The Legal Highs of Novel Drugs of Abuse
Journal of Drug Abuse – January 01, 2016
Source: OpenAlex
Summary
The widespread abuse of recreational drugs, particularly novel synthetic compounds like synthetic cannabinoids, poses major challenges for Medicine. Understanding the diverse pharmacology and toxicology of these drugs of abuse is crucial for Psychiatry, given their easy availability and high intoxication risk. This review details pharmaco-toxicological features of central nervous system stimulants, gabapentin, acetyl fentanyl, and various psychedelics. Their heterogeneity, influencing neurotransmitter receptors and behavior, necessitates detailed forensic toxicology and drug analysis, guiding treatment via specific urine/blood analysis for patient safety and addiction.
Abstract
Abstract The abuse of drugs is a widespread and growing issue, both in United States and Europe, as a number of synthetic drugs have raised popularity over the past years for recreational use. Moreover, the nature of addiction is often debated as either a lifestyle choice that may underline a physiological vulnerability, or a chronic brain disease with remarkable epigenetic, neurodevelopmental and sociocultural components. Consciousness and treatment of new drugs of abuse give challenges for health care practitioners primarily due to a lack of quantitative reports. As law enforcements struggle to ban these often referred as “legal highs”, new compounds are produced. Also, a major problem in tracking these drugs is that they are easily available through head shops, the web and other sources, therefore giving rise to a high risk of suspected intoxication. The aim of this article is to highlight the pharmaco-toxicological features of some common drugs of abuse such as central nervous system stimulants as synthetic cannabinoids, synthetic cathinones, gabapentin, acetyl fentanyl, phenethylamine called NBOMe, hallucinogenic mushrooms, piperazines, tryptamines, salvia, methoxetamine, kratom and performance-enhancing drugs. The tremendous heterogeneity of these drugs results in variable pharmacokinetic and pharmacodynamic effects, thus suspected intoxication is a priority diagnosis in order to ensure safety of patients and needs to be handled with the guide of the patient’s symptoms through specific and detailed urine and blood analysis. Keywords: Drugs of abuse; Cannabinoids; Cathinones; Salvia; Kratom; Gabapentin