Keahi M Horowitz, Danthy Hoang, Steven Kazmierczak, Rachel Castelli
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引用次数: 0
Abstract
INTRODUCTION: People have attempted to extract opiates from the surface of unwashed poppy seeds for recreational consumption. However, the opiate quantity within these homemade poppy seed teas is not well known, complicating risk assessment. Prior studies investigating this have used small volume samples made using laboratory-grade equipment, which may not accurately reflect opiate extractions attainable by laypersons. We quantified opiate extraction using recipes, ingredients, and equipment available to the public and at real-world volumes. METHODS: This is a two-part experiment. In the first part, we identified which of eight brewing techniques – collectively representing the possible combinations of variables we identified from our search of online forums – yielded the highest concentration of morphine and codeine. In the second part, the technique identified in the first part was applied to a composite recipe derived from recommendations found on publicly accessible online forums. Three replicates (A-C) of full volume recipes using each of three seed brands (1–3) were made using commonly available equipment. Morphine and codeine concentrations were measured using liquid chromatography/tandem-electrospray mass spectrometry. RESULTS: For part 1, all techniques yielded morphine (range: 138–2873 ng/mL) and codeine (range: 41–1083 ng/mL), but technique 2 produced the greatest yields. For part 2, technique 2 was applied to real-world equipment and ingredient ratios yielding samples with morphine concentrations of 1837–19,483 ng/mL and codeine concentrations of 296–20125 ng/mL. CONCLUSIONS: Brewing poppy seed tea using techniques and proportions replicating real-world extractions produce widely variable quantities of morphine and codeine, including some that may be clinically relevant.
期刊介绍:
Journal of Medical Toxicology (JMT) is a peer-reviewed medical journal dedicated to advances in clinical toxicology, focusing on the diagnosis, management, and prevention of poisoning and other adverse health effects resulting from medications, chemicals, occupational and environmental substances, and biological hazards. As the official journal of the American College of Medical Toxicology (ACMT), JMT is managed by an editorial board of clinicians as well as scientists and thus publishes research that is relevant to medical toxicologists, emergency physicians, critical care specialists, pediatricians, pre-hospital providers, occupational physicians, substance abuse experts, veterinary toxicologists, and policy makers. JMT articles generate considerable interest in the lay media, with 2016 JMT articles cited by various social media sites, the Boston Globe, and the Washington Post among others. For questions or comments about the journal, please contact jmtinfo@acmt.net.
For questions or comments about the journal, please contact jmtinfo@acmt.net.