How can I buy cocaine online in Rome

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How can I buy cocaine online in Rome

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Price per gram or dose of selected illicit drugs in Italy as of 2023

How can I buy cocaine online in Rome

Official websites use. Share sensitive information only on official, secure websites. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aim of our work is to describe use habits and distribution of NPS in a population of young adults in Rome club scene. A self-administered questionnaire was proposed to subjects over 18 years of age at the entrance of 5 nightclubs in Rome. Socioeconomic characteristics and substance use were investigated. A significant proportion of subjects report use of novel psychoactive substances; traditional illicit drugs consumption, particularly cocaine, appears to be very high as well in the club scene. These data highlight a serious public health challenge, since pharmacological, toxicological, and psychopathological effects linked to interactions among all these substances may be unpredictable and sometimes fatal in vulnerable individuals. The U. Epidemiological studies have shown that factors associated with recreational nightlife activities, such as music preference and choice of the venue, may be considered as relevant predictors of illegal drug use in several European countries \[ 4 \]. Similarly, in the US, Moore and Miles have found an association between substance use and alternative music styles in the electronic music scene \[ 5 \]. It is becoming increasingly clear that the drugs used in clubs are heterogeneous and ever-changing \[ 6 \]; moreover, during the last few years, a wide number of unregulated natural and synthetic New Psychoactive Substances NPS have made their appearance on the market \[ 7 \]. NPS are drugs of abuse, either in a pure form or in a preparation, that are not controlled by the Single Convention on Narcotic Drugs or the Convention on Psychotropic Substances, but that may pose a serious public health threat. Many of these substances were, in fact, firstly synthesized and patented in the s or even earlier, but only recently their chemistry or process of synthesis has been slightly modified to produce effects similar to known illicit substances. Other substances reported by the Early Warning System include various plant-derived and synthetic psychoactive substances e. A number of medicinal products and derivatives are also included \[ 9 \]. NPS are rapidly appearing in more and more sophisticated forms and often remain unregulated for a long period \[ 7 \]. These substances are often synthesized in underground laboratories, simply modifying the molecular structure of controlled drugs, hence raising concerns related to the potential presence of contaminating agents \[ 10 \]. The significant informational, promotional, and distributional capacity of the Internet plays an important role in the NPS market: global web-based marketing and distribution, distinct from illegal street markets, have developed in the past years \[ 9 \]. The number of online shops providing customers with NPS in European Union countries has increased from in January to in January , and in January \[ 8 \]. The Internet offers many advantages to NPS suppliers, as it allows access to a vast number of potential users, and suppliers do not need large upfront investments and can retain some level of anonymity. In addition, suppliers may be able to bypass the laws of different countries, thus making enforcement or legal action in response to their activities very difficult. It is also important to point out that, in many cases, sellers fail to list ingredients, side effects, and drug interactions of the advertised products \[ 7 \]. Moreover, the Internet serves as a repository of information for several groups of people. Drug users can obtain information through online forums, chat rooms, and blogs and find out about new products. They can also share with other users their experiences and the effects of the substances, as well as the recommended sources and ways of delivery \[ 10 \]. The possibility of purchasing NPS from websites makes these drugs easily available to vulnerable individuals, including children and adolescents. Moreover, the current legal status of a number of NPS may arguably facilitate increasing levels of popularity of these drugs and may affect as well the users' perception of risks associated with their consumption. The idea that legality can equate with safety still remains well grounded amongst some recreational users \[ 12 \]. The limited information available suggests that NPS spread at a global level is far from negligible, and, excluding cannabis from the analysis, it comes close to, or even exceeds, the spread of several controlled drugs. NPS have been reported in many countries in recent years. What is actually known today, however, maybe just the very tip of the iceberg, as systematic studies on the diffusion of NPS do not exist \[ 9 \], except for single substances \[ 13 , 14 \]. In the last years, the Italian Department of Drug Control has promoted the development of a concise update on the main features of identified NPS, developing as well a series of strategic guidelines, objectives, and actions in order to begin constructing a response to tackle this emerging issue \[ 15 \]. Although the Italian data are encouraging and show the effectiveness of the countermeasures taken to deal with this new phenomenon e. Moreover, while estimates on general population are essential to better illustrate drug trends, it is also important to identify and assess consumption prevalence among key groups and target populations. Aim of our study was to describe use habits and distribution of NPS and other substances in a population of young adults. Considering that surveys undertaken in nightclubs and other nighttime economy venues are a good source of data in order to assess the use of recreational drugs in a high-prevalence use population \[ 16 \], we selected a sample of young adults involved in Rome nightclub scene, investigating substance use as well as possible psychotropic and side effects. A questionnaire on recreational substances misuse has been proposed between September and November to a population sample 18—30 years old in 5 nightclubs in Rome. The self-administered questionnaire was collected in anonymous way by our team of psychologists and psychiatrists, with the support of a peer group working. In the first part, the questionnaire included socioeconomic characteristics age, gender, job status, lifestyle and perceived mental stress. Written informed consent was systematically obtained for every subject, according to the Declaration of Helsinki. Study participants were asked whether they had used, in the past, any illicit drug among heroin diacetylmorphine and other opiates opium, morphine, codeine, heroin, fentanyl, methadone, meperidine, L-alpha-acetylmethadol \[LAAM\] , cannabis marijuana, hashish , cocaine and derivatives e. Common street names of illicit drugs, both single and in combination e. For illicit drugs with multiple routes of administration ROA , interviewees were asked to specify the ROA and pharmaceutical form e. Moreover, study participants were asked if they had ever abused alcohol according to the DSM IV-TR criteria with the above-mentioned illicit drugs and, in case of positive response, they were asked to specify which drugs and the frequency of this behavior. Listed substances included synthetic cannabinoids, Gamma-hydroxybutyrate GHB , mephedrone, ketamine, Salvia divinorum , amyl nitrite, and psilocybin. Common street or on-line names of NPS e. If the participants answered positively, they were asked to specify if the chosen substance was a powder, a pill, or another type of NPS. Study participants were asked to indicate whether they had used psychoactive substances in the 12 hours preceding the questionnaire administration. If the answer was positive, they were asked to specify if they had assumed also alcohol as well. Data are reported as means, standard deviation, and percentages where appropriate. SPSS version This sample was composed of subjects. Regarding the sociodemographic characteristics, mean age of participants was The lifetime use of amyl nitrite was particularly high, probably for its easy availability and its sexual enhancing properties \[ 17 \]. However, the use of newer psychoactive substances was also very high see Table 1 for details. There are two main possible ways to explain this finding: 1 a recent spread of knowledge and consumption of NPS in the Italian youth population or 2 despite an overall limited use, a widespread consumption in peculiar subpopulations. However, notwithstanding this impressive datum, there was no evidence of recent use on the night of the survey for new psychoactive substances. These results contrast with other studies on the recreational drug scene in the UK, which reported a fairly significant consumption of mephedrone \[ 18 — 20 \], Gamma-butyrolactone GBL \[ 21 \], and amyl nitrite \[ 20 \]. Our results are more similar to reports on the nightlife scenes of US \[ 22 \] and continental Europe \[ 23 \]. Cocaine is easily available and in recent years has become cheaper than in the past \[ 24 \]: these reasons can help to explain its high prevalence of use. Our results evidence high rates of polydrug use in the subpopulation of nightclubs attendees. This could determine a serious public health challenge, since pharmacological, toxicological, and psychopathological effects due to interactions between these substances may be unpredictable and fatal as well in vulnerable individuals. Moreover, a polydrug use may lead to deep neurobiochemical central nervous system alterations, which may make these individuals extremely difficult to be pharmacologically treated, even by expert mental health professionals. Club drugs have also an important social impact in terms of crimes and violence \[ 25 \], and they may contribute to the global burden of diseases, together with mental disorders and traditional illicit drugs e. At present, however, the overall dependence liability of these substances seems lower than that of heroin and amphetamines \[ 27 \]. This is a pilot study with a small sample size: for definitive conclusions it is necessary to expand the sample. However, our sample size is comparable with that considered in other in situ nighttime economy surveys \[ 28 \]. Increasing the available data would allow having greater statistical significance, also in order to identify drugs complications and interactions, to verify the indirect effects of substances on the social and working capacity and, maybe, to evaluate the consequences of their long-term assumption. An intrinsic limitation is that drugs abuse in club scene appears to be jeopardized, and it is difficult to extend the results obtained at a venue to other venues or countries. Another limitation is that subjects may not be aware of what drug s they had actually used; however every effort was made in the attempt to be accurate e. This survey has shown that although a significant proportion of individuals report a lifetime use of NPS, these drugs have little significance in the recreational drugs scene. Therefore, to investigate the recreational drugs scene might not be the better strategy to monitor the extent of NPS consumption in the European Union and elsewhere. However, multicenter large-scale studies need to be carried out. Again, it is here suggested that better international collaboration levels are needed to tackle the new and fast growing phenomenon of NPS availability from the web and other channels of supply. Regarding traditional illicit drugs, cocaine misuse is very high in club culture, significantly higher than substances usually identified as club drugs MDMA, ketamine, methamphetamine. Moreover, health and other professionals should be accurately informed about the trend of misuse of multiple psychoactive substances in association with alcohol. Further studies are needed to design better intervention strategies in subjects with problematic recreational drugs use within the nightclub environment. The authors declare that there is no conflict of interests regarding the publication of this paper. As a library, NLM provides access to scientific literature. Biomed Res Int. Find articles by Alessandro Emiliano Vento. Find articles by Giovanni Martinotti. Find articles by Eduardo Cinosi. Find articles by Matteo Lupi. Find articles by Tiziano Acciavatti. Find articles by Dario Carrus. Find articles by Rita Santacroce. Assunta, Rome, Italy. Find articles by Eleonora Chillemi. 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How can I buy cocaine online in Rome