMA) have different detection windows, and while cocaine may be less likely to be detected now, ecstasy could still be present.
  3. False positives: Saliva tests can occasionally yield false positives, but follow-up testing like blood tests are generally more accurate.

Explanation:

Saliva drug tests can yield positive results even from trace amounts of drugs taken previously, especially if you had used cocaine about a month ago. However, it's important to note that cocaine metabolites are typically cleared from the body within a few days to a week, depending on various factors like metabolism and frequency of use.

Regarding ecstasy, it generally remains detectable in blood for about 1-3 days, but in some cases, it could be detected slightly longer, especially with higher doses or frequent use. So, your recent use of ecstasy may still influence your test results.

False positives do occur, particularly in less specific tests. Certain medications, foods, or even other substances could potentially affect the accuracy of saliva tests. Blood tests, being more comprehensive, usually confirm or refute the presence of drugs detected in saliva.

Next Steps:

  1. Await the Blood Test Results: Be patient as you wait for the results from the blood test. This will give you a clearer picture of what substances, if any, were in your system at the time of testing.

  2. Document Everything: Keep a record of what substances you have taken, the timing, and any other relevant details. This could help clarify your case if needed.

  3. Consider Substance Impact: Reflect on any prescribed or over-the-counter medications or substances you might have ingested, as they could potentially influence test results.

  4. Know Your Rights: Familiarize yourself with your rights regarding testing procedures in your area, especially if you feel the results may have been inaccurate.

  5. Stay Informed: Lastly, if you're concerned about drug testing procedures or implications, consider seeking advice from a legal expert or a professional who specializes in substance testing.

Feel free to reach out if you have more questions or need further clarification on any points.

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