%0 Journal Article %T Recent advances of drugs monitoring in oral fluid and comparison with blood. %A Casati S %A Binda M %A Dongiovanni P %A Meroni M %A D'Amato A %A Roda G %A Orioli M %A Del Fabbro M %A Tartaglia GM %J Clin Chem Lab Med %V 61 %N 11 %D 2023 10 26 %M 37302088 %F 8.49 %R 10.1515/cclm-2023-0343 %X The use of alternative matrices in toxicological analyses has been on the rise in clinical and forensic settings. Oral fluid (OF), as non-invasive fluid, has attracted attention in the field of drug screening, both for therapeutic and forensic purposes, as well as for medical diagnosis, clinical management, on-site (real time) doping and for monitoring environmental exposure to toxic substances. A good correlation between OF and blood is now established for drug concentrations. Therefore, OF might be a potential substitute of blood, especially for long-term surveillance (e.g., therapeutic drugs) or to screen a large number of patients, as well as for the development of salivary point-of-care technologies. In this review, we aimed to summarize and critically evaluate the current literature that focused on the comparison of drugs detection in OF and blood specimens.