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Fernanda Alonso. The last months in DC have seen a huge spike in emergency room cases due to overdoses from so-called synthetic drugs. In June of this year that number had risen to Through national emergency-room visits, the accepted metric for drug trends, a record 49 novel compounds were found in Based on their chemical make-up these drugs are commonly divided into two categories:. Apart from these two distinctions, no one currently really knows what is in the new synthetic drugs that are leading to this increase in hospitalizations. But that is not a problem unique to these substances; it is an intrinsic problem with all illegal drugs. A side effect of prohibition has always been adulteration and intoxication. When driving a drug underground, its production and sale falls into the hands of dodgy enterprises with no quality control standards. Any classic psychoactive drug, such as cocaine or heroin, started as a renowned classical therapeutic agent, tested in laboratory conditions and produced by competent chemists. Abuse of these agents could kill, but their use within a controlled environment rarely would. However, contemporary producers have manufacturing bases in domestic kitchens where a slight mistake can produce poisonous substances, and whose products reach users after many steps though violent criminal networks of unknown origin. We have seen the dangers of unregulated and adulterated products throughout the last century: moonshine created by mafia bootleggers in the Prohibition era, which led to multiple cases of blindness and death; crack cocaine in the 80s, a cheaper way to create a similar substance by mixing it with baking soda; and more recently the creation of meth labs, one of the most hazardous substances for health. Synthetic drugs appear to be the latest on this list. The problem lies not in these particular substances, but in the model of drug prohibition that we keep trying to reproduce. Some of the dangers of new synthetic drugs come from the criminalization model, where there is no room for a regulated market. So while the federal and state governments rush out to prohibit every new substance that appears, they are avoiding tackling the intrinsic problems of the illegal market. The legal landscape of synthetics Both federal and state governments have tried to outlaw synthetic drugs. The Controlled Substances Analogue Enforcement Act of categorizes synthetic drugs with a proven chemical or pharmacological similarity to a Schedule I or Schedule II drugs as controlled substances. The Act permanently categorized 26 types of synthetic cannabinoids and cathinones as Schedule I drugs. The DEA is also continuously using its emergency scheduling authority to add new versions of synthetic drugs into Schedule I. Since , all 50 states have also banned synthetic cannabinoids and cathinones. Drug makers are easily sidestepping these regulations, however. Manufacturers adapt simply by replacing the chemical compound of a banned synthetic substance with a newer formulation that is not yet known to the authorities. Because of these loopholes, these drugs fall into a legal gray area. These new drugs are not only replacing conventional illegal drugs by producing physical and psychological effects similar to traditional, mind-altering substances like cannabis, cocaine and heroin, but they are also in many cases attempting to do it out in the open, as legal products. These drugs are being sold in stores, marketed as potpourri, incense, pet food, and other legal products. There is no way to tell how one packet differs from another with the same label nor what substances they actually contain. When one substance is discovered and prohibited, slight changes in their chemical compositions can be made so that existing law no longer covers the new drug. Users are also saying that they use the synthetic substances instead of illegal drugs precisely so that they can pass drug tests and get jobs. What we know about these new drugs While these drugs are changing day to day there have been two game-changers: synthetic pot and flakka. Synthetic pot, also known as Spice, K-2, or fake weed, is not even close to being same drug as pot. Its name, which is utterly misleading, is where the similarity ends. Synthetic cannabis, unlike pot, can cause a huge variety of symptoms , which can be severe: agitation, vomiting, hallucination, paranoia, tremor, seizure, tachycardia, hypokalemia, chest pain, cardiac problems, stroke, kidney damage, acute psychosis, brain damage, and death. Another issue with synthetic cannabis is its potency, which can be up to one hundred or more times greater than THC. Adding this to the fact that quality control is non-existent and that the drugs are always evolving gives a recipe for disaster. Because of these differences, synthetic pot—which has only been researched very recently—can cause great public health harms. In , for example, New Hampshire declared a state of emergency, when emergency room visits for overdoses from synthetic marijuana rose significantly. The substance was the cause of some teen deaths who had slipped into comas, reportedly from using the drug. The second most recognized synthetic drug is known as flakka, a type of synthetic cathinone. Unlike synthetic marijuana, flakka takes the form of crystals that can be snorted, injected, vaporized, or eaten. The epicenter of flakka use is Broward County, Florida, which had reported cases of flakka use in And the drug has begun to spread to other rural communities and small towns. In May, he joined local law enforcement officers and community outreach groups who held an emergency press conference warning drug users to stay away from flakka. Flakka, like synthetic marijuana, is cheap and is frequently targeted at teenagers. While less is known about other synthetic drugs, the dangers are similar. Recent cases in DC follow similar patterns to these two drugs. Police describe individuals with erratic or overly aggressive behavior. They are not quite sure how to treat them, as violent synthetic-drug users might not respond to sedatives the way other drug users would. Overdoses have also been almost impossible to prevent. The drug may be perfectly safe. It may even be beneficial. On the other hand, it could also be deadly on the first try. A new approach is needed Currently, many state and federal agents are looking to create broad bans to make sure all psychoactive synthetic drugs can be covered. Then again, prohibition is partly to blame for the dangers of these new substances and will likely not be the answer to the problem now. By the time a drug is made illegal, dozens of other variations of the synthetic have already been formulated and positioned for release into the market. Rather than launching a new front in the War on Drugs, policymakers should focus on a harm reduction strategy. To do this we need to move away from a rule-based system to a standards-based system. If these substances are kept in a legal and regulated market, consumers can gain insight into what they are consuming and what the adverse health consequences of use and abuse may be. Consumers need to know that they are playing a dangerous game when buying these seemingly harmless substances at their corner convenience store or on their web browser. Legalizing marijuana has allowed users safer access to regulated products, keeping them away from the dangers of the black market and providing them with the necessary health warnings. Just recently, Obama announced a new program aimed at curbing heroin use and trafficking. For the first time, half of the money will go to a program that emphasizes treatment over prosecution of drug addicts. These new actions address drugs as both public health and public safety issues. We need to make sure synthetic drugs follow this route instead of falling back into the Prohibition era. Aiseosa Osaghae Andrew J. Based on their chemical make-up these drugs are commonly divided into two categories: Cannabinoids: chemically formulated versions of synthetic marijuana that consist of lab-manufactured THC.

Synthetic drugs: prohibition’s latest creation

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Buy cocaine online in Georgetown