Hi Paula
Many thanks for completing the story, a really interesting case and it highlights the complexity of testing and the possibility of
less obvious sources to explain results.
Rose Hill
Occupational Health Lead
01305 225048
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From: [log in to unmask] [mailto:[log in to unmask]]
On Behalf Of Paula Highton
Sent: 04 August 2016 10:45
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Drug screening
Mystery solved everyone.
I telephoned the lab again (synergy) and spoke to another scientist. He elaborated a little further and explained that they had also found something called Seabane
which is consistent with poppy seeds. I telephoned the employee and apparently he eats seeded bread everyday. He was also helpful in explaining that the morphine from the seeds can stay in their system between 3-5 days.
Relieved, I don’t think withdrawing a job offer because of his choice of breakfast would have been a safe option
J
Thanks for your responses as always
Paula
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From:
[log in to unmask] [mailto:[log in to unmask]]
On Behalf Of Carr Barnes
Sent: 04 August 2016 10:37
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Drug screening
There is very little official stance from official bodies that I can find on this. I think Helen Varadker commented in the Facebook Group in the last few months so you could use the search function to find her post? This might be of interest
http://www.ncbi.nlm.nih.gov/pubmed/19901868
Regards
Carr
On 4 Aug 2016 10:19, "Paula Highton" <[log in to unmask]> wrote:
Good Morning
Do any of you know how long it would be before the consumption of poppy seeds would be out of someone’s system and therefore no longer show up as a false positive please?
Does anyone have any written advice that can be offered to new starters prior to their pre-placement screening in relation to meds/foods prior to screening. I’m going to put something
together which can be included with the offer letter and D&A policy.
I have a case where a new starter tested non-negative for opiates and then after the test he stated that he may have had one ‘strong paracetamol’ i.e. it could have contained another
ingredient (our current policy does not prohibit late declaration following a test unfortunately).
The lab report does not comment on the medication disclosed (probably because the history was poor) but tested positive for Morphine at a level well over ten times higher than
the cut off level of 300 and states may be consistent with poppy seed consumption.
Poppy seeds as you have probably guessed were not discussed at the time of the test. I telephoned the lab for clarification and was told verbally that the result was not consistent
with over the counter medication and would have had to be prescribed and that again poppy seeds were the likely culprit. I was then advised to refer it to our OHP which only attends once per month ( I have emailed him).
All advice would be gratefully considered.
Kind regards
Paula Highton RN BSc(Hons) SCPHN (OH)
Occupational Health Manager
Medical Centre ext 272
Sheffield
Forgemasters International Ltd. | Sheffield S9 2RW
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