Synthetic drugs of abuse

Adv Clin Chem. 2021:103:191-214. doi: 10.1016/bs.acc.2020.10.001. Epub 2020 Dec 24.

Abstract

Synthetic drugs of abuse contain various psychoactive substances. These substances have recently emerged as novel drugs of abuse in public; thus, they are known as novel psychoactive substances (NPS). As these compounds are artificially synthesized in a laboratory, they are also called designer drugs. Synthetic cannabinoids and synthetic cathinones are the two primary classes of NPS or designer drugs. Synthetic cannabinoids, also known as "K2" or "Spice," are potent agonists of the cannabinoid receptors. Synthetic cathinones, known as "Bath salts," are beta-keto amphetamine derivatives. These compounds can cause severe intoxication, including overdose deaths. NPS are accessible locally and online. NPS are scheduled in the US and other countries, but the underground chemists keep modifying the chemical structure of these compounds to avoid legal regulation; thus, these compounds have been evolving rapidly. These drugs are not detectable by traditional drug screening, and thus, these substances are mainly abused by young individuals and others who wish to avoid drug detection. These compounds are analyzed primarily by mass spectrometry.

Keywords: Designer drug; Immunoassay; Mass spectrometry; NPS; Synthetic cannabinoid; Synthetic cathinone.

Publication types

  • Review

MeSH terms

  • Alkaloids / chemical synthesis*
  • Alkaloids / pharmacology
  • Cannabinoids / chemical synthesis*
  • Cannabinoids / pharmacology
  • Humans
  • Illicit Drugs
  • Psychotropic Drugs / chemical synthesis*
  • Psychotropic Drugs / pharmacology
  • Substance-Related Disorders*
  • Synthetic Drugs

Substances

  • Alkaloids
  • Cannabinoids
  • Illicit Drugs
  • Psychotropic Drugs
  • Synthetic Drugs
  • cathinone