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Phantom menace: novel psychoactive substances and the UK Armed Forces
Alys H Hunter1, T Ayres2, N Moreland3
1MDHU Portsmouth, Portsmouth, UK.
Journal of the Royal Army Medical Corps
|June 24, 2018
Summary
Novel psychoactive substances (NPS) are not detected by current UK military drug tests. This review covers NPS pharmacology, clinical effects, and management, highlighting legal and ethical concerns for service members and military physicians.
Area of Science:
- Pharmacology
- Toxicology
- Military Medicine
Background:
- Novel psychoactive substances (NPS) are synthetic drugs designed to imitate traditional recreational drugs.
- UK Armed Forces drug testing protocols do not currently include screening for NPS.
- NPS misuse presents significant health risks, including high morbidity from acute and chronic effects.
Purpose of the Study:
- To review the pharmacology and clinical presentation of NPS.
- To describe toxidromes and patient management strategies for NPS misuse.
- To discuss the legal, ethical, and military implications of NPS misuse for service personnel and healthcare providers.
Main Methods:
- Literature review of NPS pharmacology and clinical effects.
- Analysis of toxidromes associated with NPS.
- Discussion of management protocols for NPS-related emergencies.
- Examination of legal, ethical, and military consequences.
Main Results:
- NPS pharmacology is diverse, leading to varied clinical presentations.
- Specific toxidromes can be identified in NPS misuse cases.
- Effective management strategies exist for acute NPS intoxication.
- NPS misuse carries substantial legal, ethical, and military repercussions.
Conclusions:
- The lack of NPS screening in the UK Armed Forces poses a risk to personnel.
- Understanding NPS pharmacology and clinical effects is crucial for military medical professionals.
- Addressing the legal, ethical, and military consequences of NPS misuse is essential for maintaining force readiness and well-being.
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