Identification of a Newfound Sedative Drug of Abuse in Thailand: Phenazepam in Seized Material

Authors

  • Napapha Sirisupakritkul Bureau of Drug and Narcotic, Department of Medical Sciences
  • Chompoonut Nutsathapana Bureau of Drug and Narcotic, Department of Medical Sciences
  • Bongkot Phanburananont Bureau of Drug and Narcotic, Department of Medical Sciences

Keywords:

Phenazepam, Erimin 5, Drug of Abuse, Thailand, Psychotropic substances

Abstract

       Department of Medical Sciences (DMSc) provides analytical testing to support law enforcement and conducts surveillance for drug abuse in Thailand. According to our analytical database, majority of drugs of abuse are benzodiazepines. In 2013, DMSc received seized material of light-orange, flat and round tablets, imprinted with “Erimin 5”. Erimin 5 is a brand name of benzodiazepine drug generally containing nimetazepam. The analytical testing of the seized tablets found no nimetazepam but further laboratory investigations revealed that the tablets contained phenazepam. The detection of phenazepam this time could be considered as a newfound drug of abuse in Thailand. Phenazepam is a potent and long acting benzodiazepine. It can be purchased on the internet and became drug misuse in Europe and USA. Many deaths caused by phenazepam have been reported. Phenazepam has not been scheduled as a controlled substance in the United Nation Convention Psychotropic Substances, nor in several countries including Thailand. It was suspected that phenazepam was used to replace nimetazepam in Erimin 5 tablets in order to avoid law enforcement. The purpose of this research is to present stepwise analytical techniques that lead to the identification of phenazepam in seized material. DMSc informed about this newfound sedative drug of abuse to the relevant authorities for further appropriate action. Consequently, the National Psychotropic Substance Control Committee had declared phenazepam as a Category I Controlled Psychotropic Substance according to the Thailand Psychotropic Substances Act B.E. 2518.

References

Maskell PD, De Paoli G, Nitin SL, Pounder DJ. Phenazepam: the drug that came in from the cold. J Forensic Leg Med 2012; 19(3): 122-5.

Expert peer review no.1, Agenda item 5.8: phenazepam. In: WHO. Expert committee on drug dependence thirty-seventh meeting. 16-20 Nov 2015. Geneva: World Health Organization; 2015.

Expert peer review no.2, Agenda item 5.8: phenazepam. In: WHO. Expert committee on drug dependence thirty-seventh meeting. 16-20 Nov 2015. Geneva: World Health Organization; 2015.

Drug-Forum. The dangers of phenazepam. [online]. 2010 [cited 2015 Nov 18]; [4 screens]. Available from: URL: https://www.drugs-forum.com/forum/showwiki.php?title=Phenazepam

Advisory Council on the Misuse of Drugs. Phenazepam advice. [online]. 2011 [cited 2015 Oct 18]; [4 screens]. Available from: URL: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/119184/acmd-advice-phenazepam.pdf

Bailey K, Richards-Waugh L, Clay D, Gebhardt M, Mahmoud H, Kraner JC. Fatality involving the ingestion of phenazepam and poppy seed tea. J Anal Toxicol 2010; 34(8): 527-32.

Lillsunde P, Gunnar T. Drugs and driving: the finnish perspecrtive. Bull Narc 2005; 57(1-2): 213-29.

Maskell PD, Paoli GD, Seetohul LN, Pounder DJ. Phenazeppam is currently being misused in the UK. BMJ 2011; 343: d4207.

Drug Enforcement Administration. Phenazepam [online]. 2014 [cited 2015 Oct 18]; [1 screen]. Available from: URL: https://www.deadiversion.usdoj.gov/drug_chem_info/phenazepam.pdf

Couch RA, Madhavaram H. Phenazepam and cannabinomimetics sold as herbal highs in New Zealand. Drug Test Anal 2012; 4(6): 409-14.

กองควบคุมวัตถุเสพติด สำนักงานคณะกรรมการอาหารและยา. Nimetazepam. [ออนไลน์]. 2555; [สืบค้น 5 เม.ย. 2559]; [1หน้า]. เข้าถึงได้ที่ : URL: https://narcotic.fda.moph.go.th/welcome/?p=2791

Part III B-method of analysis/drug identification. In: Scientific working group for the analysis of seized drugs (SWGDRUG) recommendations. 6th ed. SWGDRUGS; 2011. 14-16.

Recommended methods for the identification and analysis of barbiturates and benzodiazepines under international control. New York: United Nations; 2012. 25-35.

Clarke’s analysis of drugs and poisons: in pharmaceuticals, body fluids and postmortem material. 4th ed. London: Pharmaceutical Press; 2011. 478.

พระราชบัญญัติวัตถุที่ออกฤทธิ์ต่อจิตและประสาท พ.ศ. 2518 ประกาศกระทรวงสาธารณสุข เรื่อง ระบุชื่อและจัดแบ่งประเภทวัตถุออกฤทธิ์ (เพิ่มเติม). ราชกิจจานุเบกษา เล่มที่ 130 ตอนพิเศษ 54 ง (ลงวันที่ 30 เมษายน 2556).

Phanburananont B. Qualitative analysis of benzodiazepines (SOP No. 2202113). 2nd ed. Nonthaburi: Bureau of Drug and Narcotic, Department of Medical Sciences; 2014.

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Published

30-09-2016

How to Cite

1.
Sirisupakritkul N, Nutsathapana C, Phanburananont B. Identification of a Newfound Sedative Drug of Abuse in Thailand: Phenazepam in Seized Material. ว กรมวิทย พ [Internet]. 2016 Sep. 30 [cited 2024 Jul. 18];58(3):208-20. Available from: https://he02.tci-thaijo.org/index.php/dmsc/article/view/241594

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Section

Laboratory Findings