Evaluation of Urinary Opiate Levels After Ingestion of Poppy Seed Product

Purpose: To determine if recent ingestion of a poppy seed product could explain a positive urine drug screen for opiates.

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Evaluation

Are you evaluating a urine drug screen from a person claiming to have ingested a poppy seed product?

Yes

Urine opiate concentration

Urine morphine concentration by GC/MS

Urine codeine concentration by GC/MS

Urine 6-acetylmorphine concentration

Is thebaine, narcotine or papaverine present in the urine?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is the urine drug screen positive for opiates?

Morphine-to-codeine ratio

Findings suggestive of poppy seed ingestion

Findings excluding poppy seed ingestion

Findings indicative of opiate abuse

Can poppy seed ingestion explain the positive urine drug screen for opiates?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Laboratory Tests
Other Testing
- False Positive Immunoassay for Tetrahydrocannabinol (THC) with Pantoprazole
Criteria For Diagnosis
- Criteria for Suspicion of Employee Under Influence of Drugs or Alcohol

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

laboratory tests

ICD-10

F11.1 - Mental and behavioural disorders due to use of opioids, harmful use

Info

Purpose: To determine if recent ingestion of a poppy seed product could explain a positive urine drug screen for opiates.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: laboratory tests

ICD-10: F11.1,

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