Legal Medicine Section-Sapienza Università di Roma, Viale Regina Elena 336, Rome, Italy; Institut de Police Scientifique, Université de Lausanne, Batiment Batochimie, 1015 Lausanne, Switzerland.
2 papers in the library · 308 citations · publishing 2014-2016
A review organizes information from the internet and scientific literature to help specialists, including emergency department personnel, address the emerging threat of new psychoactive substances (NPS) to public health and public security.
Between 2013 and 2015, 162 seizures of substances purchased online and confiscated by Italian police were analyzed. The most common substances were 3-MMC (22% of seizures) and 4-MEC (20%), followed by MDPV (12%). Other identified drugs included various cathinones, tryptamines, and diphenidine, which was detected for the first time in Europe. Only three seizures contained synthetic cannabinoids. Some mixtures contained multiple NPS, and in nine cases tablets also contained sildenafil. The findings indicate a wide influx of NPS into Italy from abroad, posing a public health threat, especially when contents are mislabeled or unreported.