New drugs: the European context. Michael Evans-Brown GPS annual expert meeting, June , Lisbon

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1 New drugs: the European context Michael Evans-Brown GPS annual expert meeting, June , Lisbon

2 t are new drugs? w drugs usually mimic the effects of controlled drugs. e are sold as having novel psychoactive effects are sufficiently different in chemical structure so they outside the scope of international / national drug laws w as in new to the drug market or newly misused der Council Decision 2005/387/JHA they are defined new psychoactive substances re than 280 monitored by EU Early warning system en little or no information on effects, harms, patterns of and prevalence

3 drugs in Europe road and overlapping markets me are sold on illicit market as ecstasy (mcpp, AA) or speed (4-methylamphetamine) or heroin ntanyls). Users mostly unaware that they are taking m. Some may also be sold as drugs in their own right CB). Often called 'designer drugs' m around 2003 onwards new drugs have been sold enly often as branded products in sophisticated ckaging. Sold on the Internet, in head shops and eet-level drug dealers. These are know as 'legal hs' (research chemicals, herbal highs, party pills, th salts, plant food, incense, smoking mixtures). o non-controlled medicines diverted within EU egabalin) or imported (phenazepam) well as 'dietary supplements' (phenibut and DMAA)

4 m designer drugs to legal highs id we get here?

5 new drugs notified tified in 2013 so far

6 at is driving this? plex web obalisation and advances in information technology. ernet as: communication tool access to information (medicinal chemistry, patents, etc.) global market place ailable and cheaper organic synthesis capacity legally sourced often outside Europe limited regulation / enforcement: availability on the open market differences in national laws

7 at is driving this? plex web ovative marketing of products within a grey regulatory zone anges in illicit drug market and interaction between markets gaps in availability such as poor quality of illicit stimulants or heroin drought (e.g. mephedrone and MDPV substituting for MDMA and cocaine) interaction between the markets in illicit drugs, 'legal highs' and medicines creation of new drug markets ers willing to experiment and substitute social acceptance: positive ratings within social networks, less stigma attractiveness: a drug of choice in that it delivers both acceptable effects and side effects availability: largely an open market brand switching : inducement to switch, dissatisfaction with a brand, curiosity, availability of new or substitute brand, move to multiple brands

8 ortantly in the context of GPS y new drugs do not spread beyond small groups of experienced users relatively easy to add specific new drugs of interest to GPS? however ded products on the mainstream legal highs market poses significant lems in identifying which particular drugs are being used s used in products change over time and place al smoking mixtures containing synthetic cannabinoids are an excellent ple of this ble in the UK: any unidentified white powders which are synthetic stimulants

9 of 'legal highs' in the EU Member States me use in year olds (n > 12000) ( catch all question)

10 hedrone: here to stay? ear use in the UK (specific substance question) 11 data: 16-24: 4.4% ~ cocaine, the second most used 16-59: 1.4% ~ ecstasy, the third most used drug 12 data: 16-24: 3.3% ~ ecstasy, the third most used drug 16-59: 1.1%

11 emcdda.europa.eu

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