Editorial: Advances and Future Developments in Forensic Toxicology: From Standard Practices to New Psychoactive Substances

2018 ◽  
Vol 23 (36) ◽  
Author(s):  
Francesco Paolo Busardo ◽  
Simona Pichini ◽  
Frank T. Peters
2020 ◽  
Vol 66 (2) ◽  
Author(s):  
Barbara Potocka-Banaś ◽  
Urszula Semeniuk ◽  
Sławomir Majdanik ◽  
Krzysztof Borowiak

Introduction: Intoxication with new psychoactive substances (NPSs), colloquially known as designer drugs, has become a significant problem in the last several years.The aim of the study was to conduct a statistical analysis of retrospective data from test records for the presence of NPSs in patients hospitalized in 2015–2018 in the West Pomeranian province.Materials and methods: We analyzed 5,916 results of tests undertaken at the Department of Clinical and Forensic Toxicology at Pomeranian Medical University in Szczecin. Blood samples had been analyzed by liquid chromatography coupled with mass spectrometry (LC/MS) and Headspace gas chromatography (GC/Headspace).Results: Our research was based on 5,916 diagnostic tests for poisoning with volatile and non-volatile organic compounds carried out in 2015–2018 at Pomeranian Medical University in Szczecin. Psychoactive substances used for non-medical purposes were detected in 1,465 patients. In the period under analysis 1,328 of these patients were poisoned with classic psychoactive substances, the poisonings caused by the intentional use NPS were recorded in 137.Conclusions: A retrospective analysis of the above-mentioned data for the period 2015–2018 revealed a gradual increase in the incidence of poisoning with psychoactive substances used for non-medical purposes.Keywords: intoxication; new psychoactive substances; designer drugs; data analysis; diagnostic tests.


2018 ◽  
Vol 72 ◽  
pp. 547-556
Author(s):  
Marcin Zawadzki ◽  
Karolina Nowak

Fentanyl has been known for many years. It has been widely used in emergency medicine and anaesthesiology. Due to its strong action, it gained a reputation of a popular addictive drug. Over the past years, fentanyl derivatives, produced as new psychoactive substances (designer drugs), have become a growing problem in clinical and forensic toxicology due to their non-therapeutic use. Both the variability in the construction of fentanyls and, consequently, the change in toxokinetic properties, as well as their high toxicity, often lead people to take this group of compounds to fatal intoxication. The purpose of this paper is to present various formulations of fentanyl and to discuss the properties of fentanyl and its derivatives, with particular emphasis on the toxicity of this group of compounds. Reviewing the available literature, the authors also focused on presenting the therapeutic concentrations of fentanyl and its most popular analogues, comparing them with the concentrations observed in lethal opioid poisonings.


2020 ◽  
Vol 21 (21) ◽  
pp. 8185
Author(s):  
Jiri Patocka ◽  
Bingshu Zhao ◽  
Wenda Wu ◽  
Blanka Klimova ◽  
Martin Valis ◽  
...  

New psychoactive substances are being used as drugs and appear to be quite popular nowadays. Thanks to their specific properties, these drugs create inimitable experiences for intoxicated people. Synthetic cathinones are the most common compounds in these new drugs. Among them, α-pyrrolidopentadione (α-PVP), or “Flakka” (street name), is one of the most famous cathinone-designed drugs. Similar to other synthetic cathinone drugs, α-PVP can effectively inhibit norepinephrine and dopamine transmitters. The adverse reactions of α-PVP mainly include mania, tachycardia, and hallucinations. An increasing number of people are being admitted to emergency wards due to the consequences of their use. This work mainly summarizes the history, synthesis, pharmacology, toxicology, structure–activity relationship, metabolism, clinical process and health risks, poisoning and death, forensic toxicology, and legal status of α-PVP. We hope this review will help bring more attention to the exploration of this substance in order to raise awareness of its negative impacts on humans.


Author(s):  
Margalho Cláudia ◽  
Almeida Pedro ◽  
Rosado Tiago ◽  
Corte Real Francisco ◽  
Gallardo Eugenia

Abstract The production and consumption of new psychoactive substances (NPSs) has been raising a major concern worldwide. Due to easy access and available information, many NPSs continue to be synthesized with an alarming increase of those available to purchase, despite all the control efforts created. A new analytical method was developed and validated to determine a group of phenethylamines and synthetic cathinones: cathinone, flephedrone, buphedrone, 4-MTA, α-PVP, methylone, 2C-P, ethylone, pentylone, MDPV and bromo-dragonFLY in whole blood. A mixed-mode solid phase extraction was applied to 250 μL of sample, and the extracts were derivatized with fast microwave technique before being analyzed by gas chromatography–mass spectrometry (GC–MS). The validation procedure followed the Scientific Working Group for Forensic Toxicology (SWGTOX) guidelines with parameters that included selectivity, linearity, limits of detection and quantification, intra- and inter-day precision and accuracy, recoveries and stability. The method presented linearity between 5 and 500 ng/mL for cathinone, buphedrone, 4-MTA, methylone, 2C-P and bromo-dragonFLY, 10–500 ng/mL for flephedrone, ethylone, pentylone and MDPV, and 40–500 ng/mL for α-PVP, with determination coefficients above 0.99 for all analytes. Recoveries ranged between 70.3% and 116.6%, and regarding intra- and inter-day precision, the relative mean errors were typically lower than 8.6%. The method was successfully applied to over 100 authentic samples from the Laboratory of Chemistry and Forensic Toxicology, Centre Branch, of the National Institute of Legal Medicine and Forensic Sciences, Portugal.


Author(s):  
Wojciech Koziołek ◽  
Maria Komisarz ◽  
Gabriela Szypuła ◽  
Patrycja Szczepaniak ◽  
Tomasz Konopka ◽  
...  

Comparison of Suicidal Poisonings with Chemicals and Drugs in the Years 1930–1939 and 2010–2019 in the Materials of the Forensic Medicine Institute in Krakow The study aims to compare suicide poisoning and poisons used to commit suicide in the 1930s and today. The focus is on autopsy protocols from 1930–1939 and 2010–2019 collected at the Forensic Medicine Institute in Krakow. In the years 1930–1939, there were 184 cases, 65 of which were among men and 119 among women. The most common poisons were corrosives, accounting for 69 cases, 43 were carbon monoxide, 24 were drugs and narcotics, 17 were heavy metals, and the remaining 31 were other substances. Of the 138 suicide poisonings in modern times, 96 were committed by men and 42 by women. The most common poisoning was multi-drug poisoning – 62 cases. Opioids, benzodiazepines, neuroleptics and antidepressants were the most frequently chosen substances today. Fatal intoxications with drugs/new psychoactive substances (NCAs) were observed in 28 cases, while other substances were used in the remaining 17. The conducted analysis showed a significant decrease in suicidal poisoning with the use of corrosive substances and gases, while the percentage of drug overdoses is systematically growing. Poisons used for suicide purposes in the 1930s left macroscopic changes that could be instantly noticed during the autopsy. The fact that drugs that are currently used most often do not leave such changes may justify the dynamic development of forensic toxicology.


2021 ◽  
Vol 883 ◽  
pp. 115054
Author(s):  
D. Martins ◽  
E.M.P.J. Garrido ◽  
F. Borges ◽  
J.M.P.J. Garrido

Author(s):  
Hugo López-Pelayo ◽  
Julian Vicente ◽  
Ana Gallegos ◽  
Andrew McAuley ◽  
Yacin Buyuk ◽  
...  

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