The prevalence of new psychoactive substances in biological material – a three‐year review of casework in Poland

Abstract

New psychoactive substances (NPS) pose a challenge for forensic and clinical toxicologists, as well as for legislators. We present our findings from cases where NPS have been detected in biological material. During the three-year period 2012-2014 we found NPS in 112 cases (out of 1058 analyzed), with 75 cases in 2014 alone. The prevalence of all NPS (15.1-17.6%) was similar to amphetamine alone that was detected in 15.1-16.5% of cases. The new drugs found belonged to the following classes: cathinones (88%), synthetic cannabinoids (5%), phenethylamines (3%), piperazines and piperidines (3%), arylalkylamines (1%) and other (1%). The drugs detected were (in the order of decreased frequency): 3-MMC (50), α-pyrrolidinopentiophenone (α-PVP) (23), pentedrone (16), 3',4'-methylenedioxy-α-pyrrolidinobutyrophenone (MDPBP) (12), synthetic cannabinoid UR-144 (7), ethcathinone (5), mephedrone (5), methylenedioxypyrovalerone (MDPV) (4), 4-methylethcathinone (4-MEC) (3), buphedrone (3), desoxypipradrol (2-DPMP) (3), methylone (2) and 2C-B (2). In single cases, 2-methylmethcathinone (2-MMC), 2C-P, eutylone, 25I-NBOMe, meta-chlorophenylpiperazine (mCPP), ephedrone, methiopropamine (MPA), and 5-(2-aminopropyl)benzofuran (5-APB) were found. One NPS was the sole agent in 35% of all cases, and two or more NPS were present in 19% of cases. NPS (one or more) with other conventional drugs (like amphetamines, cannabinoids, cocaine, and benzodiazepines) were detected in most (65%) of the cases. NPS were very often detected in the blood of drivers which was a challenge for toxicologists due to a lack of data on their influence on psychomotor performance. A review of concentrations showed a wide range of values in different types of cases, especially driving under the influence of drugs (DUID) and intoxication.

Prevalence of new psychoactive substances and prescription drugs in the Belgian driving under the influence of drugs population

“…Often drug users seek NPS that have similar properties to the traditional illicit drugs they already abuse . The blood samples selected in Mons had a high prevalence of THC.…”

Focus on cannabinoids and synthetic cannabinoids

“…The rapid efficacy is corroborated by pharmacokinetic data showing peak JWH-018/JWH-073 concentration 5 min after smoking, followed by a rapid drop to below 10% of the peak concentration within 3 h in subjects who smoked herbal incenses. 41 In addition, it must be emphasized that SCs are frequently not used alone but are often combined with other substances, usually alcohol, cannabis, and tobacco.…”

Spectroscopic characterization and crystal structures of two cathinone derivatives: N-ethyl-2-amino-1-phenylpropan-1-one (ethcathinone) hydrochloride and N-ethyl-2-amino-1-(4-chlorophenyl)propan-1-one (4-CEC) hydrochloride

“…Ethcathinone (compound 1 ) was one of the most common NPSs on the illegal drug market in Poland between 2012 and 2014 [5, 6]. In Poland, since July 2015, ethcathinone has the status of an controlled substance.…”