Does Kombucha Show Up on a Drug Test?

Kombucha is a fermented tea beverage that has become widely popular for its distinctive tangy flavor and perceived health benefits. The central question for many who consume this drink is whether its natural alcohol content can register on an alcohol test, potentially causing a positive result. While most commercial versions are categorized as non-alcoholic, the trace amounts of ethanol produced during the brewing process mean the beverage is not entirely alcohol-free. Understanding the specific chemistry of this fermentation and the sensitivity of testing methods is necessary to determine the actual risk of a positive result.

Why Kombucha Contains Alcohol

The presence of alcohol in kombucha is a direct result of its unique production method, which relies on a Symbiotic Culture of Bacteria and Yeast (SCOBY). This culture is introduced to sweetened tea, initiating a dual-stage fermentation process. The yeast component of the SCOBY consumes the sugar, breaking down sucrose into glucose and fructose.

This process produces two main byproducts: carbon dioxide, which creates the natural fizz, and ethanol. The ethanol is created during the first stage of fermentation. In the second stage, the bacteria in the SCOBY, primarily Acetobacter, begin to consume the ethanol.

These bacteria oxidize the ethanol, converting it into various organic acids, most notably acetic acid, which gives kombucha its characteristic tart flavor. This conversion naturally lowers the overall alcohol level. However, an unregulated batch of kombucha before this conversion is complete can contain alcohol levels that vary widely, sometimes reaching 1% to 2.5% Alcohol By Volume (ABV).

The Difference Between Commercial and Homemade Brews

The alcohol content in kombucha varies significantly depending on whether the product is mass-produced or made at home. Most store-bought kombucha is strictly regulated to contain less than 0.5% ABV to be legally sold as a non-alcoholic beverage. Manufacturers utilize techniques such as reducing sugar content, shortening fermentation time, or employing filtration methods to ensure compliance with this federal threshold.

These commercial processes are monitored and tested to maintain a low and consistent alcohol level, which is necessary for the product’s classification. Conversely, homemade or small-batch kombucha often has an unpredictable alcohol content. Without the stringent controls used in commercial settings, home-brewed batches can easily reach 0.5% ABV or higher.

The alcohol level in home brews varies based on factors like fermentation temperature, the amount of sugar used, and the length of the brewing time. Some home brewers use a second fermentation, often in an airtight bottle, which can cause the alcohol content to climb to 3% ABV or more. “Hard kombucha,” which is intentionally brewed to have an elevated alcohol content, typically ranges from 4% to 7% ABV and is regulated and labeled as an alcoholic beverage.

How Kombucha Affects Breath and Urine Tests

Breathalyzer Tests

The likelihood of kombucha causing a positive result depends on the type and sensitivity of the alcohol test administered. A breathalyzer test measures a person’s Blood Alcohol Content (BAC) by analyzing the air exhaled from the lungs. Since standard commercial kombucha contains a low ABV and is consumed in small amounts, it is difficult to raise the systemic BAC to a detectable threshold, typically 0.02% or higher for workplace testing.

A concern with a breathalyzer is “mouth alcohol,” where residual alcohol vapor in the mouth can temporarily spike a reading if the beverage is consumed immediately before the test. This is the same reason mouthwash can cause a false positive, but the effect is transient. Waiting approximately 15 minutes between consumption and testing can mitigate this issue. Kombucha compounds do not cause false positives for non-alcohol drug tests.

Urine Tests

Urine tests designed to detect alcohol exposure look for metabolites known as Ethyl Glucuronide (EtG) and Ethyl Sulfate (EtS), which can signal alcohol consumption over the past one to three days. These tests are highly sensitive, but they rely on accepted cutoff levels to distinguish between intentional consumption and incidental exposure. The typical cutoff level used by testing facilities to reduce the risk of false positives is 500 nanograms per milliliter (ng/mL).

One study found that after consuming regular kombucha, EtG levels in some participants’ urine were detected, with a median concentration of 830 ng/mL, though this was only observed in the first few hours after drinking. However, another study noted that the 500 ng/mL cutoff is only likely to detect heavy drinking from the previous day. While standard commercial kombucha introduces ethanol, the concentration is usually insufficient to trigger a positive result at the 500 ng/mL threshold beyond a few initial voids, making a positive result from casual consumption highly unlikely.