Bioingeniøren (Feb 2023)
Drug testing: Findings of opiates in urine after ingestion of poppy seeds
Abstract
Background: It is known that poppy seeds may contain opiates naturally, i.e. morphine and codeine. Morphine and codeine, however, are also commonly used drugs. Drug tests in urine being positive for opiates are sometimes explained by the consumption of poppy seeds in the form of baked goods. In such cases it can be challenging to determine what was actually ingested. The aim of this study was to examine the amount of poppy seeds needed to be ingested to yield positive opiate results with our analytical methods. Material and methods: In all, 16 volunteers divided into 4 groups (A-D) ate poppy seeds from either (A) 1-4 rolls, (B) 1-4 crisp breads, (C) spice jar (48 grams) or (D) spice bag (48 grams). Urine samples collected during the following 24 hours were analyzed with immunological screening method and specific chromatographic method (LC-MSMS). Results: No samples from group A and B were positive with the immunological method, but one subject in group B (4 crisp breads) was positive for morphine with the chromatographic method. In groups C and D all subjects had two or more positive tests measured with immunological and chromatographic method. There were significant differences in measured levels between groups C and D. No samples contained higher concentration of codeine than morphine in this study. Interpretation: Consumption of poppy seeds can yield positive test results for opiates, depending on the quantity of poppy seeds consumed. Consumption of the same amount of poppy seeds can produce very different levels of opiates depending on the type and origin of the seeds ingested.