“Police
warn against deadly new street drug W-18”
“Alberta
health official warns of deadly new street drug”
“W-18,
a drug 100 times more potent than fentanyl, is now in B.C.”
“Albertans
left in the dark about police seizure of deadly new street drug”
“ER
doctors warned about massive seizure of suspected W-18, 100 times more powerful
than fentanyl”
“A
toxic drug, more powerful than fentanyl, hits the streets in Alberta”
Those are some recent headlines regarding a newly emerged drug named W-18 in North America. The substance is supposedly 10,000 times more potent than morphine or 100 times more potent than fentanyl as a central nervous system depressant.
Counterfeit Oxycodone tablets containing fentanyl
Image taken from CBC News
W-18
is a compound in a series of 32 substances (named W-1 to W-32) that were first
synthesized in academic research by Edward Knaus, Brent Warran, and Theodore
Ondrus at the University of Alberta in 1981. These W-series compounds are covered
under US patent 4468403A (August 28, 1984). The
chemical name for W-18 is
4-chloro-N-[1-[2-(4-nitrophenyl)ethyl]-2-piperidinylidene]-benzenesulfonamide
and it has a chemical formula C19H20ClN3O4S.
Molecular weight is 421.9 g/mol.
Chemical structure of W-18
Image drawn by ForensicToxGuy (2016)
W-18
was detected in counterfeit tablets sold as fentanyl in Calgary, Alberta,
Canada in August 2015. W-18 was also identified as the constituent in four
kilograms of powder in a drug seizure in Edmonton, Alberta, Canada in December
2015; purity of the powder substance was reported to be 90% by Canadian
authorities. In 2016, a Florida man was found to be in possession of 2.5 pounds
of a powder containing W-18.
Despite
media reports and quotes from law enforcement officials, the pharmacological
profile for W-18 is not established at this time. We have no data on absorption, distribution,
metabolism, or excretion of the substance. We do not know on what specific
receptors W-18 acts. We know nothing about receptor binding affinities. We know
nothing of the acute effects of the substance. The only piece of pharmacological
data that exists for W-18 was acquired via the mouse phenylquinone (PQ)
writhing assay. In that test, W-18 had an IC50 equal to 3.7 ng/kg
and 50% inhibition. In the same test, morphine’s IC50 was equal to
38,000 ng/kg and 50% inhibition. It very important to note that the PQ writhing
assay is a general or non-specific test in which many compounds not considered
to be analgesics, including sympathomimetics and central nervous system
stimulants, protect mice against the PQ-induced writhing. The assay results
should not be interpreted in any way that insinuates W-18 is approximately
10,000 times more potent than morphine as a central nervous system depressant. We currently have no pharmacological data to support that W-18 has any activity at
the opioid receptors: mu (µ), kappa (κ), or delta (δ).
W-18
is not considered a controlled substance in the United States, though it may be
considered a controlled substance analog under the Analog Enforcement Act. It
was made illegal in Sweden in January 2016. In Canada, the government has
proposed making W-18 a Schedule I controlled substance, but it currently
remains uncontrolled. In clinical and postmortem toxicology, there have been no
analytically confirmed W-18 associated presentations to the hospital or fatalities
reported.
As
with any other newly emerging psychoactive substance, many claims are made
about the compound itself. Many of the headlines are meant to grab attention
and readership with hysteria about the new “super potent” or “scary” drug of
the day. We should guard ourselves against that sort of hyperbole. But, even
though we have no data to support the supposed extreme potency of W-18, let’s
not fall into the trap that it isn’t potentially dangerous. We do not have data
that shows its lack of potency. This extreme
lack of knowledge about the compound makes the drug potentially dangerous.
References
Knaus, E.E., Warren, B.K., and Ondrus, T.A. (1984) Analgesic substituted
piperidylidene-2-sulfon(cyan)amide derivatives. 399,994. http://www.google.com/patents/US4468403
Brittain,
R.T., Lehrer, D.N., Spencer, P.S.J. (1963) Phenylquinone Writhing Test:
Interpretation of Data. Nature, 200,
895-896.
Lum,
Z-A. (2016) W-18 drug is 10,000 times stronger than morphine: Calgary police
warning. http://www.huffingtonpost.ca/2016/01/29/w18-calgary-police_n_9114152.html
Desjardins,
L. (2016) Police warn against deadly new street drug W-18. http://www.rcinet.ca/en/2016/04/21/police-warn-against-powerful-deadly-new-drug-w-18/
Zakreski,
D. (2016) Alberta health official warns of deadly new street drug. http://www.cbc.ca/news/canada/saskatoon/w18-overdose-saskatchewan-alberta-1.3549043
Eagland,
N. (2016) W-18, a drug 100 times more potent than fentanyl, is now in B.C. http://vancouversun.com/health/local-health/w-18-a-drug-100-times-more-potent-than-fentanyl-is-now-in-b-c
Howlett,
K. (2016) Albertans left in the dark about police seizure of deadly new street
drug. http://www.theglobeandmail.com/news/alberta/alberta-police-seize-drug-100-times-more-deadly-than-fentanyl/article29692152/
Southwick,
R. (2016) ER doctors warned about massive seizure of suspected W-18, 100 times
more powerful than fentanyl. http://calgaryherald.com/news/crime/er-doctors-warned-about-massive-seizure-of-suspected-w-18-100-times-more-powerful-than-fentanyl
Markusoff,
J. (2016) A toxic drug, more powerful than fentanyl, hits the streets in
Alberta.
http://www.macleans.ca/?dpsfa_article=a-toxic-drug-more-powerful-than-fentanyl-hits-the-streets-in-alberta
Russell,
A. (2016) What we know about W-18, a drug ‘100 times more powerful than
fentanyl’. http://globalnews.ca/news/2495761/what-we-know-about-w-18-a-drug-100-times-more-powerful-than-fentanyl/
McMahon,
P. (2016) Broward man who smuggled synthetic heroin also had new lethanl, but
legal, street drug. http://www.sun-sentinel.com/local/broward/fl-fentanyl-broward-sentencing-20160318-story.html
Consultation
- Proposal regarding the scheduling of W-18 under the Controlled Drugs and
Substances Act and its Regulations". Health Canada. Canadian Government. http://www.hc-sc.gc.ca/hc-ps/consult/w-18-eng.php
Gonçalves,
Jacqueline (13 February 2016). "Notice to interested parties — Proposal
regarding the scheduling of W-18 under the Controlled Drugs and Substances Act
and its regulations". Canada Gazette (Government of Canada) 150 (7). http://gazette.gc.ca/rp-pr/p1/2016/2016-02-13/html/notice-avis-eng.php#nl3
This comment has been removed by the author.
ReplyDeleteGreat information. Does W-18 have any of the precursors listed in Schedule VI (Precursors) of Canada's Controlled Drugs and Substances Act?
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It well could be that the toxicity of W-18 has something to do with nicotinic acetylcholine receptors? Recall the non-opioid epibatidine active in the (non-specific) Straub tail test.
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