Bath Salts - Another Designer Drug - NDCRC · Bath Salts: The term bath salts refers to a range of...
Transcript of Bath Salts - Another Designer Drug - NDCRC · Bath Salts: The term bath salts refers to a range of...
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Bath Salts - AnotherDesigner Drug
By: Paul L. CaryBy: Paul L. CaryToxicology LaboratoryToxicology LaboratoryUniversity of MissouriUniversity of Missouri
© Paul L. Cary, (April 5, 2011)The following presentation may not be copied in whole or in part without the writtenpermission of the author or the National Drug Court Institute. Written permission will
generally be given without cost, upon request.
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On March 1, 2011 . . .
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Legal Status of SyntheticCannabinoids (DEA)
March 1, 2011, the DEA, issued final notice toMarch 1, 2011, the DEA, issued final notice totemporarily place five synthetic temporarily place five synthetic cannabinoids cannabinoids into theinto theControlled Substances Act (CSA) for at least one yearControlled Substances Act (CSA) for at least one year
synthetic synthetic cannabinoids cannabinoids treated as Schedule 1 drugstreated as Schedule 1 drugs a drug that has a high potential for abusea drug that has a high potential for abuse
a drug that has no currently accepted medical use ina drug that has no currently accepted medical use intreatment in the United Statestreatment in the United States
there is a lack of accepted safety for use of the drugthere is a lack of accepted safety for use of the drugunder medical sunder medical supervisionupervision
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Legal Status of SyntheticCannabinoids (DEA) synthetic synthetic cannabinoids cannabinoids covered under the covered under the DEADEA’’ss
proposed new ruleproposed new rule includes the following:includes the following: JWH-018 *JWH-018 * JWH-073 *JWH-073 * JWH-200JWH-200 CP-47,497CP-47,497 CP-47,497 (C-8 homologue)CP-47,497 (C-8 homologue)
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Ramifications of DEA Action: eliminate the commercial distribution ofeliminate the commercial distribution of
synthetic synthetic cannabinoidscannabinoids drive synthetic drive synthetic cannabinoids cannabinoids undergroundunderground limit their availabilitylimit their availability impact on criminal justice - wait and see?impact on criminal justice - wait and see?
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Bath Salts - AnotherDesigner Drug
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What Drives the ProductionDesigner Drugs ?
consumer preferencesconsumer preferences law enforcementlaw enforcement
controlcontrol
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Why Illicit ChemistsMake Designer Drugs?
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To create an To create an agonist agonist –– is a chemical that is a chemical thatbinds to a receptor and triggers abinds to a receptor and triggers a
response response –– often mimicking the actionoften mimicking the actionof a naturally occurring substance.of a naturally occurring substance.
ReceptorDrug (agonist)
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Why Designer Drugs Work Brain ReceptorsBrain Receptors Natural NeurotransmittersNatural Neurotransmittersnoradrenalinenoradrenalinedopaminedopamine
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Designer Chemist Trick Brain
Dopamine MDMA
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Why Change the Key?•• prolong the effect of the drugprolong the effect of the drug•• increase the potency of theincrease the potency of the
drugdrug•• ““selectselect”” the desired effect the desired effect•• make the drug more difficultmake the drug more difficult
to detectto detect•• avoid patent infringementavoid patent infringement•• make an illegal drug make an illegal drug ““legallegal””
Drug
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What Are Bath Salts?
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Bath Salts: The term The term bath saltsbath salts refers to a range of refers to a range of
water-soluble water-soluble products designed to beproducts designed to beadded to a bath.added to a bath. They are said to improveThey are said to improvecleaning, improve the experience ofcleaning, improve the experience ofbathingbathing, serve as a vehicle for cosmetic, serve as a vehicle for cosmeticagents, and some even claim medicalagents, and some even claim medicalbenefits.benefits. Bath salts have been developedBath salts have been developedwhich mimic the properties of naturalwhich mimic the properties of naturalmineral baths or hot springs.mineral baths or hot springs.
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Sold Under the Names:
Ivory WaveIvory Wave Ivory PureIvory Pure Ivory CoastIvory Coast Purple WavePurple Wave Vanilla SkyVanilla Sky
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Health Hazard?
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A New Designer Drug
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What is Ivory Wave:
MethylenedioxypyrovaleroneMethylenedioxypyrovalerone ((MDPVMDPV) is a) is apsychoactive drug psychoactive drug with stimulant with stimulant propertiespropertieswhich acts aswhich acts as both aboth a norepinephrine-dopaminenorepinephrine-dopaminereuptake inhibitor reuptake inhibitor (NDRI).(NDRI).
MDPV has four times the potency MDPV has four times the potency of of RitalinRitalin MDPV - no history of FDA approved medicalMDPV - no history of FDA approved medical
useuse ssold since 2007 as a research chemicalold since 2007 as a research chemical
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MDPV: currently popular in Europe, UKcurrently popular in Europe, UK &&
AustraliaAustralia is usually snorted - similar to cocaineis usually snorted - similar to cocaine considered extremely addictiveconsidered extremely addictive MDPV is MDPV is ““legallegal”” adverse medical/psychiatricadverse medical/psychiatric
ramificationsramifications Few drug tests available commerciallyFew drug tests available commercially
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reformulation of reformulation of cathinone cathinone is a chemicalis a chemicalfound in the found in the khat khat plant of Eastern Africaplant of Eastern Africa
khat khat existence traced to 15th C. Ethiopiaexistence traced to 15th C. Ethiopia grown in Somalia, Yemen, Kenya, Ethiopiagrown in Somalia, Yemen, Kenya, Ethiopia khat khat is banned in the U.S.is banned in the U.S.
Mephedrone
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designer drug chemically similar to designer drug chemically similar to cathinonecathinone first synthesized in 1929first synthesized in 1929 amphetamine-like propertiesamphetamine-like properties powerful synthetic stimulantpowerful synthetic stimulant ““rediscoveredrediscovered”” by synthetic chemistsby synthetic chemists in 2003in 2003 widespread in Europe, Australia, USwidespread in Europe, Australia, US
Methylmethcathinone
(Mephedrone)
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Pharmacological Effects of “BathSalts”: increase heart rate & blood pressure pupil dilation hyperactivity, arousal & over stimulation increased energy & motivation euphoria - agitation dizziness nausea breathing difficulties diminished perception of the requirement for fooddiminished perception of the requirement for food
and sleepand sleep
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Designer DrugEvolutionary Path
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Plant to Designer Drug
MDMAMDMA(Ecstasy)(Ecstasy)
amphetamineamphetamine&& meth-meth-
amphetamineamphetaminedeveloped indeveloped in
the earlythe early19001900’’ss
ephedrineephedrine& pseudo-& pseudo-ephedrineephedrine(natural(naturalstimulants)stimulants)
Ma HuangMa HuangChineseChinese
herbherb((ephedraephedra
sinicasinica))
DesignerDesignerDrug(s)Drug(s)
SyntheticSyntheticDrug(s)Drug(s)
NaturalNaturalDrug(s)Drug(s)
PlantPlant
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Plant to Designer Drug
syntheticsyntheticcannabinoidscannabinoids
(JWH-018,(JWH-018,HU-211,HU-211,
CP-49,497)CP-49,497)
DronabinolDronabinol& & MarinolMarinol
HU, CP &HU, CP &JWHJWH
delta -delta - 99tetrahydro-tetrahydro-cannabinolcannabinol
(THC)(THC)
CannabisCannabissativasativa
(marijuana)(marijuana)
DesignerDesignerDrug(s)Drug(s)
SyntheticSyntheticDrug(s)Drug(s)
NaturalNaturalDrug(s)Drug(s)
PlantPlant
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Plant to Designer Drug
mephedronemephedrone((methylmeth-cathinone)one of thebath salt
constituents
phenyl-phenyl-propanolaminepropanolamine(PPA - weight(PPA - weight
loss drug)loss drug)methcathinonemethcathinonesynthesized insynthesized in1928 in Soviet1928 in Soviet
UnionUnion(antidepressant)(antidepressant)
cathinonecathinone(natural(natural
stimulant)stimulant)
KhatKhat((cathacathaedulisedulis))
DesignerDesignerDrug(s)Drug(s)
SyntheticSyntheticDrug(s)Drug(s)
NaturalNaturalDrug(s)Drug(s)
PlantPlant
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States Banning “Bath Salts”:
Louisiana North Dakota Florida
Missouri Kentucky Hawaii Mississippi
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Can “Bath Salts” beDetected by Drug
Testing?
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Drug Testing: NO on-site, rapid, instant testsNO on-site, rapid, instant tests NO laboratory-based screening testsNO laboratory-based screening tests laboratories employing LC/MS/MSlaboratories employing LC/MS/MS
technologytechnology unknowns regarding this unknowns regarding this testingtesting
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Laboratories: Redwood Toxicology LaboratoryRedwood Toxicology Laboratory
Santa Rosa, CASanta Rosa, CA National Medical ServicesNational Medical Services
Willow Grove, PAWillow Grove, PA MedTox MedTox Scientific, St. Paul, MNScientific, St. Paul, MN Sterling Reference LaboratoriesSterling Reference Laboratories
Tacoma, WATacoma, WA Alere Alere ToxicologyToxicology
Gretna, LA & Richmond, VAGretna, LA & Richmond, VA
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Are There ControlStrategies Other Than
Testing?
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Alternative ControlStrategies:
community supervisioncommunity supervision
search & seizure (client contract)search & seizure (client contract) car, home, possessions car, home, possessions
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Court’s Response: place specific designer drug prohibition inplace specific designer drug prohibition in
your client contractyour client contract establish a date certain testing date - informestablish a date certain testing date - inform
client populationclient population establish sanction severityestablish sanction severity select participants for testing where there are
indications of herbal incense use identify positive participants in court &
sanction openly to enhance deterrent effect provide opportunity for participants to self-
report
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Client Prohibition Guidance: Any and all “designer drugs” that can be
purchased legally, over the counter without aphysician’s prescription are strictly prohibited.
Any and all “smoking mixtures” (other thanproducts specifically designated to contain onlytobacco) are strictly prohibited.
Any and all products sold or marketed underfalse pretenses with the warning “Not for HumanConsumption” are strictly prohibited.
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The Next Wave?
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2C-E Nicknamed "Europa"
synthesized in 1970synthesized in 1970’’s -1980s -1980’’ss psychedelic psychedelic phenethylaminephenethylamine taken orallytaken orally powerful hallucinogenic effectspowerful hallucinogenic effects high can last 6- 12 hourshigh can last 6- 12 hours sold through European sourcessold through European sources one death reported in MN on March 11,one death reported in MN on March 11,
20112011
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2C-E Nicknamed "Europa" synthesized by Alexander synthesized by Alexander ShulginShulgin popularized MDMA (Ecstasy)popularized MDMA (Ecstasy) PIHKAL book (1991)PIHKAL book (1991) 2C-I another 2C-I another phenethylamine phenethylamine availableavailable 2C-E is chemically related to other 2C2C-E is chemically related to other 2C
phenethylaminesphenethylamines exact legal status is unclear - 2C-Bexact legal status is unclear - 2C-B
banned under CSAbanned under CSA
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Designer Drugs: designer drugs are here to staydesigner drugs are here to stay similar evolutionary patternssimilar evolutionary patterns testing will nearly always lag behindtesting will nearly always lag behind legal controls with be challenging and delayedlegal controls with be challenging and delayed BE PROACTIVE!BE PROACTIVE! build community supervision/expand searchbuild community supervision/expand search &&
seizure effortsseizure efforts design client contract specifically addressdesign client contract specifically address
designer drugsdesigner drugs
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email address:[email protected]@health.missouri.edu
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This project was supported by Grant No. 2009-DC-BX-K003 awarded by the Bureau of Justice Assistance.
The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics,
the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the SMART Office, and the Office for Victims of Crime.
Points of view or opinions in this document are those of the author and do not represent the official position or policies of the United States Department of Justice.