Evidence map›Paper›PMID 41817913›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2026

The Extraction of Morphine and Codeine by Brewing Poppy Seed Tea using Real-World Quantities and Methods.

Keahi M Horowitz, Danthy Hoang, Steven Kazmierczak, Rachel Castelli

Abstract read
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Keahi M HorowitzOregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA. horowitz@ohsu.edu.ORCID http://orcid.org/0000-0003-3414-0514
Danthy HoangOregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
Steven KazmierczakOregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
Rachel CastelliOregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeople 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.

methodsThis 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.

resultsFor 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.

conclusionsBrewing 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.

Indexed as

Analgesics, OpioidBeveragesCodeineMorphinePapaverSeedsChromatography, LiquidHumansLiquid Chromatography-Mass SpectrometryTandem Mass SpectrometryAnalgesics, OpioidCodeineMorphineCodeineExtractionMorphineOpioid toxicityPoppy seed tea

Identifiers

PMID41817913
PMCPMC13076808

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.