Drug testing and analysis
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Drug testing and analysis · Jun 2012
Prevalence of new psychoactive substances: A retrospective study in hair.
New psychoactive substances are conquering the drug scene. Police seize different colourful packages with exceptional names. They are declared as 'bath salts', 'plant food', or 'research chemical powders'. ⋯ Ketamine was found in 45 (14%) cases. 4-Fluoroamphetamine was identified in 12 (4%) cases and methylone in one case. In conclusion, there is a high prevalence of these drugs. Consequently, at least the most common ones (e.g. mCPP, KET, 4-MMC and 4-FA) should be included in screening procedures in clinical and forensic toxicology.
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Drug testing and analysis · Nov 2011
Urinary excretion of exogenous glycerol administration at rest.
Since 2010, glycerol has been ruled a masking agent by the World Anti-Doping Agency and consequently its administration is prohibited in sports. A detection method is available but little is known about the urinary excretion following administration. Fourteen well-trained cyclists (27.0 ± 5.4 years; VO(2max): 63.9 ± 8.5 ml/kg/min) were administered glycerol (1 g/kg body mass + 25 ml water/kg body mass) and placebo (25 ml water/kg) in a cross-over study. ⋯ Reductions in haemoglobin and haematocrit were significantly greater after glycerol (-0.60 ± 0.28 g/dl; -1.7 ± 0.7%) than after placebo administration (-0.29 ± 0.39 g/dl; -0.9 ± 1.1%). The study shows that glycerol administration was detectable in urine for several hours. Even though there were significant reductions in haemoglobin and haematocrit after 2.5 h, the plasma expansion by glycerol appeared rather marginal in comparison to placebo.
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Drug testing and analysis · Sep 2011
ReviewGHB and synthetic cathinones: clinical effects and potential consequences.
Designer drugs belong to a group of legally or illegally produced substances that are structurally and pharmacologically very similar to illicit drugs. In the past, designer drugs were often used during all-night dance parties, but they are now consumed in multiple settings from college bars to parks to private house parties. Most of these club drugs can be bought on legal websites and home-delivered for private parties. ⋯ Clinicians must be careful with GBL or synthetic cathinones, which are being sold and used as substitutes for GHB and MDMA, respectively. Interventions for drug prevention and harm reduction in response to the use of these drugs should be implemented on the Internet and in recreational settings. Prevention, Information, Action, and Treatment are the main goals that must be addressed for this new potentially addictive problem.
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Drug testing and analysis · Jul 2011
ReviewAcute toxicity and withdrawal syndromes related to γ-hydroxybutyrate (GHB) and its analogues γ-butyrolactone (GBL) and 1,4-butanediol (1,4-BD).
Gamma-hydroxybutyrate (GHB) has been used as a recreational drug since the 1990s and over the last few years there has been increasing use of its analogues gamma-butyrolactone (GBL) and to a lesser extent 1,4-butanediol (1,4BD). This review will summarize the literature on the pharmacology of these compounds; the patterns and management of acute toxicity associated with their use; and the clinical patterns of presentation and management of chronic dependency associated with GHB and its analogues.