The cat and the mouse game: Is there a shift towards more dangerous substances in the cathinone illicit market?
Introduction After mephedrone's ban in March 2010 new cathinones proliferated widely, even a new branch of atypical derivatives was launched into the market, represented by MDPV. The cardiovascular and central nervous system toxicity draws attention to this new family of cathinones, also known as pyrovalerones. MDPV was scheduled in 2011, leading to the apparition of Alpha PVP from which there is little information. Objectives The aim of the present study is to describe the evolution of different cathinones in the samples delivered for analysis to the harm reduction NGO energy control from March 2009 to March 2016 in Spain. Methods Energy control is a Spanish harm reduction NGO that offers to drug users the possibility of analyzing the substances they intend to consume. From March 2009 to March 2016 a total of 24,528 samples were analyzed by the NGO from which 760 contained cathinones. Substance analysis was done by gas chromatography mass spectrometry. Results From 2009 to 2016, cathinones represented a 2.82% from all analyzed samples. From March 2009 to March 2010, only 5 different cathinones were detected, in this same period methylone (n 16; 37.20% and mephedrone (n 17; 39.53% represented 76% of analyzed cathinones (n 43) From March 2015 to March 2016, 132 cathinones were detected: methylone and mephedrone represented only 19.69% giving prominence to clephedrone (n 25; 18.93% and Alpha PVP (n 24; 18.18% Conclusions The evolution of synthetic cathinones detected by energy control is consistent with the evolution described in the literature. From 2009 to 2016, the cathinones detected diversify and new substances with higher toxicity potential appear. Disclosure of interest The authors have not supplied their declaration of competing interest.
European Psychiatry