Drug Trend Bulletin - Issue 15 June 2017
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1 'New/Designer Benzodiazepines'
1 ‘New/Designer Benzodiazepines’: an analysis of the literature and psychonauts’ trip reports 2 Laura Orsolini*1,2,3, John M. Corkery1, Stefania Chiappini1, Amira Guirguis1, Alessandro Vento4,5,6,7, 3 Domenico De Berardis3,8,9, Duccio Papanti1, and Fabrizio Schifano1 4 5 1 Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical 6 Sciences, University of Hertfordshire, Hatfield, AL10 9AB, Herts, UK. 7 2 Neomesia Mental Health, Villa Jolanda Hospital, Jesi, Italy. 8 3 Polyedra, Teramo, Italy. 9 4 NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sapienza University – Rome, School of 10 Medicine and Psychology; Sant’Andrea Hospital, Rome, Italy 11 5 School of psychology - G. Marconi Telematic University, Rome, Italy 12 6 Addictions Observatory (ODDPSS), Rome, Italy 13 7 Mental Health Department - ASL Roma 2, Rome, Italy 14 8 Department of Neuroscience, Imaging and Clinical Science, Chair of Psychiatry, University of “G. D’Annunzio”, Chieti, 15 Italy. 16 9 NHS, Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital “G. Mazzini”, ASL 4 17 Teramo, Italy. 18 19 Corresponding author: 20 Laura Orsolini, Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life 21 and Medical Sciences, University of Hertfordshire, Hatfield, AL10 9AB, Herts, UK; Villa Jolanda Hospital, Neomesia 22 Mental Health, Villa Jolanda, Italy; Polyedra, Teramo, Italy; E-mail address: [email protected]. Tel.: (+39) 392 23 3244643. 24 25 Conflicts of Interest 26 The authors declare that this research was conducted in the absence of any commercial or financial relationships 27 that could be construed as a potential conflict of interest. -
A Review of the Evidence of Use and Harms of Novel Benzodiazepines
ACMD Advisory Council on the Misuse of Drugs Novel Benzodiazepines A review of the evidence of use and harms of Novel Benzodiazepines April 2020 1 Contents 1. Introduction ................................................................................................................................. 4 2. Legal control of benzodiazepines .......................................................................................... 4 3. Benzodiazepine chemistry and pharmacology .................................................................. 6 4. Benzodiazepine misuse............................................................................................................ 7 Benzodiazepine use with opioids ................................................................................................... 9 Social harms of benzodiazepine use .......................................................................................... 10 Suicide ............................................................................................................................................. 11 5. Prevalence and harm summaries of Novel Benzodiazepines ...................................... 11 1. Flualprazolam ......................................................................................................................... 11 2. Norfludiazepam ....................................................................................................................... 13 3. Flunitrazolam .......................................................................................................................... -
NFLIS-Drug Selected Substance List
2017-2020 NFLIS-Drug Substance List (Sorted by Date) Date Added NFLIS Substance Name Synonyms Chemical Name Structure InChI Formula to NFLIS- Drug InChI=1S/C16H20BrN/ c17-14-1-3-15(4-2-14)18-16-12-6-10-5-11 Bromantane ladasten N-(4-bromophenyl)adamantan-2-amine C16H20BrN 12/7/20 (8-12)9-13(16)7-10/h1-4,10-13,16,18H, 5-9H2 InChI=1S/C21H29FN2O3/ c1-4-27-21(26)19(15(2)3)23-20(25)17-14- ethyl 2-(1-(5-fluoropentyl)-1H-indole-3-carboxamido)-3- 5F-EMB-PICA EMB-2201; 5-fluoro-EMB-PICA 24(13-9-5-8-12-22)18-11-7-6-10-16(17)18 C21H29FN2O3 11/12/20 methylbutanoate /h6-7,10-11,14-15,19H, 4-5,8-9,12-13H2,1-3H3,(H,23,25) InChI=1S/C20H27FN2O3/ c1-20(2,3)17(19(25)26-4)22-18(24)15-13- methyl 2-(1-(4-fluorobutyl)-1H-indole-3- 4F-MDMB-BUTICA 4-fluoro-MDMB-BUTICA; 4F-MDMB-BICA 23(12-8-7-11-21)16-10-6-5-9-14(15)16/ C20H27FN2O3 10/23/20 carboxamido)-3,3-dimethylbutanoate h5-6,9-10,13,17H,7-8,11-12H2,1-4H3,(H, 22,24) InChI=1S/C10H14BrNO2/ 4-methoxy-6-[(1E)-2-phenylethenyl]-5,6-dihydro-2H- 2Br-4,5-Dimethoxyphenethylamine 2-bromo-4,5-dimethoxyphenethylamine c1-13-9-5-7(3-4-12)8(11)6-10(9)14-2/ C10H14BrNO2 10/2/20 pyran-2-one h5-6H,3-4,12H2,1-2H3 InChI=1S/C16H22FNO/ 4-fluoro-3-methyl-alpha-PVP; 4F-3-methyl-alpha- c1-3-6-15(18-9-4-5-10-18)16(19)13-7-8-1 4F-3-Methyl-alpha-PVP 4-fluoro-3-methyl-alpha-pyrrolidinopentiophenone C16H22FNO 10/2/20 pyrrolidinovalerophenone 4(17)12(2)11-13/h7-8,11,15H, 3-6,9-10H2,1-2H3 InChI=1S/C21H26N4O3/ N,N-diethyl-2-[2-(4-methoxybenzyl)-5-nitro-1H- c1-4-23(5-2)12-13-24-20-11-8-17(25(26)2 Metonitazene C21H26N4O3 9/15/20 benzimidazol-1-yl]ethanamine -
Infographics About Synthetic Opioids
UNODC LEADING THE INTERGRATED GLOBAL RESPONSE TO THE OPIOID CRISIS P I L L A R 1 P I L L A R 2 P I L L A R 3 P I L L A R 4 P I L L A R 5 I N T E R N A T I O N A L L A W S T R E N G T H E N I N G C O U N T E R E A R L Y W A R N I N G A N D R A T I O N A L P R E S C R I B I N G A N D S T R E N G T H E N I N G A N D S U P P O R T I N G E N F O R C E M E N T O P E R A T I O N S N A R C O T I C C A P A C I T Y A N D T R E N D A N A L Y S I S A C C E S S T O O P I O I D S P R E V E N T I O N A N D T R E A T M E N T T O D I S R U P T T R A F F I C K I N G I N T E R N A T I O N A L C O O P E R A T I O N IDENTIFYING THE MOST PREVELANT, PERSISTANT AND HARMFUL SYNTHETIC OPIOIDS U N O D C 282 90 E A R L Y TOXICOLOGY COLLABORATING IN COUNTRIES W A R N I N G INFORMED THREATS LABORATORIES A D V I S O R Y ASSESSMENTS PHARMACOLOGICAL INFORMATION L A B O R A T O R I E S A N D D A T A P O I N T S L A B O R A T O R I E S D A T A P O I N T S G L O B A L S M A R T U P D A T E S 21,400+ 120 DATA POINTS FROM COUNTRIES SYNTHETIC SEDATIVE 74 OPIOIDS HYPNOTICS REPORTED MIRRORING TO UNODC SYNTHETIC E A R L Y OPIOID TRENDS W A R N I N G A D V I S O R Y B Y 2019 131% IN THE LAST * * 3 Y E A R S Note: * 2019 data collection not finalized LIST OF SYNTHETIC OPIOIDS REPORTED TO THE UNODC EWA FROM 2009-2019 S C H E D U L E D 2-Fluorofentanyl Furanylfentanyl 4-Fluorobutyrfentanyl Methoxyacetylfentanyl 4-Fluoroisobutyrfentanyl MT-45 S C H E D U L E I Acrylfentanyl Ocfentanil ( 1 9 6 1 ) AH-7921 Tetrahydrofuranylfentanyl Butyrfentanyl U-47700 S C H E D U L E I & I V Cyclopropylfentanyl -
Advisory Council on the Misuse of Drugs
ACMD Advisory Council on the Misuse of Drugs Chair: Professor Les Iversen NPS Committee Secretary: Linsey Urquhart 1st Floor (NE), Peel Building 2 Marsham Street London SW1P 4DF Tel: 020 7035 1121 [email protected] Sarah Newton MP Minister for Vulnerability, Safeguarding and Countering Extremism Home Office 2 Marsham Street London SW1P 4DF 2 December 2016 Dear Minister, I am writing to recommend that you lay a temporary class drug order (TCDO) pursuant to section 2A of the Misuse of Drugs Act 1971 (MDA) for the following substances: • U-47,700 • Etizolam and other designer benzodiazepines. Please find enclosed two reports containing the Advisory Council on the Misuse of Drugs’ (ACMD) consideration of the evidence of harms on these substances. U-47,700 U-47,700 is a synthetic opioid, originally developed as a research chemical but with no legitimate use. Reportedly 7.5 times more potent than morphine it is a structural analogue of AH-7921. AH-7921 was controlled as a Class A drug in January 2015 following ACMD advice, particularly regarding its high addiction potential. The ACMD is concerned that abuse of U-47,700 has the potential for severe harms, particularly following reports from the USA of more than 80 deaths attributed to this substance and that the patterns of abuse are mirroring those of heroin. The US Drug Enforcement Administration has consequently subjected U-47,700 to temporary emergency scheduling under the Controlled Substances Act. Designer Benzodiazepines Benzodiazepines such as diazepam and chlordiazepoxide have had medical applications for more than 50 years, particularly as sedatives. -
WO 2020/212952 A1 22 October 2020 (22.10.2020)
(12) INTERNATIONAL APPLICATION PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization iii iiiii min linn ill II Minim mill ill m International Bureau (10) International Publication Number (43) International Publication Date WO 2020/212952 A1 22 October 2020 (22.10.2020) (51) International Patent Classification: 62/946, 159 10 December 2019 (10. 12.2019) U S A61K 31/675 (2006.01) A61P 25/30 (2006.01) (71) Applicant: COMPASS PATHFINDER LIMITED A61K 31/4045 (2006.01) A61P 25/00 (2006.01) [GB/GB]; 3rd Floor, 1 Ashley Road, Altrincham, Cheshire A61P1/00 (2006.01) A61P 25/06 (2006.01) WA14 2DT (GB). A61P 25/16 (2006.01) A61P25/22 (2006.01) (72) Inventors: LONDESBROUGH, Derek John; 37 Linden (21) International Application Number: Grove, Hartlepool, Durham TS26 9QA (GB). BROWN, PCT/IB2020/053688 Christopher; 30 Cherrytree Gardens, Gateshead, Tyne and (22) International Filing Date: Wear NE9 6TY (GB). NORTHEN, Julian Scott; 36 Hep- 17 April 2020 (17.04.2020) scott Terrace, South Shields, Tyne and Wear NE33 4TH (GB). MOORE, Gillian; 22 Matfen Court, Sedgefield, (25) Filing Language: English Durham TS21 2JB (GB). PATIL, Hemant Kashinath; (26) Publication Language: English 137C Kingston Road, Leatherhead, Surrey KT22 7NT (GB). NICHOLS, David E.; 56702 Nash, Chapel Hill, N C (30) Priority Data: 27517 (US). CROAL, Megan; c/o COMPASS Pathways 62/835,449 17 April 2019 (17.04.2019) U S Limited, 3rd Floor, 1 Ashley Road, Altrincham Cheshire 62/835,450 17 April 2019 (17.04.2019) U S WA14 2DT (GB). ERIKSSON, Hans Ake; c/o COM¬ 62/835,458 17 April 2019 (17.04.2019) U S PASS Pathways Limited, 3rd Floor, 1 Ashley Road, Altrin¬ 62/835,460 17 April 2019 (17.04.2019) U S cham Cheshire WA14 2DT (GB). -
Targeted LC-MSMS Carboxy-THC (Delta-9) LC/MS/MS for Cannabinoids POS THC (Delta-9) LC/MS/MS for Cannabinoids POS
Washington State Patrol - Toxicology Laboratory Division This list provides a general overview of analytes that may be tested for by the Toxicology Laboratory, with corresponding method POS: reported as positive only information and estimated expanded uncertainty, where applicable. Note that general screening includes one or a combination of the Day of test: uncertainty calculated following: enzyme multiplied immunoassay (EMIT), basic drug screening by gas chromatography - mass spectrometry/nitrogen on a case-by-case basis phosphorus detection (GC-MS/NPD) and drug screening by liquid chromatography - time of flight mass spectrometry (LC-TOF-MS). Case circumstances may dictate additional screening or targeted analyses, either in-house or by an external laboratory. The Toxicology Laboratory reserves the right to decide which method(s) to use. Please contact the laboratory at 206-262-6100 with any questions. NOTE: Confirmation testing for presumptive positive EMIT results may not be performed, based on case type (e.g., death investigation). Where confirmation testing is not performed, or where confirmation testing is performed and no reportable results are obtained (e.g., < LOQ or ND), the drug/drug class is removed from the EMIT panel description on the Toxicology Test Report. Analyte Name Confirmation Method Name Typical Reporting Limit Expanded Uncertainty Coverage factor Volatiles acetone Headspace GC 10 mg/dL day of test butane Headspace GC/MS POS n/a desflurane Headspace GC/MS POS n/a difluoroethane Headspace GC/MS POS n/a ethanol -
New Psychoactive Substances in Australia
NEW PSYCHOACTIVE SUBSTANCES IN AUSTRALIA Rachel Sutherland BSocSc (Hons, Criminology) A thesis in fulfilment of the requirements for the degree of Doctor of Philosophy National Drug and Alcohol Research Centre School of Public Health and Community Medicine Faculty of Medicine University of New South Wales November 2018 i THESIS/DISSERTATION SHEET Surname/Family Name Sutherland Given Name/s Rachel Anne Abbreviation for degree as give in the University calendar PhD Faculty Medicine School School of Public Health and Community Medicine Thesis Title New psychoactive substances in Australia Abstract 350 words maximum: (PLEASE TYPE) Over the past decade, countries worldwide have observed the rapid emergence of substances collectively referred to as ‘new psychoactive substances’ (NPS). To date, hundreds of NPS have been identified; however, for the most part very little is known about these substances. The exponential growth of NPS, combined with uncertainty regarding potential harms, has generated considerable concern amongst policy makers and there is international consensus regarding the need for ongoing monitoring and research into the NPS market. However, much of the research conducted in this area originates from Europe and the United States, with Australian-specific studies relatively scarce. This thesis aimed to address this gap in Australian specific studies using two data sources: the 2013 National Drug Strategy Household Survey (NDSHS: a general population prevalence survey) and the Ecstasy and related Drugs Reporting System (EDRS: a national survey of high frequency psychostimulant consumers). Specifically, this thesis aimed to: 1) determine if there was a distinct group of exclusive Australian NPS consumers; 2) examine rates of use of different classes of NPS amongst people who use other illicit substances; 3) examine the motivations associated with NPS use; and 4) explore the purchasing and supply patterns of NPS consumers. -
Characterization and in Vitro Phase I Microsomal
Characterization and in vitro phase I microsomal metabolism of designer benzodiazepines - an update comprising adinazolam, cloniprazepam, fonazepam, 3-hydroxyphenazepam, metizolam, and nitrazolam B. Moosmann, F. Franz, L.M. Huppertz and V. Auwärter Institute of Forensic Medicine Institute of Forensic Medicine, Forensic Toxicology, Medical Center - University of Freiburg, Germany Forensic Toxicology Introduction Designer benzodiazepines represent the latest class of new psychoactive substances (NPS). While other classes of NPS such as cannabinoid receptors agonists or synthetic cathinones are mainly consumed for hedonistic reasons, designer benzodiazepines may also be consumed for ‘self- medication’ by persons with anxiety disorders or by users of stimulant and hallucinogenic drugs (‘stand-by medication’ to counteract unpleasant overstimulation). In the present study, five benzodiazepines and one thienodiazepine offered as research chemicals on the Internet were characterized and their main in vitro phase I microsomal metabolites identified. The information obtained can be used to update analytical methods for the detection and identification of benzodiazepines in biological samples. Workflow 1. Product Monitoring 2. Characterization Research chemicals Tablets The declared • Adinazolam structural formula • Cloniprazepam was confirmed • Fonazepam (Norflunitrazepam) by the applied • 3-Hydroxyphenazepam techniques for all • Nitrazolam compounds. Metizolam NMR LC-Q-ToF-MS GC-MS LC-MS/MS All products were obtained via Internet shops in 2015 For adinazolam and fonazepam no NMR analysis was performed, since the compounds are included in the MPW library 3. In vitro phase I microsomal metabolism most likely position of hydroxylation Pooled human liver microsomes (pHLM) incubation Fonazepam (Norflunitrazepam) Signals at m/z values corresponding to two mono-hydroxylated metabolites and to 7-aminofonazepam (7-aminonorflunitrazepam) could be observed. -
PDF (The Misuse of Benzodiazepines Among High-Risk Opioid Users In
UPDATED 7. 6. 2018 UPDATED PERSPECTIVES ON DRUGS The misuse of benzodiazepines among high-risk opioid users in Europe Benzodiazepines are a widely prescribed I Introduction group of medicines with a range of clinical uses that include treating Benzodiazepines have a range of clinical uses and are among the most commonly prescribed medicines globally. They are anxiety, insomnia and managing alcohol useful in the short-term treatment of anxiety and insomnia, and withdrawal. This group of medicines is in managing alcohol withdrawal (Medicines and Healthcare often misused by high-risk opioid users, Products Regulatory Agency, 2015). Like all medicines, benzodiazepines can produce side effects. They may also be and this is associated with considerable misused, which we define as use without a prescription from morbidity and mortality. This paper a medical practitioner or, if prescribed, when they are used describes the impact of benzodiazepines outside accepted medical practice or guidelines. misuse on the health and treatment of While the misuse of benzodiazepines has been identified as a high-risk opioid users. concern for large groups in the general population, for example, among elderly people and women, this analysis focuses specifically on misuse among high-risk opioid users (1), a group of people among whom these medicines have been linked with severe treatment challenges and implicated in considerable numbers of drug-related deaths. It is important to stress that much benzodiazepine prescribing to high-risk drug users is done with legitimate therapeutic aims in mind. Nevertheless, these medicines may be used in ways that produce unintended negative health consequences, especially when they are used for longer than two to three weeks, form part of polydrug use patterns — typically in combination with illicit drugs or alcohol — and are used in Full edition of this article with interactive features available online at ways that do not accord with prescribing guidelines. -
Overview of the Major Classes of New Psychoactive Substances
Open Chemistry 2021; 19: 60–106 Review Article Vera Lukić,Ružica Micić, Biljana Arsić*, Bojan Nedović, Živana Radosavljević Overview of the major classes of new psychoactive substances, psychoactive effects, analytical determination and conformational analysis of selected illegal drugs https://doi.org/10.1515/chem-2021-0196 received May 26, 2020; accepted August 20, 2020 Abbreviations Abstract: Themisuseofpsychoactivesubstancesis NMR nuclear magnetic resonance attracting a great deal of attention from the general public. MS mass spectrometry An increase use of psychoactive substances is observed NPS new psychoactive substances among young people who do not have enough awareness USA United States of America of the harmful effects of these substances. Easy access to GABA γ-aminobutyric acid illicit drugs at low cost and lack of effective means of rou- EU European Union tine screening for new psychoactive substances (NPS) LSD lysergic acid diethylamide have contributed to the rapid increase in their use. New LSA lysergamide research and evidence suggest that drug use can cause a UK United Kingdom variety of adverse psychological and physiological effects DMT N,N-dimethyltryptamine on human health (anxiety, panic, paranoia, psychosis, NE norepinephrine and seizures). We describe different classes of these NPS 5-HT 5-hydroxytryptamine drugs with emphasis on the methods used to identify them ENT ears, nose and throat and the identification of their metabolites in biological IV intravenous specimens. This is the first review that thoroughly gives GC-MS gas chromatography-mass spectrometry the literature on both natural and synthetic illegal drugs IR infra-red with old known data and very hot new topics and investi- CNS central nervous system gations, which enables the researcher to use it as a starting MEA microelectrode arrays point in the literature exploration and planning of the own hDAT human dopamine reuptake transporter research. -
Experimental Versus Theoretical Log D7.4, Pka and Plasma Protein Binding Values for Benzodiazepines Appearing As New Psychoactiv
1 Experimental versus theoretical log D7.4, pKa and plasma protein binding values for 2 benzodiazepines appearing as new psychoactive substances 3 4 Kieran R Manchester1, Peter D Maskell2, Laura Waters1* 5 6 1School of Applied Sciences, University of Huddersfield, Huddersfield, UK. 7 2School of Science, Engineering and Technology, Abertay University, Dundee, UK. 8 9 *Author for correspondence. E-Mail: [email protected] 10 11 Abstract 12 The misuse of benzodiazepines as new psychoactive substances is an increasing problem 13 around the world. Basic physicochemical and pharmacokinetic data is required on these 14 substances in order to interpret and predict their effects upon humans. Experimental log D7.4, 15 pKa and plasma protein binding values were determined for 11 benzodiazepines that have 16 recently appeared as new psychoactive substances (3-Hydroxyphenazepam, 4’- 17 Chlorodiazepam, desalkylflurazepam, deschloroetizolam, diclazepam, etizolam, 18 flubromazepam, flubromazolam, meclonazepam, phenazepam and pyrazolam) and compared 19 with values generated by various software packages (ACD/I-lab, MarvinSketch, ADMET 20 Predictor and PreADMET). ACD/I-LAB returned the most accurate values for log D7.4 and 21 plasma protein binding while ADMET Predictor returned the most accurate values for pKa. 22 Large variations in predictive errors were observed between compounds. Experimental values 23 are currently preferable and desirable as they may aid with the future ‘training’ of predictive 24 models for these new psychoactive substances. 25 26 27 28 Keywords: logD; pKa; plasma; benzodiazepines; NPS 1 29 1. Introduction 30 New psychoactive substances (NPS) are an increasing problem around the world [1]. 31 Benzodiazepines are one of a number of groups of NPS that have appeared on the illicit drug 32 market [2].