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YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. New Psychoactive Substances A GUIDE FOR COMMUNITY SERVICE WORKERS A PROJECT OF YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. FUNDED BY THE COMMONWEALTH DEPARTMENT OF HEALTH AND AGEING. SUBSTANCE MISUSE AND SERVICE DELIVERY GRANT FUND. 2012-2015 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. Disclaimer Information contained in this document was relevant at August 2014. Given that authoritative health research has not been undertaken on most of the substances at present, the information contained in this document is anecdotal and has been compiled purely in response to the need to obtain information on such substances for workers in the community services sector to be aware of. Youth, Family and Community Connections Inc. do not condone the use of such substances and the opinions shared in this document regarding experiences of such substances are those that have been reported by users. 2 www.yfcc.com.au INDEX INDEX Disclaimer ............................................................................................................................................................................................................... 2 Acknowledgement ............................................................................................................................................................................................... 4 Preamble ................................................................................................................................................................................................................. 4 Background ............................................................................................................................................................................................................. 4 What are New Psychoactive Substances? .................................................................................................................................................... 5 What is a Psychoactive Substance? ............................................................................................................................................................... 5 New Psychoactive Substance Categories ..................................................................................................................................................... 5 New Psychoactive Substance Grouping ........................................................................................................................................................ 6 - Herbal Highs and Party Pills .......................................................................................................................................................................... 6 - Synthetic Cannabis ............................................................................................................................................................................................ 6 - Research chemicals and drug analogues .................................................................................................................................................. 6 Availability and Marketing of New Psychoactive Substances................................................................................................................ 7 Are New Psychoactive Substances safer than already established substances? ........................................................................... 7 Are New Psychoactive Substances legal? .................................................................................................................................................... 8 NEW PSYCHOACTIVE SUBSTANCE DRUG GUIDE Synthetic Cannabinoids....................................................................................................................................................................................... 8 - DMT – Dimethyltryptamine (Ayahuasca) ................................................................................................................................................... 9 - MDVP – Methylenedioxypyrovalerone .....................................................................................................................................................10 - Alpha PVP – a-Pyrrolidinopentiophenone ............................................................................................................................................ 10 - 4-MEPPP – 4’-methyl-a-Pyrrolidinopentiophenone .............................................................................................................................11 - MDA – 3, 4-methylenedioxyamphetamine ..............................................................................................................................................11 - 5-APB – 5-(2-amniopropyl) benzofuran ...................................................................................................................................................12 - 6-APB – 6-(2-amniopropyl) benzofuran ...................................................................................................................................................12 - TFMPP – 3-Trifluoromethylphenylpiperazine ........................................................................................................................................14 - BZP - Benzylpiperazine ..................................................................................................................................................................................15 - 2CB – 2, 5-dimethoxy-4-bromophenethylamine ..................................................................................................................................15 - 2C-C – 2, 5-dimethoxy–4-chlorophenethylamine ................................................................................................................................16 - 2C-P - 4-propyl-2, 5-dimethoxyphenethylamine ...................................................................................................................................16 2C-T-2 – 2, 5-dimethoxy-4-ethylthiophenethylamine ...........................................................................................................................17 AL-LAD – 6-allyl-6-nor-LSD ............................................................................................................................................................................17 Mephedrone - 4-methylmethcathinone ......................................................................................................................................................18 MXE - Methoxetamine .......................................................................................................................................................................................18 MXP - Methoxphenidine 1-[1-(2-methoxyphenyl)-2-phenyl]piperidine .........................................................................................19 AMT – a-Methyltryptamine .............................................................................................................................................................................19 DXM - Dextromethorphan ................................................................................................................................................................................20 N-BOMe – N-Methoxybenzyl ..........................................................................................................................................................................21 NBOH - 2-(2-(4-iodo-2,5-dimethoxyphenyl ethylamino)methyl)phenol .........................................................................................22 DOC - 2, 5-Dimethoxy-4-chloroamphetamine ..........................................................................................................................................22 DOI – 2, 5-dimethoxy-4-chloroamphetamine ..........................................................................................................................................23 Ketamine ...............................................................................................................................................................................................................23 Conclusion ............................................................................................................................................................................................................27 Glossary ..................................................................................................................................................................................................................24 References .............................................................................................................................................................................................................27 3 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. ACKNOWLEDGEMENT This is a project of Youth Family and Community Connections Inc., funded by the Commonwealth Department of Health – Substance Misuse and Service Delivery Grant Fund 2012-2015. Written by Nancy Thomas. PREAMBLE This guide has been developed for workers in the Alcohol, Tobacco and Other Drug industry in response to the increasing need to obtain knowledge on new substances being used by members of our local communities. These new substances have the potential to have a significant effect on the health and wellbeing of recreational drug users. The information contained in this guide has been collected over a number of years; however hard authoritative research on the short term and long terms effects of these substances has yet to be undertaken by major health organisations. This guide has been developed to be as comprehensive as possible to help workers in the Alcohol, Tobacco and Other Drug field to navigate this complex and ever changing arena. BACKGROUND The United Nations Office on Drugs and Crime, World Drug Report 2014 states; (Countries Reporting Use of New Psychoactive Substances, 2013) “Of 103 countries for which information on new psychoactive substances was available as of December 2013, 94 countries reported the emergence of such substances on their markets, up from 70 out of a total of 80 countries as of July 2012. This increase was due to reports of the emergence of new psychoactive substances in countries in Europe (9 additional countries), Asia (7 additional countries) and Africa (8 additional countries)”. “Europe and North America, as well as Oceania, Asia and South America and in a number of African countries. The use of new psychoactive substances is thus emerging as a truly global phenomenon. The largest increases in the spread of those substances between July 2012 and December 2013 were reported in Europe (9 additional countries), Asia (7 additional countries) and Africa (6 additional countries)”. “The number of new psychoactive substances on the global market more than doubled over the period 2009-2013. By December 2013, the number of such substances reported to UNODC reached 348,209 up from 251 such substances as of July 2012, 210 and 166 substances in 2009). Thus, by now, the number of new psychoactive substances clearly exceeds the number of psychoactive substances controlled at the international level” (234 substances: 119 controlled under the 1961 Single Convention on Narcotic Drugs and 115 under the 1971 Convention on Psychotropic Substances). “The overall increase over the period August 2012-December 2013 was mostly due to new synthetic cannabinoids (50 per cent of newly identified new psychoactive substances) followed by new phenethylamines (17 per cent), other substances (14 per cent) and new synthetic cathinones (8 per cent)” Source: United Nations Office on Drugs and Crime, World Drug Report 2014 (United Nations publication, Sales No. E.14.XI.7), pp. 51-52. LINK: http://www.unodc.org/documents/wdr2014/ World_Drug_Report_2014_web.pdf 4 www.yfcc.com.au PSYCHOACTIVE SUBSTANCES WHAT ARE NEW Psychoactive Substances? New Psychoactive Substances (NPS) are also known by various names, including but not limited to; New and Emerging Drugs (NEDs), Designer Drugs, Drug Analogues, Research Chemicals, Synthetic Drugs/ Cannabis, Legal/Herbal Highs, Party Pills, Bath Salts, Plant Fertiliser/Food, Herbal Incense and Tea Infusions. NPS are a series of drugs that are formulated to ‘mimic’ illicit drugs that have been available for a considerable amount of time, such as; LSD, Cannabis, Ecstasy/MDMA and Cocaine. These substances change in chemical structure constantly in order to stay ahead of the law and to replace already banned substances. WHAT IS A Psychoactive Substance? A psychoactive or psychotropic substance is a chemical compound that affects the central nervous system and alters brain function. This temporarily changes perception, mood, consciousness and behaviour. These substances are used for various reasons recreationally, similar to why people consume coffee, alcohol or use cannabis. Entheogens such as peyote cactus (mescaline) or mushrooms (psilocybin) are used to alter consciousness, for spiritual and/or divinatory purposes). Other substances are used in controlling pain, treating neurological or psychiatric illness. Stimulant and depressant substances can cause addiction and can lead to substance abuse and misuse. NEW PSYCHOACTIVE Substance Categories Phenethylamines – most Phenethylamines contain stimulatory properties and are similar in effect to Amphetamines in that they produce a concentration of the brain chemicals norepinephrine and dopamine. Tryptamines - are found in the brains of mammals, plants and also fungi. It is believed tryptamines act as a neuromodulator or a neurotransmitter. Piperazines - are a variety of chemical compounds which simulate the psychostimulant effect of Ecstasy/MDMA. Piperazines are often used as a cutting agent or as the main active ingredient in some ecstasy pills. Synthetic Cathinones – are similar to amphetamines in that they cause stimulant effects by increasing the concentration of brain chemicals such as dopamine, serotonin, and norepinephrine in synapses. Synthetic Cannabinoids – are herbs (such as coastal jack bean, blue lotus, lion tail) that have been sprayed with Research Chemicals/Drug Analogues which act similarly to natural cannabinoids found in the cannabis plant. Ketamine - an anaesthetic used in human and veterinary medicine. Ketamine is stimulatory in low doses and hallucinogenic in high doses. 5 NEW PSYCHOACTIVE Substance Grouping Herbal highs or party pills – Piperazines These substances generally branded and sold as natural substances. They have a similar effect to Ecstasy and/or Amphetamines. Labelling of these substances can be misleading and often doesn’t list the correct ingredients, more often than not they do not contain any natural substances. Until 2009 in Australia, most Herbal Highs contained BZP (Benzylpiperazine) and TFMPP (Trifluoro-Methyl-Phenylpiperazine). Herbal Highs are available as pills or in small bottles of liquid. They are usually consumed orally. Synthetic Cannabis – Synthetic Cannabinoids Synthetic Cannabis contains man-made chemicals that have a similar effect to Delta-9 Tetrahydrocannabinol (THC). Research Chemicals/Drug Analogues are then mixed with solvents and then added to dried herbs. Reports suggest these chemicals create more negative effects than naturally occurring Cannabinoids. Synthetic Cannabis is sold under different brand names including; Kronic, K-Spice, Northern Lights, Mojo, Lightning Gold, Lightning Red and Godfather. They are also commonly marketed as; Aphrodisiac Tea, Herbal Incense and potpourri. Synthetic Cannabis looks like dried herbs and is sold in attractive colourful packets. It’s usually smoked and is sometimes drank as a tea. Research chemicals and Drug analogues – Synthetic Cathinones, Tryptamines and Phenethylamines and Research Chemicals/Drug analogues are all marketed as pure psychoactive substances. Similar to other NPS, there is little substantial research available on health the effects. Some of the active ingredients contained in Herbal Highs/Party Pills and Synthetic Cannabis can be considered research Chemicals/Drug analogues. These substances can be branded under a range of names including Plant Food or Bath Salts, their labelling can include warnings such as ‘not for human consumption’ or ‘only for research purposes’. They are consumed orally, smoked, injected, insufflated and rectally inserted. “HERBAL HIGHS ARE AVAILABLE AS PILLS OR IN SMALL BOTTLES OF LIQUID. THEY ARE USUALLY CONSUMED ORALLY.” 6 www.yfcc.com.au PSYCHOACTIVE SUBSTANCES AVAILABILITY AND MARKETING of New Psychoactive Substances Certain NPS can be obtained online or in ‘head shops’ and are available through street dealers also. Packaging of NPS is generally colourful and attractive with punchy slogans and catchy names. Regulation and classification of NPS have made online purchases decline. ARE NEW PSYCHOACTIVE SUBSTANCES safer than already established substances? Marketing of NPS is very misleading and packaging does not always include lists of active ingredients, dosages or route of administration, and those that are marketed as ‘legal highs’ or ‘herbal highs’ are quite often deemed as ‘safe’ by the consumer. No drug is ‘safe’, even if it is prescribed or over the counter. Regulated substances all come with directions, warnings and guidelines. If they are misused there can be adverse and ill side effects. It is well known that already established illicit drugs can have negative side effects on individuals’ general health, mental health and wellbeing. Likewise NPS can have negative impacts on individuals and whole communities which can become an inter-generational problem. The issue with NPS is that we know very little about the short/ long term impacts and effects on health and mental health. Little is known about ‘safer’ dosing and route of administration. Overdose is more likely when NPS are taken with alcohol and other drugs. Amateur street dealers quite often are unaware of what they are selling to consumers which is of another concern. It can be difficult for medical practitioners to know how to treat someone who has overdosed on or has health problems caused by NPS. If the user is unaware that they have taken a NPS and think they have taken an already established substance, this can make treatment very difficult and risky. The other big issue here is that the chemical structure of these substances are always changing to stay ahead of the law. Though the packaging may be the same the contents can be very, very different. 7 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. ARE NEW Psychoactive Substances legal? Current laws surrounding NPS are complex, constantly changing, and differ between states/ territories. In Queensland, New South Wales, and South Australia there is now a ‘blanket ban’ on possessing or selling substances that have a psychoactive effect. The only exemptions are alcohol, food and tobacco. In other states and territories of Australia, certain substances are banned and new ones are regularly added to the list, this list differs between these states/ territories. Currently federal legislation is being considered to ban all psychoactive substances. NEW PSYCHOACTIVE SUBSTANCE Drug Guide The substances listed in this guide have identified through anecdotal research to be ‘commonly’ available in Australia. These are just a few substances that are currently on the market. As legislation and regulation in certain countries prohibit the manufacturing and selling of particular substances there will inevitably be another substance developed to take their place. Therefore ongoing research in this area will need to continue. SYNTHETIC Cannabinoids What is it? Synthetic cannabinoids affect the brain in a similar way to THC. There are a wide variety of synthetic cannabinoid products available. How is it used? Generally, it is smoked but certain brands can be drunk as tea. Why is it used? The way in which this substance is marketed can give consumers the belief that if it is legal then it is safer than Cannabis, and that they’re then are not breaking the law. It can also be used to avoid drug test detection. Also Synthetic Cannabis is known for its potent effects to which an everyday user finds preferable in terms of economics. Side effects Rapid heart rate, vomiting, agitation, confusion and hallucinations. Some brands and can also raise blood pressure and can cause reduced blood supply 8 www.yfcc.com.au to the heart and in a few cases it has been associated with heart attacks. Regular users may experience withdrawal and addiction symptoms. References http://www.druginfo.adf.org.au/fact-sheets/syntheticcannabinoids-web-fact-sheet http://ncpic.org.au/ncpic/publications/factsheets/article/ synthetic-cannabinoids https://www.drugfoundation.org.nz/syntheticcannabinoids http://www.emcdda.europa.eu/publications/drug-profiles/ synthetic-cannabinoids http://www.drugabuse.gov/publications/drugfacts/spicesynthetic-marijuana http://www.drugs.com/illicit/synthetic-marijuana.html Understanding the ‘Spice’ Phenomenon. European Monitoring Centre for Drugs and Drug Addiction. Accessed Dec 7, 2012. Available at: http://www.emcdda.europa.eu/attachements.cfm/ att_80086_EN_Spice%20Thematic%20paper%20—%20 final%20version.pdf PSYCHOACTIVE SUBSTANCES DMT Dimethyltryptamine (Ayahuasca) What is it? DMT is a psychedelic compound of the Tryptamine chemical class. It is a powerful hallucinogenic drug that dramatically affects the human consciousness and is an Entheogen. DMT has been coined the ‘spirit molecule’ and has had a substantial amount of literature and research undertaken on its properties and effects. DMT occurs naturally in the human brain and has been reported to be excreted in large amounts upon death or near death experiences. from native Americans to indigenous Australians and African tribes, as well as among western users of this substance. Other effects include profound euphoria, time distortion, open/closed eye visuals and audial hallucinations that defy all verbal or visual description, also commonly reported are intense erotic visuals. DMT when smoked is generally a fairly short lived ‘trip’ lasting anywhere between 10-30 minutes and has been nicknamed ‘the businessman’s lunch’. When drunk in an Ayahuasaca brew the trip can last up to 10-15 hours. How is it used? Smoked, injected, insufflated and orally consumed, some users have reportedtheir route of administration has been via rectal insertion however they advise against it as it burned the rectum profusely. DMT is inactive when consumed orally unless it has been combined with a Monoamine Oxidase Inhibitor (MAOI). In South American culture DMT is consumed in a brew called Ayahuasca, or Yage. This drink is generally brewed and administered by a Shaman. It is made from boiling the Ayahuasca (Banisteriopsis caapi) with leaves of one or more plants containing DMT, such as Psychotria Viridis, Psychotria Carthagenensis, or Diplopterys Cabrerana. Side effects Rapid heart rate, anaesthetic like numbness, shallow breathing, disassociation, paranoia, vivid hallucinations, overdose leading to heart or respiratory failure in large amounts. Why is it used? DMT has been used traditionally in South American cultures as a medicine for many types of ailments; however it has gained attention by the western population for being a powerful psychedelic Entheogen. Some reported experiences include; pseudohallucinations of intelligent beings. This experience has been found in many cultures ranging References http://www.sbs.com.au/news/article/2013/11/08/dmtdrug-produced-our-brain http://en.wikipedia.org/wiki/Dimethyltryptamine https://www.dmt-nexus.me/forum/default. aspx?g=posts&t=920 http://www.bluelight.org/vb/threads/318432-DMTNegative-Side-Effects-Asthma-Numbness-AllergicReaction http://www.erowid.org/chemicals/dmt/dmt_journal1. shtml TIHKAL - The continuation. Alexander & Ann Shulgin Pages 247-309. https://www.erowid.org/chemicals/dmt/dmt.shtml http://channel.nationalgeographic.com/channel/drugsinc/videos/dmt-a-psychedelic-new-drug/ http://www.holistic-guide.com/ayahuasca/ http://www.stuartwilde.com/2012/01/dmt/ http://deoxy.org/smokedmt.htm 9 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. MDVP Methylenedioxypyrovalerone What is it? MDVP is a substance of the Phenethylamine chemical class. It is a psychoactive drug with stimulant effects and is otherwise known as ‘bath salts’. This drug is highly addictive and is more potent than Crystalline Methamphetamine (ICE). MDVP will soon be diminished as regulation and classification of the manufacture of this substance takes place. How is it used? Orally, insufflated, smoked, rectally inserted and injected. Why is it used? Increase in; alertness, awareness, arousal, energy/ motivation, mental stimulation/ concentration, sociability, sexual stimulation/aphrodisiac effects, mild empathogenic effects and euphoria. Side effects Tachycardia, hypertension, prolonged panic attacks (in high doses), sleep deprivation induced psychosis, addiction – users have reported a compulsive desire to continue re-dosing, forgetting or not feeling the need to eat or sleep. References http://en.wikipedia.org/wiki/Methylenedioxypyrovalerone http://www.partyvibe.org/forums/drugs/researchchemicals/46624-mdvp.html http://www.sharecare.com/health/substance-abuseaddiction-recovery/mind-altering-drug-mdvp http://www.youtube.com/watch?v=0aokUK0Z3WI https://www.erowid.org/experiences/exp.php?ID=82988 ALPHA PVP a-Pyrrolidinopentiophenone What is it? Alpha PVP is a stimulant drug of the Cathinone chemical class. Alpha PVP will soon take the place of MDVP. Pharmacology of this substance is unknown, however as use of this substance becomes wide spread literature will soon arise. How is it used? Smoked, insufflated, injected and orally consumed. Why is it used? Decreased feelings of fatigue and/or lethargy. Increase in mental/physical stimulation and euphoria. 10 www.yfcc.com.au Side effects Loss of consciousness, difficulty breathing, hypertension, hyperthermia and seizures may occur. References http://www.drugs-forum.com/forum/tags.php?tag=alphapvp http://www.drugs-forum.com/forum/showthread. php?t=175636#ixzz371E9B12F http://www.drugs-forum.com/forum/showthread. php?t=175636 http://www.ncbi.nlm.nih.gov/pubmed/24418703 http://www.thepoisonreview.com/2014/03/14/thescience-of-alpha-pvp-gravel-a-second-generation-bathsalt/ https://www.caymanchem.com/app/template/Product.vm/ catalog/9001083 PSYCHOACTIVE SUBSTANCES 4-MEPPP 4'-methyl-a-Pyrrolidinopropiophenone What is it? 4-MEPP is a substance of the Cathinone chemical class that has been reported to be the active ingredient in bath salt blends such as ‘NRG-3’, 4-MEPPP will eventually take the place of MDVP as will Alpha PVP. Very little literature available currently on this substance especially on the side effects of this drug. However, as use of this substance becomes wide spread literature will soon arise. How is it used? Insufflated, injected and orally consumed. References http://www.google.com.au/l?sa=t&rct=j&q=&esrc=s&sou rce=web&cd=1&cad=rja&uact=8&ved=0CBwQFjAA&url= http%3A%2F%2Fen.wikipedia.org%2Fwiki%2F4’-Methyl%25CE%25B1 pyrrolidinopropiophenone&ei=QRy_ usg=AFQjCNHNWmVB1V7c2ESBtU0Nr_3fkty8ag https://www.caymanchem.com/app/template/Product.vm/ catalog/10446/promo/emolecules www.bluelight.org%2Fvb%2Fthreads%2F6046204-MePPP-(2-(pyrrolidin-1-yl)-1-p-tolylpropan1-one)-CAS-28117-80-8&ei=QRy_7mrLYTIkw Xs6oCoCA&usg=AFQjCNGBIm2IBrVT52oWfeoM25RCamOLEwm2IBrVT52oWfeoM25RCamOLEw MDA 3, 4-Methylenedioxyamphetamine What is it? MDA is a substance of the Phenethylamine and Amphetamine classes. How is it used? Orally, insufflated, injected and rectally inserted. Why is it used? Mainly used recreationally. However it is used as an Entheogen, and a tool to complement various types of practices including; transcendence, meditation, psychonautics, and as an agent in psychedelic psychotherapy. It is bought, sold, and used as a recreational ‘love drug’, due to its enhancement of empathy. Users report an increase in enjoyment of dance and having sex. It is very similar in effect to MDMA. References http://en.wikipedia.org/wiki/3,4Methylenedioxyamphetamine http://www.drugs-forum.com/forum/showwiki. php?title=MDA#ixzz36qo8oBpG http://www.drugs-forum.com/forum/showthread. php?t=41421 https://www.erowid.org/chemicals/mda/mda_article1. shtml http://www.bluelight.org/vb/threads/80283-MDA Side effects Agitation, sweating, increased blood pressure and heart rate, dramatic increase in body temperature, convulsions, and death. Death is usually caused by cardiac effects and subsequent stroke. 11 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. 5-APB 5-(2-aminopropyl) benzofuran or 1-benzofuran-5-ylpropan-2-amine What is it? References 5-APB is a substance of the Phenethylamine and Amphetamine chemical classes. 5-APB is otherwise known as ‘Benzofury’. Very little is known about its pharmacology. How is it used? Orally consumed and insufflated. Why is it used? Euphoria, increased empathy and color enhancement. Effects reported were similar to MDA but not as strong. Side effects Hyperthermia, dizziness, (possible) cardiotoxicity, nausea/vomiting, bruxism and sleep deprivation. http://www.ncbi.nlm.nih.gov/ pubmed/24012617?dopt=Abstract http://en.wikipedia.org/wiki/5-APB https://www.erowid.org/experiences/subs/ exp_5APB.shtml Stanczuk, A., Morris, N., Gardner, E. A., Kavanagh, P. (2013) Identification of (2- aminopropyl) benzofuran (APB) phenyl ring positional isomers in internet purchased products. Drug Test Analysis, 5(4), 270 - 276. http://www.ncbi.nlm.nih. gov/pubmed/23349125 Schmitt, K. C., Reith, M. E. (2010) et al. Regulation of dopamine transporter: aspects relevant to psychostimulant drugs of abuse. Annals of the New York Academy of Sciences, 1187, 316 – 340 http://www.ncbi.nlm.nih.gov/pubmed/20201860 6-APB - 6-(2-aminopropyl) benzofuran or 1-benzofuran-6-ylpropan-2-amine (6-APB) What is it? 6-APB is a substance of the Phenethylamine and Amphetamine classes. As with 5-APB, 6-APB is also known as Benzofury and is often marketed as plant food. It is similar in molecular structure to MDA. How is it used? Orally consumed, insufflated and rectally inserted. Why is it used? Uplifted mood, increase in visual and tactile stimulation, euphoria, audial enhancement, audial and visual hallucinations. Side effects Bruxism, nystagmus, headache, nausea, vomiting, diarrhoea, loss of appetite, dilated pupils, panic attacks, increased heart rate, increased blood pressure and body temperature. 12 www.yfcc.com.au References Iversen, L.; Gibbons, S.; Treble, R.; Setola, V.; Huang, X. P.; Roth, B. L. (2012). “Neurochemical profiles of some novel psychoactive substances”. European Journal of Pharmacology. doi:10.1016/j.ejphar.2012.12.006ethyl6-benzofuran Ethanamine ydrochloride (6-APB Hydrochloride)”. United States Biological. UK Home Office (2014-03-05). “The Misuse of Drugs Act 1971 (Ketamine etc.) (Amendment) Order 2014”. UK Government http://www.erowid.org/chemicals/6_apb/ http://www.drugs-forum.com/forum/showwiki. php?title=6-APB#ixzz377wYMNtZ http://www.drugs-forum.com/forum/showwiki. php?title=6-APB#ixzz377wkN1yG http://www.drugs-forum.com/forum/showwiki. php?title=6-APB#ixzz377wxbHfO http://www.drugs-forum.com/forum/showwiki. php?title=6-APB#ixzz377x5j1VV http://www.drugs-forum.com/forum/showwiki. php?title=6-APB#ixzz377xDidvS http://www.pillreports.com/index.php?page=display_ pill&id=30392 PSYCHOACTIVE SUBSTANCES TFMPP 3-Trifluoromethylphenylpiperazine What is it? TFMPP is a substance of the Piperazine chemical class. It is usually used in combination with benzylpiperazine (BZP) and is sold as a legal alternative to MDMA. TFMPP is commonly marketed as Legal X. How is it used? Orally consumed. Why is it used? Contains mild hallucinogenic properties, increased sociability, increased desire to touch and love, enhanced tactile sensations, ‘connectedness’ with other people. Side effects Combination of BZP and TFMPP has been associated with a range of side effects, including insomnia, anxiety, nausea and vomiting, headaches, muscle aches, seizures, impotence, and rarely psychosis. These side effects tend to be significantly worsened when the BZP/TFMPP mix is consumed alongside alcohol. References Schep LJ, Slaughter RJ, Vale JA, Beasley DM, Gee P (March 2011). “The clinical toxicology of the designer “party pills” benzylpiperazine and trifluoromethylphenylpiperazine”. Clin Toxicol (Phila) 49 (3): 131–41. doi:10.3109/15563650 .2011.572076. Baumann MH, Clark RD, Budzynski AG, Partilla JS, Blough BE, Rothman RB (March 2005). “N-substituted piperazines abused by humans mimic the molecular mechanism of 3,4-methylenedioxymethamphetamine (MDMA, or ‘Ecstasy’)”. Neuropsychopharmacology 30 (3): 550–60. doi:10.1038/sj.npp.1300585. PMID 15496938 Yarosh HL, Katz EB, Coop A, Fantegrossi WE (November 2007). “MDMA-like behavioural effects of N-substituted piperazines in the mouse”. Pharmacology, Biochemistry and Behaviour 88 (1): 18–27. https://www.erowid.org/chemicals/tfmpp/tfmpp_article1. shtml http://www.erowid.org/experiences/subs/exp_ Piperazines_TFMPP.shtml http://www.drugs-forum.com/forum/showthread. php?t=34968 1-(3-trifluoromethylphenyl)piperazine (TFMPP) Expert peer review on pre-review report 35th Expert Committee on Drug Dependence, Hammamet, Tunisia June 4-8, 2012 – World Health Organisation Report. 13 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. BZP Benzylpiperazine Mainly consumed orally, rarely is injected or insufflated. increased hunger (and sometimes thirst), insomnia, confusion, depression (particularly with frequent/heavy use), adverse psychiatric events, respiratory failure, serotonin syndrome, rhabdomyolysis, decreased appetite, repetitive thought patterns, actual and perceived changes in body temperature, bruxism, increased heart rate, dilation of pupils, nausea, dry mouth. No deaths have been reported following sole ingestion of BZP, although there have been at least two deaths from the combination of BZP and MDMA. Why is it used? References What is it? BZP is a substance of the Piperazine chemical class. It is a recreational drug that has a euphoriant and stimulant effect. BZP has a similar effect to Amphetamines. BZP in freebase form is corrosive and causes burns. How is it used? For a feeling of euphoria, wonder, amazement, energy and elation, rapid mood elevation, enhanced sociability, audial enhancement, increased desire to move. Side effects Main side effects include; acute psychosis, renal toxicity and seizures, dilated pupils, blurred vision, dryness of the mouth, extreme alertness, insatiable itching sensations, confusion, agitation, tremors, extrapyramidal symptoms (dystonia, akathisia), headache, dizziness, anxiety, insomnia, vomiting, chest pain, hallucinations, intense pins and needles, tachycardia, hypertension, palpitations, collapse, hyperventilation, sweating, hyperthermia, urine retention, mild headache, nausea, hangover-like symptoms (common with high doses), fatigue, indigestion (similar to acid indigestion/heartburn), http://www.emcdda.europa.eu/publications/drug-profiles/ bzp http://en.wikipedia.org/wiki/Benzylpiperazine http://www.erowid.org/experiences/exp.php?ID=23485 Wilkins C, Girling M, Sweetsur P, Huckle T, Huakau J. “Legal party pill use in New Zealand: Prevalence of use, availability, health harms and ‘gateway effects’ of benzylpiperazine (BZP) and triflourophenylmethylpiperazine (TFMPP)” (PDF). Centre for Social and Health Outcomes Research and Evaluation (SHORE). https://www.erowid.org/chemicals/bzp/bzp.shtml http://www.erowid.org/experiences/subs/exp_ Piperazines_BZP.shtml http://addictions.about.com/od/Legal_highs/g/What-IsBzp.htm http://www.justice.gov/archive/ndic/pubs11/11052/ PSYCHOACTIVE SUBSTANCES 2C-B 2, 5-dimethoxy-4-bromophenethylamine What is it? effects (especially when the drug is combined with alcohol), irritability for roughly a day or so after use. At doses over 30–40 mg the user may experience frightening hallucinations, as well as tachycardia, hypertension and hyperthermia. How is it used? References http://www.erowid.org/library/books_online/pihkal/ pihkal020.shtml http://www.erowid.org/chemicals/2cb/2cb_article1.shtml http://en.wikipedia.org/wiki/2C-B https://www.erowid.org/chemicals/2cb/2cb.shtml http://www.pillreports.com/index.php?page=display_ pill&id=19058 https://www.erowid.org/chemicals/2cb/2cb_effects.shtml http://www.bluelight.org/vb/threads/532891-2c-b-sideeffects http://www.theguardian.com/society/2013/jan/11/ six-in-hospital-hallucinogen-2cb 2C-B is a substance of the Phenethylamine chemical class. It is a psychedelic drug similar in molecular structure to Mescaline. 2C-B is marketed as an aphrodisiac named ‘Eros’. Orally consumed, rectally inserted and insufflated. Why is it used? Many 2C-B users are young adults who attend raves. Though 2C-B is still used in the rave subculture, it is commonly mistaken for and/or sold as Ecstasy and its intentional use has become more common. Side effects are rare and the drug is generally easier on the body than Ecstasy/MDMA . Side effects Body tremors, shuddering breath, mild muscle spasms, mild diarrhoea, gas, nausea and general stomach discomfort, severe headaches, hangover 2C-C 2, 5-dimethoxy-4-chlorophenethylamine What is it? 2C-C is a substance of Phenethylamine chemical class, it is a psychedelic drug of the 2C family. Why is it used? It is sometimes used for its Entheogenic properties. It is ‘visually’ similar to LSD or Psilocybin, though much less intense. 2C-C has been reported as incredibly relaxing almost sedating and has hallucinogenic and entactogenic effects. Users report it is a less intense psychedelic experience than other Phenethylamines. It is also used for feelings of euphoria, empathy, closeness with others, open/closed eye hallucinations and audial distortions. Side effects Anxiety, paranoia and headaches. References https://www.erowid.org/library/books_online/pihkal/ pihkal022.shtml http://en.wikipedia.org/wiki/2C-C http://www.drugs-forum.com/forum/showwiki. php?title=2C-C http://www.drugs-forum.com/forum/showwiki. php?title=2C-C#ixzz38pjzEHNW http://www.drugs-forum.com/forum/showwiki. php?title=2C-C#ixzz38pk8YjdA https://www.erowid.org/chemicals/2cc/2cc.shtml https://www.erowid.org/chemicals/2cc/2cc_effects.shtml 15 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. 2C-P 4-propyl-2, 5-dimethoxyphenethylamine What is it? It is a substance of the Phenethylamine class. It has psychedelic properties. 2C-P is fairly new to the psychedelic scene but its use is gaining in popularity amongst users. Side effects Orally consumed and insufflated. Stomach discomfort, nausea, vomiting, gas, headache, muscle spasms/jaw clenching, nasal discomfort/dripping (when insufflated), muscle fatigue/pain, anxiety, fear/ paranoia, mental confusion, intense/overwhelming open/ closed visuals, sweating/chills/flushing, difficulty speaking, motor impairment, vasoconstriction/ increased blood pressure and elevated heart rate. Why is it used? References How it is used? Intense hallucinogenic, psychedelic, entheogenic effects, open eye and closed-eye visuals. http://www.drugs-forum.com/forum/showthread. php?t=37905 http://www.erowid.org/chemicals/2cp/2cp_effects.shtml http://chemicals-trade.com/31-2c-p.html http://fox-chem.com/chemicals/oganic/researchchemicals/2c-p.html 2C-T-2 2, 5-dimethoxy-4-ethylthiophenethylamine What is it? Side effects How it is used? References 2C-T-2 is a substance of the Phenethylamine chemical class. Is a strong psychedelic and entactogenic drug of the of the 2C family. Insufflation, orally consumed, rectally inserted and smoked are the most common routes of administration. Sometimes it is injected, however this is not common. Why it is used? For visual hallucinations that are similar to LSD. 16 www.yfcc.com.au Nausea, restlessness and a cold feeling of the body, effects can be unpredictable even for ‘experienced’ users. Effects can last up to 16 hours from dosing. http://en.wikipedia.org/wiki/2C-T-2 http://www.erowid.org/chemicals/2ct7/article1/survey. shtml http://www.mdma.net/uk/ http://www.erowid.org/library/books_online/pihkal/ pihkal040.shtml https://www.erowid.org/chemicals/2ct2/2ct2.shtml PSYCHOACTIVE SUBSTANCES AL-LAD 6-allyl-6-nor-LSD What is it? AL-LAD is a substance of the Tryptamine and Lysergamide classes. It is a derivative of LSD. While AL-LAD has subtle differences to LSD, its ‘high’ is shorter lasting however the potencies are similar. How is it used? Orally consumed. Why is it used? Open and closed eye visuals, euphoria and perceived time distortion. References Shulgin, Alexander; Ann Shulgin (September 1997). TiHKAL: The Continuation. http://en.wikipedia.org/wiki/AL-LAD https://www.erowid.org/library/books_online/tihkal/ tihkal01.shtml http://www.erowid.org/experiences/subs/exp_ALLAD. shtml http://www.bluelight.org/vb/threads/679138-The-Bigamp-Dandy-AL-LAD-Thread-Part-1 http://www.drugs-forum.com/forum/showthread. php?t=227737 Side effects Nausea, vasoconstriction, facial flushing, chills, goosebumps, slight increase in heart rate, difficulty focusing. MEPHEDRONE 4-methylmethcathinone What is it? Mephedrone is a substance of the Cathinone and Amphetamine chemical classes. How it is used? Orally, insufflated, injected and rectally inserted. Why it is used? Euphoria, stimulation, enhanced appreciation for music, elevated mood, decreased hostility, improved mental function and mild sexual stimulation. Has a similar effect to Cocaine, Amphetamines and MDMA. Side effects Loss of appetite nausea, vomiting, stomach pains light-headedness, dizziness , distorted perception of time, intense connection with music, dilated pupils, blurred vision, dry mouth/thirst, sweating , insomnia, memory loss, nose bleeds from snorting the drug, anxiety, paranoia, insomnia, fatigue, low mood, memory loss, increase in heart rate, blood pressure, chest pains, tremors or convulsions, bruxism, skin rashes. References http://en.wikipedia.org/wiki/Mephedrone http://www.druginfo.adf.org.au/drug-facts/ ephedrone?gclid=CLCNxciA8q4CFWhKpgodUgjmHQ http://www.erowid.org/experiences/subs/ exp_4Methylmethcathinone.shtml http://www.medicalnewstoday.com/articles/184233.php http://www.drugs-forum.com/forum/showwiki. php?title=Mephedrone http://www.urban75.com/Drugs/ mephedrone-meph-mcat-miaow-miaow.html *There are many other derivatives/analogues of some of the substances that are contained in this booklet. Some substances stated in this booklet are currently in the process of being phased out but are still available on through street dealers. 17 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. MXE Methoxetamine What is it? MXE is a substance of the Arylcyclohexylamine (Dissociative) chemical class. MXE is classed as a depressant and is a hallucinogen. It is a derivative of Ketamine. How it is used? Orally consumed, insufflated, rectally inserted, injected. Why is it used? It has psychedelic properties that have been reported to have a similar effect to ketamine and to DMT but with the ability to move around. This includes mild to moderate euphoria, antidepressant type effects, feelings of calmness, reduction in anxiety, sociability (in lower doses), therapeutic self-reflection, insight into personal issues including behaviours and thinking patterns, increased clarity of thought and/ or complexity of thoughts. Some users report telepathic communication with those around them to be a part of the ‘trip’. MXE has a dissociative/ anaesthetic effects that can create feelings of physical weightlessness. It increases conscious awareness and a sense of connectedness and unity, open and closed eye visuals and audial enhancement of music or sounds of nature. Side effects Risk of psychological dependency, nasal discomfort when insufflated, blacking out and forgetting one has taken a drug, discomfort, pain or numbness at site of injection, severe confusion, disorganised thinking, vertigo, spinning sensations, nausea, vomiting, loss of sensory perception, susceptibility to accidents (from incoordination), changes in perception of ones’ body, time distortion, severe dissociation, depersonalisation, decreased heart rate and respiration (risk of this increases with increased dose or when combined with depressant drugs). References http://www.drugs-forum.com/forum/showwiki. php?title=Methoxetamine http://www.bunkpolice.org/methoxetamine-information/ http://www.erowid.org/chemicals/methoxetamine/ methoxetamine_effects.shtml https://www.buzz-wholesale.com/chems/Methoxetamine http://www.drugs-forum.com/forum/showwiki. php?title=Methoxetamine#ixzz391ZbKyux MXP Methoxphenidine 1-[1-(2-methoxyphenyl)-2-phenylethyl]piperidine What is it? Side effects How is it used? References MXP is a hallucinogenic dissociative substance of the Piperidine chemical class. It has similar effects to substances of the Arylcyclohexylamine class. Consumed orally. Why is it used? MXP is coming into play as a replacement to MXE however users have reported that the effects are closer to that of DXM. MXP induces dissociative anaesthesia and most commonly used recreationally. Very little is known about this substance at this time however as usage becomes more wide spread literature will become available. 18 www.yfcc.com.au Dissociation from reality or self, numbness of limbs and body, loss of balance, decreased fine and gross motor skills, dizziness and time distortion. https://www.google.com.au/?gws_ rd=ssl#q=methoxphenidine http://www.bluelight.org/vb/threads/700834-The-Bigamp-Dandy-Methoxphenidine-(MXP-2-MeO-Diphenidine)Thread http://psychonautwiki.org/wiki/File:Methoxphenidine.png http://www.ukchemicalresearch.org/ThreadMethoxphenidine-Well-that-was-a-pleasant-surprise PSYCHOACTIVE SUBSTANCES AMT A-Methyltryptamine What is it? AMT is a psychedelic stimulant substance of the Tryptamine chemical class. It was originally developed as an antidepressant in the 1960s. How it is used? Smoked, most commonly consumed orally. Why is it used? Euphoria, increased empathy, open and closed eye visuals, altered state of consciousness similar to LSD, Psilocybin, DMT and MDMA. Side Effects References http://en.wikipedia.org/wiki/Alpha-Methyltryptamine http://plantfoodpalace.co.uk/amt.html http://www.erowid.org/chemicals/amt/amt.shtml Arai, Y.; Toyoshima, Y.; Kinemuchi, H. (1986). “Studies of monoamine oxidase and semicarbazide-sensitive amine oxidase. II. Inhibition by .ALPHA.-methylated substrateanalogue monoamines, .ALPHA.-methyltryptamine, .ALPHA.-methylbenzylamine and two enantiomers of .ALPHA.-methylbenzylamine”. The Japanese Journal of Pharmacology 41 (2): 191. Shulgin, A (1997) ‘’TIHKAL’’”. Erowid.org. http://www.erowid.org/chemicals/5meo_amt/5meo_amt_ law.shtml Delusions, hallucinations, anxiety, restlessness, muscle tension, bruxism, dilated pupils, tachycardia, headaches, nausea and vomiting. DXM Dextromethorphan What is it? DXM is an antitussive (cough suppressant) drug that was originally formulated to be a cough suppressant during the 1950’s. However DXM gained popularity for its recreational use in later decades. DXM is classed as a ‘dissociative hallucinogen’. Side effects How is it used? Orally consumed. References Why it is used? With effects similar to Ketamine and Phencyclidine DXM produces visual distortions, closed eye visuals, dissociation, excitement and time distortion. Some users report a ‘stimulant-like’ euphoria and audial enhancement. It has become a popular brew known as ‘Drank’ in the southern states of the USA where DXM is mixed with other specific ingredients. Body rashes and itching, nausea, vomiting, drowsiness, dizziness, constipation/ diarrhoea, sedation, confusion, blurred vision and/or double vision, bloodshot eyes, sweating, fever, bruxism, hypotension, hypertension, tachycardia, shallow breathing and anxiety. http://dextroverse.org/whatis.html http://www.enotes.com/dextromethorphan-reference/ dextromethorphan#what-made http://en.wikipedia.org/wiki/Dextromethorphan http://www.hipforums.com/newforums/showthread. php?t=228286 http://www.dancesafe.org/dxm/ http://www.webmd.com/parenting/teen-abuse-coughmedicine-9/teens-and-dxm-drug-abuse 19 N-BOMe N-methoxybenzyl What is it? N-BOMe is a substance of the of psychedelic Phenethylamine class. Most commonly used for recreation NBOMes are of the 2C family. Commonly used NBOMes are 25I-NBOMe (25I) and 25C-NBOMe (25C), and 25B-NBOMe (25B). Why it is used? Strong open and closed eye visuals, euphoria, mental and physical stimulation, creative thinking, increased awareness, audial enhancement, life-changing spiritual experiences, erotic sexual thoughts and sensations, feelings of love, empathy and an altered state of consciousness. How it is used? Most commonly is administered buccally (held in the mouth, not swallowed) and sometimes insufflated in liquid form. Side effects Pupil dilation, facial flushing, body chills, goosebumps, time distortion and dilation, slight increase in heart rate, confusion, repetitive thought patterns, scrambled communication, nausea, insomnia, paranoia, fear, and panic, unwanted or unexpected life-changing spiritual experiences, vasoconstriction, peripheral numbness, swelling of feet/ hands, increased blood pressure. References http://theconversation.com/explainer-what-is-nbome-16950 https://www.erowid.org/chemicals/2ci_nbome/2ci_nbome_effects. shtml http://en.wikipedia.org/wiki/25I-NBOMe https://www.erowid.org/chemicals/2ci_nbome/2ci_nbome_effects. shtml UK Home Office (2014-03-05). “The Misuse of Drugs Act 1971 (Ketamine etc.) (Amendment) Order 2014”. UK Government. Retrieved 2014-03-11. Ralf Heim PhD. (2010-02-28). “Synthese und Pharmakologie potenter 5-HT2A-Rezeptoragonisten mit N-2-Methoxybenzyl-Partialstruktur. Entwicklung eines neuen Struktur-Wirkungskonzepts.” (in German). diss.fu-berlin.de. Retrieved 2013-05-10. Michael Robert Braden PhD. (2007). “Towards a biophysical understanding of hallucinogen action.”. Purdue University. “MOST COMMONLY IS ADMINISTERED BUCCALLY AND SOMETIMES INSUFFLATED IN LIQUID FORM.” 20 www.yfcc.com.au PSYCHOACTIVE SUBSTANCES NBOH 2-(2-(4-iodo-2, 5-dimethoxyphenyl) ethylamino)methyl)phenol What is it? NBOH is a derivative of the Phenethylamine hallucinogen class. NBOH is similar in molecular structure and effect as 25I-NBOMe. It seems this drug will eventually replace the NOMBe compounds. There is little literature and research on this substance. However as use of this substance becomes wide spread literature will become available. How is it used? Orally consumed and insufflated. Why is it used? The effects are very similar to a strong dose of LSD. Users report open and closed eye visuals, geometric patterns and diverse spectrum of false colours, audial enhancement of music, a feeling of wonder/ awe, euphoria and weightlessness. References Ettrup, A.; Hansen, M.; Santini, M. A.; Paine, J.; Gillings, N.; Palner, M.; Lehel, S.; Herth, M. M.; Madsen, J. (2010). “Radiosynthesis and in vivo evaluation of a series of substituted C-phenethylamines as 5-HT2A agonist PET tracers”. European Journal of Nuclear Medicine and Molecular Imaging 38 http://en.wikipedia.org/wiki/25I-NBOH http://www.drugs-forum.com/forum/showthread. php?t=95632#ixzz38uNRCRpH http://www.drugs-forum.com/forum/showthread. php?t=95632 http://www.drugs-forum.com/forum/showthread. php?t=95632#ixzz38uOA8OiH http://www.drugs-forum.com/forum/showthread. php?t=95632#ixzz38uOG59PP Side effects Anxiety, dilated pupils, bruxism, rapid heart rate, aggression and paranoia. 21 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. DOC 2, 5-Dimethoxy-4-chloroamphetamine What is it? DOC is a psychedelic substance of the Phenethylamine and Amphetamine chemical classes. There is little literature and research on this substance. However as use of this substance becomes wide spread literature will become available. How is it used? Orally consumed. Why is it used? Increase in cognitive and perceptual thoughts, open and closed eye visuals, increased awareness of sound and movement, euphoria. Side effects Nausea, chest pains and vasoconstriction. ‘References Shulgin, Alexander; Shulgin, Ann (September 1991). PiHKAL: A Chemical Love Story. United States: Transform Press. p. 978. http://en.wikipedia.org/wiki/2,5-Dimethoxy-4chloroamphetamine https://www.erowid.org/chemicals/doc/doc_death. shtml http://www.drugs-forum.com/forum/showwiki. php?title=DOC_psychedelic http://www.drugs-forum.com/forum/showthread. php?t=34462 http://www.drugs-forum.com/forum/showwiki. php?title=DOC_psychedelic#ixzz38uRr494V DOI 2, 5-Dimethoxy-4-iodoamphetamine What is it? DOI is a substance of the psychedelic Phenethylamine class. It is an Amphetamine substitute however, it is not a stimulant. How is it used? Commonly administered sublingually, buccally or orally consumed. Why is it used? Similar effects to LSD, increase in energy, creative/ abstract thinking, audial enhancement, euphoria, open and closed eye visuals and time distortion. Side effects Difficulty sleeping which may persist for prolonged periods of time, anxiety, paranoia, temptation to redose due to the amount of time it takes to come into effect. 22 www.yfcc.com.au References Shulgin, A; Shulgin, A (1990). “#67 DOI”. PiHKAL: A Chemical Love Story. Transform Press. ISBN 9780963009609. http://www.drugs-forum.com/forum/showwiki. php?title=DOI http://en.wikipedia.org/wiki/2,5-Dimethoxy-4iodoamphetamine https://www.erowid.org/chemicals/doi/doi.shtml http://www.drugs-forum.com/forum/showwiki. php?title=DOI#ixzz38uVZytAF http://www.drugs-forum.com/forum/showwiki. php?title=DOI#ixzz38uVhTXe9 http://www.drugs-forum.com/forum/showwiki. php?title=DOI#ixzz38uVpOF5r http://www.drugs-forum.com/forum/showwiki. php?title=DOI#ixzz38uW7W6WM http://www.talkingdrugs.org/a-new-hallucinogenicdrug-that-has-powerful-effects http://www.adelaidenow.com.au/news/extra-strongnew-lsd-type-hallucinogenic-drug-hits-adelaidepolice-warn/story-e6freo8c-1225781932681?nk=c9e6 9b39929d7a7ad11fd94769dc667f PSYCHOACTIVE SUBSTANCES KETAMINE (RS)-2-(2-Chlorophenyl)-2-(methylamino)cyclohexanone What is it? Ketamine is a derivative of the Cyclohexanone chemical class that is used medically used as a sedative in preparation of an anaesthesia. How is it used? Insufflated and injected. Why is it used? It is a popular drug in both human and veterinary medicine. It is used as a sedative, pain killer, general anaesthetic, has been clinically tested for treatmentresistant bipolar depression, major depressive disorder, and people in a suicidal crisis. Ketamine has become a popular psychedelic among the psychonautic community. Users report experiences ranging from being similar to LSD through to DMT. Depending on the dosage Ketamine can be a mild psychostimulant in lower doses but at higher doses can be a dissociative anaesthetic, this experience is referred to as a K-Hole where in which the user has spiritual epiphanies/ journeys. Side effects Irregular and/ or rapid heart rate, hyper and/or hypotension, intracranial pressure, skin rashes, anorexia, nausea, vomiting, excessive saliva production, pain at injection sites, increased muscular tone, nystagmus, airway obstruction, sleep apnoea, increase in phlegm production, shallow breathing, anaphylaxis, chemical dependence, vivid dreams/ hallucinations and delirium. References http://en.wikipedia.org/wiki/Ketamine https://www.erowid.org/chemicals/ketamine/ketamine_ chemistry.shtml http://pubchem.ncbi.nlm.nih.gov/summary/summary. cgi?cid=3821 http://www.drugbank.ca/drugs/DB01221 http://www.chemspider.com/Chemical-Structure.3689. html http://www.drugfreeworld.org/drugfacts/prescription/ ketamine.html http://ccac.ca/en_/education/niaut/vivaria/analgesia/ ketamine http://www.drugs.com/cdi/ketamine.html http://www.drugs.health.gov.au/internet/drugs/publishing. nsf/Content/other4 CONCLUSION The the Alcohol and Other Drug industry has dealt with the introduction of new substances on a regular basis. However, the emergence of so many complex chemicals on such a regular basis has never been seen before. Reports suggest that there are approximately 100 new psychoactive chemical compounds being developed weekly on an international platform. At this rate it is virtually impossible for legislation and medical research to keep up with them. It is therefore imperative for effective treatment and education for users seeking help that the Alcohol and Other Drug industry is proactive in maintaining knowledge on the movements of New Psychoactive Substances in our communities and internationally. 23 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. GLOSSARY Psychonautics – (from the Greek ψυχή (psychē “soul/ spirit/mind”) and ναύτης (naútēs “sailor/navigator”)—a sailor of the mind/soul) refers both to a methodology for describing and explaining the subjective effects of altered states of consciousness, including those induced by meditation or mind altering substances, and to a research paradigm in which the researcher voluntarily immerses him/herself into an altered state by means of such techniques, as a means to explore human experience and existence. Chemical compound - A chemical compound is a pure chemical substance consisting of two or more different chemical elements that can be separated into simpler substances by chemical reactions. Chemical compounds have a unique and defined chemical structure; they consist of a fixed ratio of atoms that are held together in a defined spatial arrangement by chemical bonds. Bruxism - is the excessive grinding of the teeth and/or excessive clenching of the jaw. Consciousness - the quality or state of being aware of an external object or something within oneself. It has been defined as: sentience, awareness, subjectivity, the ability to experience or to feel, wakefulness, having a sense of selfhood, and the executive control system of the mind. Despite the difficulty in definition, many philosophers believe that there is a broadly shared underlying intuition about what consciousness is. Neuromodulator - can be conceptualized as a neurotransmitter that is not reabsorbed by the presynaptic neuron or broken down into a metabolite. Such neuromodulators end up spending a significant amount of time in the cerebrospinal fluid (CSF), influencing (or “modulating”) the activity of several other neurons in the brain. For this reason, some neurotransmitters are also considered to be neuromodulators, such as serotonin and acetylcholine. Neurotransmitter - are endogenous chemicals that transmit signals from a neuron to a target cell across a synapse. Neurotransmitters are packaged into synaptic vesicles clustered beneath the membrane in the axon terminal, on the presynaptic side of a synapse. They are released into and diffuse across the synaptic cleft, where they bind to specific receptors in the membrane on the postsynaptic side of the synapse. Psychostimulant - are psychoactive drugs which induce temporary improvements in either mental or physical functions or both. Examples of these kinds of effects may include enhanced alertness, wakefulness, and locomotion, among others. Due to their effects typically having an “up” quality to them, stimulants are also occasionally referred to as “uppers”. Depressants or “downers”, which decrease mental and/or physical function, are in stark contrast to stimulants and are considered to be their functional opposites. Stimulants are widely used throughout the world as prescription medicines and as illicit substances of recreational use or abuse. Dopamine - is a neurotransmitter (or chemical in the brain) that either increases or reduces the activity of neurons (nerve cells). Serotonin - a compound present in blood platelets and serum, which constricts the blood vessels and acts as a neurotransmitter. Norepinephrine - is a neurotransmitter secreted by neurons in the sympathetic nervous system. This chemical is secreted in response to stress, which triggers the ‘fight or flight’ response. Synapses - a junction between two nerve cells, consisting of a minute gap across which impulses pass by diffusion of a neurotransmitter. Solvents - the liquid in which a solute is dissolved to form a solution. A liquid, typically one other than water, used for dissolving other substances. Route of administration - is the path by which a drug, fluid, poison or other substance is brought into contact with the body. Aphrodisiac - a food, drink, or other thing that stimulates sexual desire. Street dealer – an illegal drug seller on the urban streets. Psychoactive effect - Affecting the mind or mental processes. Psychoactive drugs in that it is a stimulant. Nowadays treatment by medical doctors nearly always means psychoactive drugs, that is, drugs that affect the mental state. Anecdotal - (of an account) not necessarily true or reliable, because based on personal accounts rather than facts or research. 24 www.yfcc.com.au GLOSSARY Hallucination - an experience involving the apparent perception of something not present. Seizure - a sudden attack of illness, especially a stroke or an epileptic fit. Entheogen - A chemical substance, typically of plant Pharmacology - the branch of medicine concerned origin, that is ingested to produce a non-ordinary state of consciousness for religious or spiritual purposes. Insufflated - blow or breathe (air, vapour, or a powdered medicine) into or through a body cavity. Monoamine Oxidase Inhibitor (MAOI) - any of a group of antidepressant drugs which inhibit the activity of monoamine oxidase (so allowing accumulation of serotonin and noradrenaline in the brain). Ayahuasaca - a tropical vine of the Amazon region, noted for its hallucinogenic properties. A hallucinogenic drink prepared from the bark of ayahuasca. with the uses, effects, and modes of action of drugs. Enactogen – empathogen and enactogen are used to describe a class of psychoactive drugs that produce distinctive emotional and social effects. Psychedelic - of or noting a mental state characterized by a profound sense of intensified sensory perception, sometimes accompanied by severe perceptual distortion and hallucinations and by extreme feelings of either euphoria or despair. Haemorrhaging - an escape of blood from a ruptured blood vessel. Pseudohallucination - is an involuntary sensory Euphoria - a feeling or state of intense excitement and happiness. Trip - A noun that refers to a single complete Cardiotoxicity - is the occurrence of heart electrophysiology dysfunction or muscle damage. The heart becomes weaker and is not as efficient in pumping and therefore circulating blood. experience vivid enough to be regarded as a hallucination, but recognised by the patient not to be the result of external stimuli. experience of using a powerful hallucinogenic drug. Stimulant - a substance that raises levels of physiological or nervous activity in the body. Depressant - a drug reducing functional or nervous activity. Empathogen –enactogen and empathogen a class of psychoactive drugs that produce distinctive emotional and social effects. Tachycardia - an abnormally rapid heart rate. Hypertension - abnormally high blood pressure. Hypotension - abnormally low blood pressure. Sleep deprivation - is the condition of not having Nystagmus - rapid involuntary movements of the eyes. Hydrochloride salt - a salt, especially of an alkaloid, formed by the direct union of hydrochloric acid with an organic base that makes the organic constituent more soluble. Free base - a water soluble salt so that they can be orally or intranasally consumed. Renal toxicity - a medical condition in which the kidneys fail to adequately filter waste products from the blood. Extrapyramidal - is a neural network that is part of the motor system that causes involuntary reflexes and movement, and modulation of movement (i.e. coordination). enough sleep; it can be either chronic or acute. Psychosis - a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality. Hyperthermia - the condition of having a body temperature greatly above normal. Dystonia - a state of abnormal muscle tone resulting in muscular spasm and abnormal posture, typically due to neurological disease or a side effect of drug therapy. Akathisia - A movement disorder characterized by a feeling of inner restlessness and a compelling need 25 YOUTH, FAMILY AND COMMUNITY CONNECTIONS INC. to be in constant motion, as well as by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, and crossing and uncrossing the legs while sitting. unconsciousness, characterized by catalepsy, catatonia, and amnesia, especially that produced by phenylcyclohexylamine compounds, including ketamine. Palpitations - a noticeably rapid, strong, or irregular heartbeat due to agitation, exertion, or illness. Phencyclidine - a synthetic compound derived from Hyperventilation - a condition in which you suddenly start to breathe very quickly. Urine retention - the inability to completely or partially empty the bladder. Respiratory failure - inadequate gas exchange by the respiratory system, with the result that levels of arterial oxygen, carbon dioxide or both cannot be maintained within their normal ranges. Serotonin syndrome – is a potentially life-threatening drug reaction that may occur following therapeutic drug use, inadvertent interactions between drugs, overdose of particular drugs, or the recreational use of certain drugs. Rhabdomyolysis - is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the blood. These substances are harmful to the kidney and often cause kidney damage. Vasoconstriction - the constriction of blood vessels, which increases blood pressure. Convulsions - a sudden, violent, irregular movement of the body, caused by involuntary contraction of muscles and associated especially with brain disorders such as epilepsy, the presence of certain toxins or other agents in the blood, or fever in children. Derivative - something which is based on another source Depersonalisation - a state in which one’s thoughts and feelings seem unreal or not to belong to oneself. Dissociative - wide array of experiences from mild detachment from immediate surroundings to more severe detachment from physical and emotional experience. Dissociative anaesthesia - a form of general anaesthesia, but not necessarily complete 26 www.yfcc.com.au piperidine, used as a veterinary anaesthetic and in hallucinogenic drugs such as angel dust. Time distortion - a form of perceptual distortion, at times, experienced in modified states of awareness, wherein time seems to pass either with extreme quickness or with great slowness. Sedation - a state of calm or sleep produced by a sedative drug. Audial enhancement - an enhancement of the acuteness and clearness of sound. This results in becoming extremely aware of all sounds around oneself with an enhanced ability to comprehend multiple layers of noise and to identify their precise direction and location. Altered state of consciousness - is any mental state induced by physiological, psychological, or pharmacological manoeuvres or agents, which deviates from the normal waking state of consciousness. Buccally – administration of a substance on the inside of the cheek, the surface of a tooth, or the gum beside the cheek. Peripheral numbness – aka Peripheral neuropathy. Is a result of nerve damage, often causes weakness, numbness and pain, usually in your hands and feet, but it may also occur in other areas of your body. Sublingually – aka. Sublingual administration. “under the tongue”, refers to the pharmacological route of administration by which drugs diffuse into the blood through tissues under the tongue. Abstract thinking - Thinking characterized by the ability to use concepts and to make and understand generalizations, such as of the properties or pattern shared by a variety of specific items or events. Re-dose – repetitive dosing of a particular substance. 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What are cannabinoids and synthetic cannabinoids? http://ncpic.org.au/workforce/alcohol-and-other-drug-workers/cannabis-information/factsheets/article/syntheticcannabinoids http://www.druginfo.adf.org.au/drug-facts/legal-highs#sthash.tULPo9oN.dpuf http://www.google.com.au/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&ved=0CC0QFjAD&url=http%3A%2F%2F www.unodc.org%2Fdocuments%2Fscientific%2FNPS_2013_SMART. pdf&ei=XHuzU4veO4mRkQWVmYGABw&usg=AFQjCNEvNYgAW8TawB5HGt7cTPpMbem9eg http://www.sciencedaily.com/articles/p/psychoactive_drug.htm UNODC, World Drug Report 2013 (United Nations publication, Sales No. E.13.XI.6), p. 60. https://www.unodc.org/unodc/secured/wdr/wdr2013/World_Drug_Report_2013.p... http://en.wikipedia.org/wiki/Phenethylamine UNODC, World Drug Report 2013 (United Nations publication, Sales No. E.13.XI.6), p. 60. https://www.unodc.org/unodc/secured/wdr/wdr2013/World_Drug_Report_2013.p... 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