Abstract

As part of an increasing worldwide use of designer drugs, recent use of compounds containing cathinones and synthetic cannabinoids is especially prevalent. Here, we reviewed current literature on the prevalence, epidemiology, bio-behavioral effects, and detection of these compounds. Gender differences and clinical effects will also be examined. Chronic use of synthetic cathinone compounds can have major effects on the central nervous system and can induce acute psychosis, hypomania, paranoid ideation, and delusions, similar to the effects of other better-known amphetamine-type stimulants. Synthetic cannabinoid products have effects that are somewhat similar to those of natural cannabis but more potent and long-lasting than THC. Some of these compounds are potent and dangerous, having been linked to psychosis, mania, and suicidal ideation. Novel compounds are developed rapidly and new screening techniques are needed to detect them as well as a rigorous regulation and legislation reinforcement to prevent their distribution and use. Given the rapid increase in the use of synthetic cathinones and cannabinoid designer drugs, their potential for dependence and abuse, and harmful medical and psychiatric effects, there is a need for research and education in the areas of prevention and treatment.

Highlights

  • Over the past decade, there has been a worldwide increase in the opportunity for use and consumption of Novel Psychoactive Substances (NPS) – which produce “legal highs” [1,2,3,4,5,6,7,8]

  • Some of the drugs are advertised as being legal and are often labeled as “not for human consumption” or “licensed by the Ministry of Health,” to bypass—legislation enforcement. Based on their pharmacological mechanisms and psychoactive properties, designer drugs fall into four major categories: (i) amphetamine-like stimulants, which include cathinones derivatives and piperazine derivatives that are sold as substitutes for “ecstasy,” (ii) synthetic cannabinoids, (iii) hallucinogenic/dissociative agents, and (iv) opioid-like compounds [9]

  • Synthetic cathinones and synthetic cannabinoids became increasingly popular despite the potential harms associated with their use

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Summary

Cathinone and Cannabinoid Designer Drugs Pose a Major

As part of an increasing worldwide use of designer drugs, recent use of compounds containing cathinones and synthetic cannabinoids is especially prevalent. Synthetic cannabinoid products have effects that are somewhat similar to those of natural cannabis but more potent and long-lasting than THC. Some of these compounds are potent and dangerous, having been linked to psychosis, mania, and suicidal ideation. Given the rapid increase in the use of synthetic cathinones and cannabinoid designer drugs, their potential for dependence and abuse, and harmful medical and psychiatric effects, there is a need for research and education in the areas of prevention and treatment

INTRODUCTION
Synthetic Cathinones
Synthetic Cannabinoids
Comparative Epidemiology
Male SpragueDawley rats
Seizures and Withdrawal
Main findings
Fully substitute for THC in a DD paradigm
REGULATION AND LEGISLATION
Findings
CONCLUSION
Full Text
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