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1. ------IND- 2016 0145 HU- EN- ------ 20160405 --- --- IMPACT Impact assessment of the amendment of Act XXV of 1998 on medicinal products for human use The following rows 74–77 are added to ‘A) Schedule’ in the Annex to Act XXV of 1998 on medicinal products for human use: [A B Official name(or other name or abbreviation, or way of writing Chemical name] often used abroad) 74. MTP, methcathinone thiophen 2-(methylamino)-1-(thiophen-2-yl)propan-1-one analog 2-(2-chlorophenyl)-2-(ethylamino)cyclohexanone 75. N-ethylnorketamine 76. AM-1248 azepane isomer 77. ADB-FUBINACA 74. MTP, methcathinone thiophen analog adamant-1-yl[1-(1-methylazepan-3-yl)-1H-indol-3yl]methanone N-[1-(aminocarbonyl)-2,2-dimethylpropyl]-1-[(4fluorophenyl)methyl]-1H-indazole-3-carboxamide 2-(methylamino)-1-(thiophen-2-yl)propan-1-one This is a derivative of the stimulant phenylalkylamine, which belongs to the cathinone group. The substances in this group cause addiction in around 20 % of cases. As a methamphetamine analog, it is a stimulant of the central nervous system which causes behavioural changes, euphoria and sleeping problems. Its use can also lead to rebound depression. 75. N-ethylnorketamine 2-(2-chlorophenyl)-2-(ethylamino)cyclohexanone This is a substance which is similar in structure to ketamine. It has the same effects as ketamine, but is approximately 1.5 times more potent. Side effects include sensory and orientation problems, hallucinations, feelings of depersonalisation, bluntness, drowsiness, memory and learning difficulties, severe anxiety, panic, paranoia, aggression, high blood pressure and an increased heart rate. Given the similar structure, this substance can result in addiction. It may lead to abuse and adverse side effects similar to the listed PCP. While under its influence, users' behaviour may be reckless and they may take excessive risks. 76. AM-1248 azepane isomer adamant-1-yl[1-(1-methylazepan-3-yl)-1H-indol-3yl]methanone This is a synthetic cannabinoid and analog of the original AM-1048 synthetic cannabinoid. The effect of the drug is presumably similar to the parent compound, although no literature data is available with regard to its strength. Its use can lead to comprehension difficulties and mood swings. Like other cannabis derivatives, it can cause visual and auditory hallucinations. The precise receptor effect is unknown. Cannabis derivatives cause addiction in 6–10 % of cases. 1 Although modest clinical data is available, due to its mind-altering effects, it may cause public health problems. It is now referred to as a ‘designer drug’ on the Internet. It is likely, as in the case of other cannabinoids in the Schedule, that abuse may lead to public health and social problems. 77. ADB-FUBINACA N-[1-(aminocarbonyl)-2,2-dimethylpropyl]-1-[(4fluorophenyl)methyl]-1H-indazole-3-carboxamide Known as the ‘Facebook tablet’, this is a potent CB1 cannabinoid receptor agonist. Regular stimulation of these receptors causes addiction in 6–10 % of cases. It is effective, even in very small doses. The following side effects were noted in the 15 poisoning cases in May 2015: drowsiness, breathing difficulties, CO2 retention, hypotonia, hypothermia, vomiting, sinus tachycardia, dilated pupils, extrapyramidal movements, hyperkinesia, auditory and visual hallucinations and restlessness. 2