Saturday, September 23, 2017

Toxicology of Designer Drugs (Lecture 3, Fentanyl, Fentanyl Analogs, and Designer Opioids)

The third installment of Toxicology of Designer Drugs focused on the emergence of fentanyl, fentanyl analogs, and other designer opioids in modern street heroin.

The outline of topics for this lecture included:

Fentanyl, Fentanyl Analogs, and Designer Opioids

    • Sliding scale of harm
      • Water
      • SSRI antidepressants
      • Benzodiazepines
      • Tricyclic antidepressants
      • Barbiturates
      • Opiates / Opioids
    • Opioid Deaths in the USA (Pre-2014/2015)
      • 2000 - 2014 data
      • Opioid analgesic deaths continue to rise
      • Surge in deaths, two trends
      • Double trouble: heroin and fentanyl
    • Heroin
      • History
      • Chemistry
      • Pharmacology
      • Metabolism
      • Forms of the product
      • NFLIS data, 2001 - 2016
    • Fentanyl
      • History
      • Chemistry
      • Pharmacology
      • Metabolism
      • Forms of the product (licit vs. illicit)
      • Death of Prince
      • NFLIS data, 2001 - 2015
      • NFLIS data, 2013 - 2015
      • NFLIS data, 2016
      • NY Times report on trends in US overdose deaths, 2017
    • Fentanyl Analogs
      • What are they? Where do they come from?
      • How many compounds exist?
      • DEA scheduling actions, 2015 - 2017
      • DEA Emerging Threats Reports, 2017
      • Overdoses, hospitalizations, and reported deaths in media
      • Analyte Specific Looks
        1. 3-methylfentanyl (cis/trans)
        2. Acetylfentanyl
        3. Furanylfentanyl
        4. Acrylfentanyl
        5. Carfentanil
    • Designer Opioids
      • Opioid research chemicals
        1. U47700
          • Death of Prince
        2. AH7921
        3. MT-45
    • Analytical Methods
      • Method development
      • Method validation
      • Organic extraction
      • Instrumental analysis via LC-MS/MS
    • Prevalence
      • What drugs have been detected?
      • How prevalent are they?
      • What locations are they found?
      • Special look at Carfentanil detections
    • Postmortem Case Studies
      • Case 1 (Information Withheld)
      • Case 2 (Information Withheld)
      • Case 3 (Information Withheld)
      • Case 4 (Information Withheld)
      • Case 5 (Information Withheld)
      • Case 6 (Information Withheld)
      • Case 7 (Information Withheld)
      • Case 8 (Information Withheld)
    • Testing for Fentanyl Analogs and Designer Opioids vs. A Fishing Expedition
    • Conclusions

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