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Published in: Forensic Toxicology 2/2021

Open Access 01-07-2021 | Benzodiazepine | Minireview

A fluorine turns a medicinal benzodiazepine into NPS: the case of flualprazolam

Authors: Panagoula-Stamatina A. Ntoupa, Ioannis I. Papoutsis, Artemisia A. Dona, Chara A. Spiliopoulou, Sotiris A. Athanaselis

Published in: Forensic Toxicology | Issue 2/2021

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Abstract

Purpose

The purpose of this review is to summarize the existing knowledge on flualprazolam, a novel ‘designer’ benzodiazepine that derives from the fluorination of the phenyl moiety in the ortho-position of alprazolam.

Methods

An extensive literature search was carried out in PubMed, Google Scholar and World Wide Web using relevant keywords. All articles found were gathered, and the available information is presented.

Results

This article reviews the existing knowledge on chemistry, pharmacology, toxicology, prevalence and current legal status of flualprazolam. Moreover, forensic and clinical cases where flualprazolam was involved worldwide, as well as flualprazolam seizures, along with the methods for its determination in biological samples are presented.

Conclusions

The recent flualprazolam-related cases have raised concerns to regulatory authorities and international stakeholders suggesting that flualprazolam should be under international control. The urgent international control of flualprazolam, despite the limited information on clinical effects and pharmacologic characteristics available, is an important measure for the prevention of its increasing abuse worldwide.
Literature
14.
go back to reference Wilde M, Sommer M, Auwärter V (2018) Identification and characterization of the new designer benzodiazepines bromazolam, flualprazolam and fluclotizolam. TIAFT 2018 Poster P167, Ghent 28 Aug 2018 Wilde M, Sommer M, Auwärter V (2018) Identification and characterization of the new designer benzodiazepines bromazolam, flualprazolam and fluclotizolam. TIAFT 2018 Poster P167, Ghent 28 Aug 2018
15.
16.
go back to reference Sofalvi S, Lavins ES, Kaspar CK, Michel HM, Mitchell-Mata CL, Huestis MA, Apollonio LG (2020) Development and validation of an LC–MS-MS method for the detection of 40 benzodiazepines and three Z-drugs in blood and urine by solid-phase extraction. J Anal Toxicol 44:708–717. https://doi.org/10.1093/jat/bkaa072CrossRefPubMed Sofalvi S, Lavins ES, Kaspar CK, Michel HM, Mitchell-Mata CL, Huestis MA, Apollonio LG (2020) Development and validation of an LC–MS-MS method for the detection of 40 benzodiazepines and three Z-drugs in blood and urine by solid-phase extraction. J Anal Toxicol 44:708–717. https://​doi.​org/​10.​1093/​jat/​bkaa072CrossRefPubMed
43.
go back to reference British Columbia Centre on Substance Use (2020) Detection of etizolam, flualprazolam, and flubromazolam by benzodiazepine-specific lateral flow immunoassay test strips. https://www.bccsu.ca. Accessed 22 Oct 2020 British Columbia Centre on Substance Use (2020) Detection of etizolam, flualprazolam, and flubromazolam by benzodiazepine-specific lateral flow immunoassay test strips. https://​www.​bccsu.​ca. Accessed 22 Oct 2020
46.
go back to reference European Commission (2019) Government Decree amending Annex IV to the Government Decree on substances, preparations and plants to be classified as narcotics The following 7 new substances are classified: adinazolam, flualprazolam, fluclotizolam, flunitrazolam, metizolam, nitrazolam, 3-hydroxyphenazepam as narcotics. https://ec.europa.eu/. Accessed 21 Oct 2020 European Commission (2019) Government Decree amending Annex IV to the Government Decree on substances, preparations and plants to be classified as narcotics The following 7 new substances are classified: adinazolam, flualprazolam, fluclotizolam, flunitrazolam, metizolam, nitrazolam, 3-hydroxyphenazepam as narcotics. https://​ec.​europa.​eu/​. Accessed 21 Oct 2020
Metadata
Title
A fluorine turns a medicinal benzodiazepine into NPS: the case of flualprazolam
Authors
Panagoula-Stamatina A. Ntoupa
Ioannis I. Papoutsis
Artemisia A. Dona
Chara A. Spiliopoulou
Sotiris A. Athanaselis
Publication date
01-07-2021
Publisher
Springer Singapore
Keyword
Benzodiazepine
Published in
Forensic Toxicology / Issue 2/2021
Print ISSN: 1860-8965
Electronic ISSN: 1860-8973
DOI
https://doi.org/10.1007/s11419-020-00565-4

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