7-Panel Drug Test

Edmund Murphy
Dr. Jennie Stanford
Written by Edmund Murphy on 28 April 2023
Medically reviewed by Dr. Jennie Stanford on 28 November 2024

A 7-panel drug test, also referred a DOT mirror test, is a form of drug toxicology that screens for 7 substance metabolites including cocaine, marijuana, amphetamines, and heroin. These drug tests are often requested by employers before hiring, as well as for legal purposes.

Key takeaways:
  • A 7-panel drug test includes the five main categories of drugs from a 5-panel test (marijuana, cocaine, basic opioids, phencyclidine, and amphetamines), plus barbiturates and benzodiazepines.
  • The 7-panel drug test is commonly called the DOT mirror drug test, as it tests for the same substances as the common DOT drug test.
  • This is a very commonly used test by employers, including those operating motor vehicles, for pre-employment screenings, and any employment misconduct concerns.

What is a 7-panel drug test?

The 7-panel drug test is sometimes called the DOT mirror drug test because it is a non-DOT look-alike panel that matches the current DOT drug test requirements. The 7-panel drug test screens for these substances:

  • Marijuana (including THC and cannabinoids)
  • Cocaine
  • Opioids (including heroin, codeine, hydrocodone, and morphine)
  • Phencyclidine (PCP, angel dust)
  • Amphetamines/methamphetamines (including methylphenidate and dextroamphetamine)
  • Barbiturates (including Amytal and butalbital)
  • Benzodiazepines

What does DOT mirror test mean?

DOT stands for Department of Transportation. This organization has specific requirements for testing anyone operating vehicles under DOT regulations. A DOT mirror test replicates the same drug screening as the normal DOT drug test and can be used in various scenarios.

What sample methods are used for 7-panel tests?

A 7-panel drug test is most commonly a urine sample that is screened in laboratory settings. Hair follicle 7-panel tests may also be performed for drug detection up to 90 days.

Related: Types of drug test 

What drugs are screened for in a 7-panel test?

  • Marijuana (including THC and cannabinoids)
  • Cocaine
  • Opioids (including heroin, codeine, hydrocodone, and morphine)
  • Phencyclidine (PCP, angel dust)
  • Amphetamines/methamphetamines (including methylphenidate and dextroamphetamine)
  • Barbiturates (including Amytal and butalbital)
  • Benzodiazepines

When will I need to do a 7-panel drug test?

The most common use of 7-panel drug tests is for roles that fall under the Department of Transportation regulations, like trucking, commercial vehicle drivers, and bus drivers.

Employers following DOT regulations may ask for a 7-panel drug test to be performed for many reasons. Common examples of required drug tests under DOT regulations include:

  • Periodic employee screening
  • Return to work examination
  • Interview/onboarding examination
  • After a work-based accident
  • Random employee screening
  • Suspicion of/reported intoxication (on or off duty)

Read here to learn more about the drug test process

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Resources:

  1. Office of Drug & Alcohol Policy & Compliance | US Department of Transportation. (n.d.). Www.transportation.gov.
  2. Mobile Health. (n.d.) What are the different drug panels? Retrieved from

Activity History - Last updated: 28 November 2024, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 28 November 2024 and last checked on 28 November 2024

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

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