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Spicing things up: synthetic cannabinoids.

Max Spaderna1, Peter H Addy, Deepak Cyril D'Souza

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.

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Synthetic cannabinoid products, known as Spice, are increasingly used recreationally. Research is urgently needed to understand their effects and develop detection methods due to rising adverse events and psychosis links.

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Area of Science:

  • Forensic Toxicology
  • Psychopharmacology
  • Public Health

Background:

  • Recreational use of synthetic cannabinoids (Spice) is rising.
  • Spice products are marketed as incense or potpourri.
  • Synthetic cannabinoids are potent receptor agonists, unlike THC.

Purpose of the Study:

  • Review the availability and effects of Spice.
  • Examine laboratory detection, addiction potential, and regulatory issues.
  • Discuss the link between synthetic cannabinoids and psychosis.

Main Methods:

  • Literature review of Spice phenomenon.
  • Analysis of self-reported effects from online sources (Erowid).
  • Examination of clinical and toxicological data.

Main Results:

  • Spice contains high-potency synthetic cannabinoids, often evading standard drug tests.
  • Users report psychoactive effects and adverse events like anxiety, psychosis, and agitation.
  • Increasing adverse events necessitate emergency interventions; manufacturers circumvent bans with new compounds.

Conclusions:

  • Urgent need for research on synthetic cannabinoid effects and human pharmacology.
  • Synthetic cannabinoid use contributes to the debate on cannabinoid-psychosis association.
  • Clinical availability of drug detection tests for synthetic cannabinoids is crucial.