New Psychoactive Substances NPS Are Drugs That Are Synthetically
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Overview of the Misuse of Drugs Act 1971
Psychoactive Substances Bill Factsheet: Overview of the Misuse of Drugs Act 1971 1. The provisions of the Psychoactive Substances Bill will build on and complement the existing legislative framework for the control of dangerous drugs as contained in the Misuse of Drugs Act 1971 (the 1971 Act). This factsheet provides an overview of the provisions of the 1971 Act. The Misuse of Drugs Act 1971 2. The 1971 Act provides the legislative framework for the regulation of “dangerous or otherwise harmful” drugs; the Act applies to the whole of the United Kingdom. The 1971 Act implements the UK’s international obligations under the United Nations Conventions for the prevention of drug misuse and trafficking, namely the Single Convention on Narcotic Drugs 19611 and the Convention on Psychotropic Substances 19712, which are complemented by the Convention against Illicit Traffic in Narcotic Drugs and Psychotropic Substances 19883. 3. The 1971 Act applies to "controlled drugs". This includes substances or products specified in Schedule 2 to the Act. That Schedule divides controlled drugs into one of three Classes – A, B and C – broadly based on their relative harms, with Class A drugs considered the most harmful. Examples of each class of drug are: Class A - cocaine, methadone and opium; Class B - amphetamine, cannabis and ketamine; Class C - khat and temazepam. In addition, controlled drugs include any substance or product specified in a temporary class drug order as a drug subject to temporary control (see below). 4. The 1971 Act provides for a range of offences in relation to controlled drugs, including: • importation and exportation (section 3); • production, supply or offering to supply (section 4); • possession and possession with intent to supply (section 5); and • permitting premises to be used for certain activities, including the production or supply of a controlled drug and smoking cannabis (section 8). -
Socio-Demographic and Clinical Characteristics of Benzodiazepine Long-Term Users: Results from a Tertiary Care Center ⁎ F
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Florence Research Available online at www.sciencedirect.com ScienceDirect Comprehensive Psychiatry 69 (2016) 211–215 www.elsevier.com/locate/comppsych Socio-demographic and clinical characteristics of benzodiazepine long-term users: Results from a tertiary care center ⁎ F. Coscia, , G. Mansuetoa, M. Faccinib, R. Casarib, F. Lugobonib aDepartment of Health Sciences, University of Florence, via di San Salvi 12, 50135, Florence, Italy bAddiction Unit, Verona University Hospital, piazzale Aristide Stefani 1, 37126, Verona, Italy Abstract Objective: The use of benzodiazepines (BDZs) represents a critical issue since a long-term treatment may lead to dependence. This study aimed at evaluating socio-demographic and clinical characteristics of BZD long-term users who followed a detoxification program at a tertiary care center. Method: Two hundred-five inpatients were evaluated. Socio-demographic (e.g., gender, age, education) and clinical information (e.g., BZD used, dose, reason of prescription) was collected. BZDs dose was standardized as diazepam dose equivalents and was compared via the Defined Daily Dose (DDD). Chi-square, Fisher test, ANOVA and Bonferroni analyses were performed. Results: Females were more frequently BDZ long-term users than males. Hypnotic BZDs were frequently prescribed for problems different from sleep disturbances. Lorazepam, alprazolam, and lormetazepam were the most prescribed drugs. Lorazepam was more frequently used by males, consumed for a long period, in pills, and prescribed for anxiety. Lormetazepam was more frequently consumed by females with a high school education, having a psychiatric disorder, taken in drops and prescribed for insomnia. -
ACMD Statment of Evidence
ACMD Advisory Council on the Misuse of Drugs Chair: Professor Les Iversen Secretary: Will Reynolds 3rd Floor Seacole Building 2. Marsham Street London SW1P 4DF 020 7035 0454 Email: [email protected] Minister of State for Crime Prevention and Antisocial Behaviour Reduction, Home Office 2. Marsham Street London SW1P 4DF 23rd March 2012 Dear Minister, I am writing in response to your formal request for the Advisory Council on the Misuse of Drugs (ACMD) to provide advice on the drug methoxetamine, pursuant to section 2A of the Misuse of Drugs Act 1971 (a temporary class drug order). I have pleasure in providing the ACMD’s consideration of the evidence concerning this drug. In providing this advice I would like to convey my thanks to the Home Office for its provision of information obtained via the Drugs Early Warning System (DEWS) and the Forensic Early Warning System (FEWS). Background In September 2010 internet dealers began to advertise a new product, methoxetamine, a close chemical analogue of ketamine. It was said to mimic the psychoactive effects of ketamine but represented a legal alternative. The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) first detected this compound in the UK in September 2010, and has now received reports of its presence in many European countries. Its presence in police seizures has now been reported in samples from many different regions. There has been a rise in visits to the FRANK help site, and to the National Poisons Information Service (TOXBASE) in the past 6 months and also an increased, although small total number, of presentations of users with acute methoxetamine toxicity to hospital Emergency Departments. -
The Misuse of Drugs Act 1971 Amendment Order 2013
EXPLANATORY MEMORANDUM TO THE MISUSE OF DRUGS ACT 1971 (AMENDMENT) ORDER 2013 2013 No. 1. This explanatory memorandum has been prepared by the Home Office and is laid before Parliament by Command of Her Majesty. 2. Purpose of the instrument 2.1 This Order in Council (the “Order”) controls the following as Class B drugs under Part 2 of Schedule 2 of the Misuse of Drugs Act 1971 (the “1971 Act): (i) Synthetic cannabinoid receptor agonists (synthetic cannabinoids) ; (ii) 2-(ethylamino)-2-(3-methoxyphenyl)cyclohexanone (commonly known as methoxetamine) and other compounds related to ketamine (Class C) and phencyclidine (Class A); and (iii) 2-((dimethylamino)methyl)-1-(3-hydroxyphenyl)cyclohexanol (commonly known as “O-desmethyltramadol”, a metabolite of the prescription only medicine, tramadol). 3. Matters of special interest to the Joint Committee on Statutory Instruments 3.1 None. 4. Legislative Context 4.1 The Misuse of Drugs Act 1971 (“the 1971 Act”) controls drugs that are “dangerous or otherwise harmful”. Schedule 2 to the 1971 Act specifies these drugs and groups them in three categories – Part 1 lists drugs known as Class A drugs, Part 2 contains Class B drugs and Part 3 lists Class C drugs. The three-tier system of classification (A, B and C) provides a framework within which criminal penalties are set with reference to the harm a drug has or is capable of causing when misused and the type of illegal activity undertaken in regard to that drug. 4.2 Section 2 of the 1971 Act enables amendments to be made to the list of drugs controlled under the Act by means of an Order in Council. -
124.204 Schedule I — Substances Included. 1. Schedule I Shall Consist
1 , §124.204 124.204 Schedule I — substances included. 1. Schedule I shall consist of the drugs and other substances, by whatever official name, common or usual name, chemical name, or brand name designated, listed in this section. 2. Opiates. Unless specifically excepted or unless listed in another schedule, any of the following opiates, including their isomers, esters, ethers, salts, and salts of isomers, esters, and ethers, whenever the existence of such isomers, esters, ethers, and salts is possible within the specific chemical designation: a. Acetylmethadol. b. Allylprodine. c. Alphacetylmethadol (except levo-alphacetylmethadol also known as levo-alpha- acetylmethadol, levomethadyl acetate, or LAAM). d. Alphameprodine. e. Alphamethadol. f. Alpha-Methylfentanyl (N-(1-(alpha-methyl-beta-phenyl) ethyl-4-piperidyl) propionanilide; 1-(1-methyl-2-phenylethyl)-4-(N-propanilido)piperidine). g. Benzethidine. h. Betacetylmethadol. i. Betameprodine. j. Betamethadol. k. Betaprodine. l. Clonitazene. m. Dextromoramide. n. Difenoxin. o. Diampromide. p. Diethylthiambutene. q. Dimenoxadol. r. Dimepheptanol. s. Dimethylthiambutene. t. Dioxaphetyl butyrate. u. Dipipanone. v. Ethylmethylthiambutene. w. Etonitazene. x. Etoxeridine. y. Furethidine. z. Hydroxypethidine. aa. Ketobemidone. ab. Levomoramide. ac. Levophenacylmorphan. ad. Morpheridine. ae. Noracymethadol. af. Norlevorphanol. ag. Normethadone. ah. Norpipanone. ai. Phenadoxone. aj. Phenampromide. ak. Phenomorphan. al. Phenoperidine. am. Piritramide. an. Proheptazine. ao. Properidine. ap. Propiram. aq. Racemoramide. ar. Tilidine. as. Trimeperidine. at. Beta-hydroxy-3-methylfentanyl (other name: N-[1-(2-hydroxy-2-phenethyl)- 3-methyl-4-piperidinyl]-N-phenylpropanamide). Thu May 19 07:35:43 2016 Iowa Code 2016, Section 124.204 (25, 1) §124.204, 2 au. Acetyl-alpha-methylfentanyl (N-[1-(1-methyl-2-phenethyl)-4-piperidinyl]-N- phenylacetamide). av. -
ETIZOLAM Critical Review Report Agenda Item 4.13
ETIZOLAM Critical Review Report Agenda Item 4.13 Expert Committee on Drug Dependence Thirty-ninth Meeting Geneva, 6-10 November 2017 39th ECDD (2017) Agenda item 4.13 Etizolam Page 2 of 20 39th ECDD (2017) Agenda item 4.13 Etizolam Contents Acknowledgements.................................................................................................................................. 5 Summary...................................................................................................................................................... 6 1. Substance identification ....................................................................................................................... 7 A. International Nonproprietary Name (INN).......................................................................................................... 7 B. Chemical Abstract Service (CAS) Registry Number .......................................................................................... 7 C. Other Chemical Names ................................................................................................................................................... 7 D. Trade Names ....................................................................................................................................................................... 7 E. Street Names ....................................................................................................................................................................... 8 F. Physical Appearance -
ETIZOLAM in POST-MORTEM CASES Joanna Hockenhull1
ETIZOLAM IN POST-MORTEM CASES Joanna Hockenhull1 1Toxicology Unit, Faculty of Medicine, Imperial College London. INTRODUCTION: Etizolam [4-(2-chlorophenyl)-2-ethyl-9-methyl-6H-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepine] is a benzodiazepine analogue. The benzene ring is replaced with a thiophene ring making the drug a ‘thienodiazepine’. This poster reviews four post-mortem cases, submitted to Imperial College Toxicology Unit, in which etizolam was detected in the post-mortem, femoral blood. RESULTS: The findings are summarised in the tables below. Medicinal use: • Widely available in Japan (Depas, Sedekopan ) and India (Etilaam, Etizola). CASE 1: CASE 2: • Adult daily doses range from 0.5 – 3.0 milligrams. • 52 year old female • 47 year old male • Used in short-term treatment of insomnia or anxiety. 1 • Found dead in church yard surrounded by empty • History of alcohol abuse and depression 2 • Acts as a full agonist at the benzodiazepine receptor. medication packets • Has potent hypnotic properties comparable with other short-acting • Found dead in bed surrounded by empty medication benzodiazepines. Drug Blood Concentration packets. • (Etizolam has anxiolytic effects six times greater than diazepam). 3 ETIZOLAM 0.09 µg/ml Drug Blood Concentration 4 • Thought to have reduced tolerance/dependence than classical benzodiazepines. Diphenhydramine High therapeutic ETIZOLAM 0.46 µg/ml FIGURE 1: Structure of Etizolam • However, long-term use may produce similar side-effects to benzodiazepines: Venlafaxine 7.10 µg/ml 5 Amitriptyline High therapeutic addiction, hostile behaviour, memory loss and severe withdrawal. Mirtazapine 1.41 µg/ml Illicit use: Ethanol <10 mg/dL Citalopram 0.79 µg/ml • Etizolam is not licenced as a medicine in the UK. -
MDMA ('Ecstasy'): a Review of Its Harms and Classification Under the Misuse of Drugs Act 1971
MDMA (‘ecstasy’): A REVIEW OF ITS HARMS AND CLASSIFICATION UNDER THE MISUSE OF DRUGS ACT 1971 Advisory Council on the Misuse of Drugs ACMD Advisory Council on the Misuse of Drugs 3rd Floor (SW), Seacole Building 2 Marsham Street London SW1P 4DF February 2008 Rt Hon Jacqui Smith MP Home Office 2 Marsham Street London SW1P 4DF Dear Home Secretary, The Advisory Council on the Misuse of Drugs (ACMD) recently considered that a review of MDMA (‘ecstasy’) would be timely as there is a much greater body of evidence regarding the harms and misuse of MDMA since the Council last provided its advice to Ministers in 1996. I have pleasure in enclosing the Council’s report. The use of MDMA is undoubtedly harmful. I would therefore like to emphasise that the Council continues to be concerned about the widespread use of MDMA; particularly among young people. Due to its prevalence of use, MDMA is a significant public health issue and we believe that criminal justice measures will only have limited effect. You will wish to note that the Council strongly advises the promulgation of public health messages. It is of vital importance that issues of classification do not detract from messages concerning public health. Forensic evidence shows that MDMA is by far the most commonly seized of the ‘ecstasy-like’ drugs. MDMA is presently generically classified in Class A under the Misuse of Drugs Act with other ‘ecstasy-like’ drugs. The ACMD has not extended this review to other compounds within the generic classification since their use is considerably less than that of MDMA. -
MDAI (5,6Methylenedioxy2aminoindane
human psychopharmacology Hum. Psychopharmacol Clin Exp 2013; 28: 345–355. Published online in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/hup.2298 SPECIAL ISSUE ON NOVEL PSYCHOACTIVE SUBSTANCES MDAI (5,6-methylenedioxy-2-aminoindane; 6,7-dihydro-5H- cyclopenta[f][1,3]benzodioxol-6-amine; ‘sparkle’; ‘mindy’) toxicity: a brief overview and update John M Corkery1,3*, Simon Elliott2, Fabrizio Schifano1,3, Ornella Corazza3 and A Hamid Ghodse1,† 1National Programme for Substance Abuse Deaths (np-SAD), International Centre for Drug Policy, St George’s, University of London, London, UK 2ROAR Forensics Ltd, Malvern, Worcestershire, UK 3School of Life and Medical Sciences, University of Hertfordshire, Hatfield, Hertfordshire, UK Objectives MDAI (5,6-methylenedioxy-2-aminoindane; 6,7-dihydro-5H-cyclopenta[f][1,3]benzodioxol-6-amine; ‘sparkle’; ‘mindy’)isa psychoactive substance, sold primarily over the Internet and in ‘head’ shops as a ‘legal high’. Synthesised and used as a research chemical in the 1990s, MDAI has structural similarities to MDMA (3,4-methylenedioxy-N-methylamphetamine) and shares its behavioural properties. Recreational use of MDAI appears to have started in Europe around 2007, with a noticeable increase after 2009 in the UK and other countries. Calls to National Poisons Information Services started in 2010, although there were few presentations to emergency departments by patients complaining of undesirable physical and psychiatric effects after taking MDAI. Recreational use of this drug has been reported only occa- sionally by online user fora. There is little scientifically based literature on the pharmacological, physiological, psychopharmacological, tox- icological and epidemiological characteristics of this drug. Methods Recent literature (including ‘grey’) was searched to update what is known about MDAI, especially on its toxicity. -
CREW Booklet
PSYCHOACTIVE DRUGS V2.1 12/16 SERVICE AVAILABILITY Drop-in Monday – Wednesday: 1pm – 5pm Thursday: 3pm – 7pm Friday – Saturday: 1pm – 5pm Sunday: Closed Telephone information Monday – Friday: 10am – 5pm Online information: www.mycrew.org.uk CONTACT Address | 32 Cockburn Street, Edinburgh, EH1 1PB Telephone | 0131 220 3404 Email | [email protected] Main | www.crew2000.org.uk Enterprise | www.mindaltering.co.uk Info and support | www.mycrew.org.uk Facebook | www.facebook.com/Crew2000 Twitter | www.twitter.com/Crew_2000 Instagram | www.instagram.com/Crew_2000 Psychoactive drugs have mind altering properties. They are often consumed to produce a wide range of desirable physical and psychological effects and there are hundreds of substances available. Psychoactive drugs can occur naturally (e.g. cannabis and psilocybin); be extracted from natural sources (e.g. cocaine and heroin) or produced synthetically (man-made) in a laboratory (e.g. MDMA and methamphetamine). People choose to take drugs for many reasons including relaxation, insomnia, pain relief, escapism, peer pressure and social norms, to get high, self-medication, to have fun, to lower inhibitions, to feel different, because they want to, to increase connection with others and music, to increase creativity, increase sexual arousal, curiosity, tradition, religious or spiritual beliefs, to lose/gain weight, to cope with grief, loneliness, trauma etc. People from all strata of society have the potential to consume drugs and we must avoid stereotypes. Most drug use is recreational and not recorded; however, pockets of problematic use exist in a range of settings. The use of drugs is widespread and includes not just illegal substances but alcohol, nicotine, caffeine and medicines - which many people do not consider to be drugs. -
The UK Drug Classification System: Issues and Challenges
The UK Drug Classification System: issues and challenges Written evidence to the Advisory Council on the Misuse of Drugs as part of its review of the classification of MDMA (‘ecstasy’) Briefing September 2008 Kings Place 90 York Way London N1 9AG 020 7812 3790 [email protected] www.ukdpc.org.uk UKDPC is a registered charity, established to provide independent and objective analysis of drug policy and find ways to help the public and policy makers better understand the implications and options for future policy. UKDPC has been set up with support from the Esmée Fairbairn Foundation, initially for three years. Our objective is to analyse the evidence and explore options for drug policy which can improve the health, well being and safety of individuals, families and communities. Honorary President: John Varley, Group Chief Executive of Barclays Bank Commissioners: Dame Ruth Runciman (Chair): Chair of the Central & NW London NHS Foundation Trust & previously Chair of the Independent Inquiry into the Misuse of Drugs Act and member of The Advisory Council on the Misuse of Drugs Professor Baroness Haleh Afshar OBE: Professor of Politics & Women’s Studies, University of York Professor Colin Blakemore FRS: Professor of Neuroscience at the Universities of Oxford and Warwick. David Blakey CBE QPM: formerly HM Inspector of Constabulary, President of ACPO & Chief Constable of West Mercia Annette Dale-Perera : Director of Quality at the National Treatment Agency for Substance Misuse Professor the Baroness Finlay of Llandaff : Professor of Palliative Care, University of Wales & President of the Royal Society of Medicine. Daniel Finkelstein OBE: Comment Editor at The Times Jeremy Hardie CBE: Trustee of Esmée Fairbairn Foundation Professor Lord Kamlesh Patel OBE: Head of the Centre for Ethnicity & Health at University of Central Lancashire & Chairman of the Mental Health Act Commission Professor Alan Maynard: Professor of Health Economics at the University of York Adam Sampson : Chief Executive of Shelter. -
New Drugs in Europe, 2012 Europe, in Drugs New
ISSN 1977-7841 New drugs in Europe, 2012 EMCDDA–Europol 2012 Annual Report on the implementation of Council Decision 2005/387/JHA 2012 New drugs in Europe, 2012 EMCDDA–Europol 2012 Annual Report on the implementation of Council Decision 2005/387/JHA In accordance with Article 10 of Council Decision 2005/387/JHA on the information exchange, risk assessment and control of new psychoactive substances Legal notice This publication of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is protected by copyright. The EMCDDA accepts no responsibility or liability for any consequences arising from the use of the data contained in this document. The contents of this publication do not necessarily reflect the official opinions of the EMCDDA’s partners, the EU Member States or any institution or agency of the European Union or European Communities. A great deal of additional information on the European Union is available on the Internet. It can be accessed through the Europa server (http://europa.eu). Europe Direct is a service to help you find answersto your questions about the European Union. Freephone number (*): 00 800 6 7 8 9 10 11 (*) Certain mobile telephone operators do not allow access to 00 800 numbers or these calls may be billed. Cataloguing data can be found at the end of this publication. Luxembourg: Publications Office of the European Union, 2013 ISBN 978-92-9168-650-6 doi:10.2810/99367 © European Monitoring Centre for Drugs and Drug Addiction, 2013 Cais do Sodré, 1249-289 Lisbon, Portugal Tel. +351 211210200 • [email protected] • www.emcdda.europa.eu © Europol, 2013 Eisenhowerlaan 73, 2517 KK, The Hague, the Netherlands Tel.