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Will the donor test positive for heroin due to Phenergan, Vicks Formula 44, Tonic water or poppy seeds?

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Will the donor test positive for heroin due to Phenergan, Vicks Formula 44, Tonic water or poppy seeds?

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None of these compounds contain Heroin. See the response under poppy seeds for a complete discussion of this issue. There is a type of Phenergan which contains codeine which is metabolized to morphine. This is a good example of the need for an MRO to review test results to verify a valid prescription to account for a positive result for morphine. Any prescription cough syrups which contain codeine also will metabolize to morphine and should require an MRO for interpretation. Tonic water contains no opiate or any compound which could lead to a positive heroin or opiate result. This myth came from the fact that quinine(present in tonic water) is also used to “cut” heroin. Obviously, the presence of quinine is not indicative of heroin use.

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