DrugsData News – Administrative Pause Explained

On April 10, 2024, after 23 years of continuous service as the only program offering anonymous mail-in lab testing of controlled substances in the United States, DrugsData went on pause. Our lab was ordered by the DEA to halt analysis of DrugsData samples and re-apply for our exception to the rules that disallow anonymous testing and the shipping of samples of possible controlled substances through the mail without a DEA license and specialized government forms.

lab pipette
photo credit: Daniel Soñé Photography, LLC

As of September 24, 2024 we don’t yet know what caused this situation or have any real understanding about when or whether Erowid Center’s DrugsData project will be able to re-start. We’re disappointed in how long the process is taking, but we continue to be hopeful!

It is our express long-term goal for DrugsData to catalyze a shift toward allowing more labs across the United States to anonymously analyze samples from the public. The DEA is notoriously private about their internal processes, more so than many other federal agencies. They did tell us that they are trying to create a process for re-approving our project that they have not previously had, which adds to our hope.

One complication is that it is is our partner lab that has the DEA license, approval, and waiver of 21 CFR 1305.03(c), not Erowid Center. So Erowid isn’t in the ideal position to complain or press for answers. We made the decision to remain hopeful and not say anything publicly that would prompt public pressure that might annoy DEA officials. We are aware that our response to this situation could endanger our lab’s long-term relationship with the DEA, which we don’t want. A good-faith relationship is required for any controlled-substance testing lab to exist. If we do this wrong, we endanger the lab (our long-time partner), not Erowid Center.

Since early April, we’ve told the public that the project is going through “administrative red tape”, which summarizes the situation without going into too many details. But now that our annual September Drive is underway, we can no longer simply demur. Many Erowid supporters obviously have questions about what’s going on with our DrugsData project. So this is the first time we’re describing in more detail what has been going on.

We don’t think the program was stopped because of any suspicion of criminal activity or investigation into DrugsData. The implicit rules are that we do not violate the spirit or letter of the 1973-1974 regulation covering this topic. You can find the full entry (assembled into a PDF with the first page being the scanned pages of the Federal Register, and then the rest being an easier-to-read version of the same text) here:
https://www.erowid.org/freedom/law/federal_register/federal_register_anonymous_testing_rule_1974.pdf

The rule became binding in 1974. It’s a little long, but here is a very relevant section:

(f) “The delivery of such substances to a registered analytical laboratory, or its agent approved by DEA, from an anonymous source for the analysis of the drug sample: Provided, The laboratory has obtained a written waiver of the order form requirement from the Regional Director of the Region in which the laboratory is located, which waiver may be granted upon agreement of the laboratory to conduct its activities in accordance with Administration guidelines.”

The waiver mentioned in that paragraph is the waiver that our lab has received three times over the past 30+ years. The first was in 1988, the second was when we started EcstasyData in 2001, and the third was when the lab changed ownership in 2016. During the previous two re-approvals, the process took about six weeks, during which anonymous testing was not halted.

In contrast, over five months have passed since the latest application for re-approval was submitted.

Our hope is that DEA will see that we’re involved in important research projects designed to monitor street drugs and offer health agencies more insight into street drugs and the opioid crisis. At least one state Department of Public Health believes that our work, as part of a large team, has provided on-the-ground benefit to health care providers and end users. County officials continue to value the lab validation of on-site testing technologies, as well as the direct access their staff has to the results from their area, and from around the United States.

The pause on DrugsData testing is hurting research. It is actually causing harm to real people who are less able to learn about the contaminants in the drugs they consume. Stopping our project also hurts medical professionals and city-, county-, and state-level efforts to reduce harm through drug supply monitoring.

Other groups in the United States are doing lab drug checking as part of research projects and street drug harm reduction, many of which we collaborate with. Sadly, none accept samples from the public by mail. We like these groups a lot and would like to promote them, but in the context of describing our DEA issues, we’d prefer to not mention their names. We’ll save that for another update. The progress towards ubiquitous local drug checking in the United States over the last five years has been absolutely amazing, and we’re glad to continue to play a role in it, even while our own project is in limbo.

Thanks to everyone for their support of DrugsData and Erowid Center, and your patience during this long process.

What is Ketamine Precursor A?

It’s been noticeable that most (nine out of ten) ketamine samples analyzed by DrugsData since March 2019 have contained 1-[(2-Chlorophenyl)(methylimino)methyl]cyclopentanol (CAS #6740-87-0), or “Ketamine Precursor A”. Synonyms of this substance in the literature include “Ketamine Related Compound A” and “Ketamine Impurity A”.

Since 2019, only 37 ketamine samples have been analyzed by DrugsData that contain only ketamine (zero in 2022). An additional 297 sample contained Ketamine + Ketamine Precursor A, and 19% of these 297 samples also contained MSM.

Ketamine Precursor A has been notably present in black market ketamine, but should not be present in commercial, pharmaceutical ketamine inside the United States or Europe.

Ketamine Precursor A is not considered harmful, just a waste of mass and chemical. We do not know of any good research on its toxicity, but unfortunately, most drug research that shows “no effect” doesn’t get published. If it were super toxic, we’d probably know about it.

A subreddit has covered this topic: https://www.reddit.com/r/AskDrugNerds/comments/e6iz5r/any_info_on_ketamine_impurity_a_and_whether_or/

We don’t know anyone who has tried it on its own, but it’s unlikely to be active within 10x the dose of ketamine. Just a boring contaminant.

If you have any insights to contribute about Ketamine Precursor A, please let us know, info(at)drugsdata(dot)org.

DrugsData | Meth and the N-Isopropylbenzylamine “N-Iso” Boogeyman

For over forty years, methamphetamine-using communities have been speculating why some batches of meth seem qualitatively different than others. When we started working in this field in the 1990s, the claim was that l-meth, solvents, and synthesis impurities were the culprits.

Since around 2010, the DEA’s policies have resulted in most methamphetamine inside the United States coming from large manufacturers outside the US. In the ensuing years, some have claimed that the unpleasant effects of street meth in the US are a result of meth containing N-Isopropylbenzylamine (isopropylbenzylamine; N-IPBA; “N-iso”) [PubChem]. It is a common enough claim that many skeptics have called N-iso the new meth boogeyman.

The most common claims about isopropylbenzylamine are that it is present in combination with meth, and causes more paranoia, psychotic ideation, and worse hangovers. It’s also blamed for effects atyptical for stimulants, such as lethargy and “brain fog”, 1-3 days into a meth-using session.

We’ve been asked about N-iso many times between 2019 and 2022. We purchased the certified reference lab standard for isopropylbenzylamine twice in the last two years in order to run experiments to check our methods. We have repeatedly confirmed that zero (0) meth samples analyzed by DrugsData to date have contained it:

https://drugsdata.org/results.php?substance1=94&substance2=2036

Erowid’s DrugsData reported those findings to the people submitting the samples in question, and on the corresponding entries on DrugsData.org. Up until now, we haven’t specifically pointed out publicly that multiple submitters have claimed that isopropylbenzylamine could be present in their methamphetamine and that our findings have not substantiated their claims.

Our results caused others to ask us more and more pointed questions about how sure we were that N-iso wasn’t in the meth we tested. So we dug deeper. After re-analyzing and examining the GC/MS data for more than a dozen samples submitted to DrugsData for which the submitter was certain their meth sample contained isopropylbenzylamine, we’ve still seen no results where this is the case.

Out of 271 samples containing methamphetamine analyzed between January 2019 and July 2022, none contained isopropylbenzylamine:

https://drugsdata.org/results.php?s=methamphetamine&search_field=substance&y1=2019&y2=2022

Re-examining Our Findings

In late 2020, we ran several samples of alleged meth + N-iso and they came back meth only. We bought the reference standard and tried slightly-modified procedures using this standard. It seemed to us that meth + isopropylbenzylamine resolved easily via GC/MS. That is to say, meth and N-iso were easily differentiated in our lab. They are close, but we deal with much harder problems all the time.

In May 2022, D.M. contacted us to point out a paper that said it is possible that mixed samples containing both meth and isopropylbenzylamine could cause analysis to fail to see one or the other. Essentially, they claimed our previous findings might be wrong because one of the two could hide inside the GC curve of the other and then elute (come out) at such a similar time into the Mass Spectrometer that our software would report only one of the two chemicals.

That paper is Luo Y, et al. (2021) “Simultaneous Determination of Methamphetamine and Its Isomer N-Isopropylbenzylamine in Forensic Samples by Using a Modified LC-ESI-MS/MS Method”. (ResearchGate Link) The authors write:

“However, the two compounds [methamphetamine (MA) N-isopropylbenzylamine ([N-IPBA]) ] were hard to be effectively discriminated by GC/MS when there was a large concentration difference between them. Because the retention times for MA and [N-IPBA] chromatographic separation were very close due to their high similar chemical structure, the compound with high concentration would interfere with another one with low concentration as the two compounds yield similar ion fragments for detection [25].”

Note the relevant claim in their paper is actually cited to someone else and is not something these authors themselves demonstrate in their article. The original citation (Xuan J et al 2015) is a paper in a Chinese journal that we’ve been unable to locate.

Given this new, reasonably specific claim from a 2021 paper, despite having done it before, we purchased a new isopropylbenzylamine reference standard, this time from a different chemical supplier. Unsurprisingly, it matched exactly the previous standard and also matched the GC/MS data in the main public/research/commercial/forensic libraries.

A Series of Experiments

We mixed pure d-meth with N-IPBA at 1:1, 1:10, 1:100, 10:1, and 100:1 ratios. In all of the conditions, our setup showed isopropylbenzylamine as clearly distinct from methamphetamine. They would not be mistaken for one another or lost, even way below 1:100. Our standard procedure involves methanol run through an Agilent GC/MS 5973 MSD with the GC column being an HP-5ms Ultra inert (5%-phenyl)-methylpolysiloxane. Unless you’re a lab tech, that won’t mean anything to you, but it’s a fairly normal setup for doing drug work like this and it’s well suited to analyzing chemicals of this type.

GC of N-Iso and Meth (1:100)

The GC output pictured above is from N-IPBA (“N-iso”) (1 part) mixed with meth (100 parts). The other main peak (9.972) is a calibration chemical. The slightly messy baseline to the right of the meth peak is related to the way that the salt versions (Meth HCl, for instance) of the two drugs differ in their elution times in the GC column. This example graph is after several tests in a row using different ratios of meth and isopropylbenzylamine. It is common when running methamphetamine salts to end up with a little right-side, baseline noise after the sharp freebase meth peak.

Methamphetamine and isopropylbenzylamine do elute at similar times, but using our procedure, they are clearly distinct. Note in the GC image the sharp valley between the N-iso and meth peaks: N-iso at 3.4777 minutes and meth at 3.687 minutes in this run.

And they always have clearly distinct Mass Spectra (MS), so they simply don’t get confused at our lab. If a lab were running a different column and procedure that isn’t targeted for doing work on methamphetamine and related drugs, it’s easy to imagine other procedures and rigs where an analytical chemist could confuse one with the other.

As of August 2022, DrugsData’s lab has found isopropylbenzylamine in eight samples total, ever, and two DEA-tested samples are republished in our database:

https://www.drugsdata.org/results.php?search_field=substance&s=Isopropylbenzylamine

It is Erowid’s view that most negative effects from meth use are a result of lack of sleep combined with irregular water and food consumption. People mistakenly attribute differences in experience from time to time to differences in impurities in the drugs, instead of other factors such as diet, mood, context, electrolyte levels, and physical rest.

It’s certainly possible that a sample analyzed in DrugsData’s lab in the future could contain both methamphetamine and isopropylbenzylamine. We feel certain that for such a sample, lab results would clearly show this to be the case.

—earth, Sylvia, Fire, Roi

DrugsData | Identifying the Unidentifieds: Ethyl-Despropionyl-Fentanyl (Ethyl-4-ANPP)

This is a description of how we identified the unidentified substance in a fentanyl sample (#12495) analyzed in March 2022.

The unidentified substance has mass spectrum major ions at 96; 217.1; 174.1 with an elute time at around 10.7 in our main setup.

This small sample of white powder in a blue bindle was submitted to DrugsData via research partners we’re working with to do lab confirmatory testing. Besides Fentanyl and 4-ANPP, it contained a third chemical we were initially unable to identify.

We publish the Mass Spectrum (MS) images for substances we need help identifying. A colleague at UNC’s drug checking project examined this substance’s image and reached out with some clues, which put us on the path of figuring out what its structure is.

One of our top volunteer analytical chemistry experts, Eddee, found a close match in Wiley’s 2020 “Designer Drugs” library, a library that our DrugsData lab doesn’t have. The close (though not perfect) match is for ethyl-despropionyl-fentanyl (ethyl-4-ANPP). Our experts (thanks, Koby!) guess that this is likely to be much less potent than fentanyl and might not be very active, similar to despropionyl-fentanyl (4-ANPP).

There’s a PubChem page for it, but no CAS number yet:

https://pubchem.ncbi.nlm.nih.gov/compound/156346345

Eddee speculated that the difference between our sample and the Wiley library match might not be meaningful. In the following image, which is pretty complex to look at, the top chemical is our DrugsData sample’s unidentified substance. The lower chemical is the Mass Spectrum for the presumptive ethyl-despropionyl-fentanyl. The middle part of this image is a comparison of the two, with our sample on the top (lines going up) and the proposed match on the bottom (lines going down). You’ll need to open it in a new tab to see the detail, it’s dense stuff.

What you’re looking at are the relative heights of the largest peaks (vertical lines), aka the “ions”. Mass spectrometry (MS) relies on breaking up a chemical with a high energy stream of electrons; Erowid’s DrugsData lab uses an “electron spray” method. The resulting bits are highly charged ions that get spun through a magnetic whirlwind inside a specialized detector. The heights of the lines indicate how many of each ion was detected for this chemical using specific equipment and methods. Perfect matches usually require using the exact same equipment at the same settings, but there’s a lot of similarity when using equivalent machines.

Looking at the middle graph, where the two are compared against each other, you can see there’s a short line on our sample at 199 that doesn’t exist in the lower sample. And the relative heights of some of the key ions are different between the two. That doesn’t mean it’s not a match, but it isn’t a perfect match.


So Eddee checked and his lab did have a tiny bit of despropionyl-Fentanyl (aka 4-ANPP) left in their Fentanyl Analog Screening Kit (FAS Kit, sometimes referred to as a Traceable Opioid Material Kit, or TOM Kit).

There wasn’t much left, but he decided to try wet chemistry “derivitization” (a simple synthesis) using iodoethane, and was able to get a tiny amount of product he believes to be ethyl-despropionyl-fentanyl. He then ran that new product through a GC/MS and got the following output.

As above, in this image our unidentified substance is on the top; Eddee’s new ethyl-despropionyl-fentanyl is on the bottom.

Again, if one looks closely, there are some important differences between our sample (in blue on the top of the middle graph) and the newly synthesized chemical. There are several complexities we can’t completely account for. First, Eddee had only a teeny tiny amount of his synthesized chemical and sometimes “very low signal” amounts of a drug can have different Mass Spectrum profiles. Usually this doesn’t make a difference in which ions show up (except at the shortest peaks), but it can cause the relative ratios to be slightly different. Second, Eddee isn’t using the exact same GC/MS brand, model, and components as we have.

We might be able to change our GC coil and run parameters to better match this, but it’s so close, we’re going to consider this matter closed.

If you’re interested, you can check out the unidentified substances detected by DrugsData in 2021-2022 that haven’t been solved yet. This list changes as we make identification breakthroughs, thanks to tips from the Erowid Expert Network and others.

In an amusing postscript, one day after Eddee finalized this identification (Apr 4, 2022), DEA Special Testing and Research Laboratory (SFL1) wrote that they had come to the same identification of the so-called “308-G impurity”.

“Intractable Byproduct” in 5-MeO-DMT Samples

Erowid’s DrugsData project recently tested two samples of 5-MeO-DMT that both contained an unidentified chemical. The first was dd10559, published Jun 08, 2021 and the second was dd10808, published July 19, 2021. Both samples were sold as 5-MeO-DMT and were reportedly sourced from the Netherlands to California. The unidentified chemical in the two samples appeared to be the same substance.

In June, one of our EEN experts (Eddee) proposed a possible identification for the chemical in the first sample, and we began consulting others in our network. Once we received the second sample, with apparently the same unidentified chemical, an outside expert weighed in with a slightly different proposed identification. We examined these more closely and with Eddee’s help, we think we’ve finalized our current opinion on the identity of the chemical dd10559-unid1 and dd10808-unid1:

6-methoxy-2-methyl-2,3,4,9-tetrahydro-1H-pyrido[3,4-b]indole

This chemical is likely an unwanted byproduct resulting from imperfect synthesis of 5-MeO-DMT. Borax, one of Erowid’s main chemistry experts, proposed the name “N-methyl-Pinoline”, and Eddee proposed “N-methyl-5-Methoxytryptoline”.

Another expert pointed out that PubChem’s synonym list for this chemical includes 2-Methyl-6-methoxy-1,2,3,4-tetrahydro-beta-carboline (CAS# 6582-80-5), and cites the Japan Chemical Substance Dictionary for the CAS#. Isomer Design, a longtime supporter of the DrugsData project, refers to it as 6-MeO-2-Me-THβC.

We do not believe it has any common trivial name, and are currently settling on the name “N-methyl-Pinoline”. Its structure:

There were no published GC/MS graphs for this chemical. The identification is based on analysis of the fragmentation pattern, and on a 2020 paper, Synthesis and Characterization of 5‑MeO-DMT Succinate for Clinical Use, by Sherwood et al. Because of this paper, we originally considered calling this chemical “5-MeO-DMT Synthesis Byproduct A”, to parallel names given to unwanted synthesis products in other drugs.

The other proposed identification was the very similar compound 2,3,4,5-Tetrahydro-8-methoxy-2-methyl-1H-pyrido[4,3-b]indole (CAS# 41505-84-4).

The two proposed identified chemical structures have the same number of elements and chemical formula: C13 H16 N2 O ( C13H16N2O ). The only difference is which order the carbons are coming off the indole ring relative to the amine nitrogen.

This very technical image shows a comparison of the two chemicals, with our proposed ID in the upper panel and CAS 41505-84-4 in the bottom:

Now look again at the drawing of our identification and note the red line showing the bond between the indole ring and the methyl (carbon) coming off the nitrogen.

Finally, take a look at the structure of 5-MeO-DMT:

Imagine that the red line in the structure of N-methyl-Pinoline was broken where it connects to main rings. That substance, with that connection free, is 5-MeO-DMT. 5-MeO-DMT just happens to also have the same chemical formula: C13H18N2O.

Quoting from the Sherwood et al. 2020 paper: “Several small-scale attempts were initially evaluated with reaction monitoring by liquid chromatography-mass spectrometry (LCMS). Though product formation was evident, the reaction was plagued by challenges that would likely multiply at larger scales. The Pictet−Spengler reaction to the corresponding tryptoline (8) was difficult to suppress and removal of this structurally similar and possibly biologically active byproduct was challenging. Further optimization to Route 1 may be possible, but ultimately, the reaction was not recommended for further development.”

Their Scheme 1 Graphic shows what they label the “intractable byproduct”, which is the chemical we are proposing as the identification of the impurity in these two 5-MeO-DMT samples.

Thanks to everyone who participated in this: the submitter of the samples, Eddee, our anonymous experts, Borax, Sylvia, and the authors Sherwood AM, Claveau R, Lancelotta R, Kaylo KW, and Lenoch K for their excellent 2020 paper, which nailed down the reason for this unwanted contaminant in these synthetic 5-MeO-DMT samples.

Name Change from Levamisole to Tetramisole/Levamisole

Erowid’s DrugsData lab has recently changed from reporting simply “levamisole” to instead reporting “tetramisole/levamisole”. Tetramisole is the “real” primary name for this substance, a chemical that has two stereoisomers/enantiomers. For those unfamiliar, left (“lev”) and right (“dex”) isomers are only different in the same way that left- and right-handed gloves are different. They are also referred to as the “S-enantiomer” (lev) and the “R-enantiomer” (dex) of tetramisole. (Tetramisole refers to the “racemic” or mix of the S-enantiomer and R-enantiomer of the chemical.)

Many (though certainly not all) chemicals have this type of physical isomerism. An update in 2020 to the SWGDrug library that our lab uses as one of its sources changed the way it reports the name of the substance upon match. Neither the chief chemist at our lab nor any of our team remembers ever seeing the name “tetramisole” before December 2020. The technical distinction and update merits some further explanation.

The technical language can be pretty confusing. In some cases, the FDA allows commercial pharmaceuticals to use a shorthand, where they prepend “es” or “ar” (or “lev” and “dex”) to the front of a pharmaceutical name to denote an enantiomer-specific product. Examples include “armodafinil”, “eszopiclone”, and “escitalopram”.

Erowid’s DrugsData lab, using GC/MS testing, has no ability to isolate, separate, or identify which enantiomer is present, yet we’ve previously reported “levamisole” (the left or S-enantiomer) since first identifying this substance in cocaine samples in 2009 (see DrugsData Levamisole Results). Our lab’s techniques can’t distinguish the stereoisomer composition of any substance we analyze, e.g. a specific chemical identified in a single sample could be a 50/50 mix of R-enantiomer & S-enantiomer; 100% R-enantiomer and 0% S-enantiomer; 0% R-enantiomer and 100% S-enantiomer; or any ratio combination of the different physical isomers. This would be true for any lab using GC/MS for its testing process.

While DrugsData has been reporting “levamisole” since 2009, the question of enantiomers had not come up before. However, the “lev-” syllable should have been a giveaway. Sorry we didn’t identify this issue earlier!
In the last few years, research appears to indicate that most of the “levamisole” mixed with cocaine is actually the racemic tetramisole. In 2019, Madry et al. seemed to nail this issue down through analysis of hair samples from 627 cocaine users. The authors write: “Samples mainly contained racemic tetramisole (87.5%), only one sample contained levamisole only and two samples contained non-racemic [tetramisole].”

All of that, combined with our inability to test which spatial isomer we have in the samples we analyze, means that we’re going to switch to using “tetramisole” as the primary name for this substance, with “levamisole” being included so as to help avoid confusion due to the switch.

Reference:
Madry MM, Kraemer T, Baumgartner MR. “Cocaine adulteration with the anthelminthic tetramisole (levamisole/dexamisole): Long-term monitoring of its intake by chiral LC-MS/MS analysis of cocaine-positive hair samples”. Drug Test Anal. 2019 Mar;11(3):472-478. doi: 10.1002/dta.2505. Epub 2018 Oct 17. PMID: 30239147. Erowid Ref9448

Fentanyl or Not? Re-analysis of Samples #5776 and #5779

As covered last week in Fentanyl Test Strips, Hot Spots, and Unhomogenized Samples, two samples reported in the November 6, 2017 batch of EcstasyData results were submitted to the lab with notes by the senders saying they had used fentanyl field tests on their sample before sending it.

The original GC/MS results for these samples (#5776 and #5779) did not reveal fentanyl. After writing about the problems associated with non-homogeneous samples and “hot spots”, we decided to use this as an opportunity to re-test both of these samples. This time, we used up 100% of what was sent by dissolving all of the sample (and not just a small portion), to make sure not to miss any potential “hot spots” in the original. That is a different method than our normal sampling protocol, meant to verify the no-fentanyl results.

On November 12, the lab reported back that the re-analysis of one of the samples returned a different result than the original analysis. The other sample’s result did not change.

Re-tested Using Modified Sample Prep Method

With most EcstasyData samples, there is material left over after an analysis. Whatever is not destroyed in the GC/MS process is stored for secure disposal after one year. This permits the lab to re-test a sample, potentially several times, if circumstances call for a re-test.

A modified method was used to re-test samples #5776 and #5779: For each of the re-tests, all the material, including the capsule, that was left over after the original analysis was placed in solvent to produce a consistent liquid sample, which was then run through the normal GC/MS process. This eliminated the “sub-sample of a sub-sample” condition that we described in the previous article.

Heroin Sample 5779: Positive fentanyl test-strip confirmed by GC/MS

The sample whose result did change after re-analysis was a powder represented as heroin.

The person who submitted the sample had noted the ‘Sample tested positive on both ‘DanceSafe’ and another brand of Fentanyl test strips (or cassette / dip card). Would like to know if these immunoassay fentanyl tests actually work.’ While the first GC/MS analysis did not detect fentanyl (even though a lot of the material was prepped for testing and the sample appeared homogenous), the second analysis that followed the method above did detect fentanyl.

This discrepancy in results can most likely be attributed to a hot spot or spots in the powder.

The lab also identified several other substances that they did not report in the first analysis: trace amounts of codeine, 4-ANPP, papaverine, and very small amounts of actylecodeine and 6-monoacetylmorphine. The additional very small findings are normal minor components of poorly-cleaned heroin produced from natural poppy resin. When we re-test a sample looking for very potent substances like fentanyl, we take a closer look at the trace and near-trace tiny “noise” bumps in the GC readouts.

Although we do report trace substances in most cases, street heroin is a good example of the type of material that often contains a lot of “noise” because it’s not pure, nor is it a combination of drugs; it’s a partially-synthesized natural product with lots of leftovers.

Because of the issue of fentanyl and fentanyl analogs showing up in heroin, EcstasyData has obtained a number of NPS-fentanyl analog standards and will be taking extra care to look for them in future heroin and opioid samples. Please include on your submission forms if you have concerns about fentanyl in your sample so the lab tech knows to look at what we normally consider “noise” in messy samples, and to set up the Gas Chromatograph run so that we make sure he can differentiate noise from signal at the time points where fentanyl and the known fentanyl analogs come out of the column.

MDMA Sample 5776: False-positive fentanyl test-strip

The sample whose result did not change with re-analysis was for a powder represented as MDMA. Only MDMA, with no traces of fentanyl or other compounds, was detected using the method described above. The person who submitted the sample had noted a ‘strip test tested positive for Fentanyl’ prior to sending their sample in. This strip-test result was not confirmed by GC/MS.

Evolving and Improving Procedures

Although we run one of the best analytical projects of its kind in the world, this is a great example of the many types of errors and misses that can occur, and we take steps like those described here, to verify our results and change our procedures to improve the accuracy over time.

— Sylvia and Earth

Fentanyl Test Strips, Hot Spots, and Unhomogenized Samples

With fentanyl and fentanyl analogs haunting the opioid crisis in North America, some harm reduction field workers and users have been experimenting with what cost-effective reagent-based field tests might have to offer. One method that has been explored is the repurposed fentanyl urinalysis test-strip, where rather than dipping the test-strip in urine, it is dipped in a solution of the drug itself. A panel presentation covering the topic of drug checking and the opioid crisis was held at Drug Policy Alliance’s 2017 Reform Conference.

Since two samples included in the November 6, 2017 batch of EcstasyData results came with notes saying the sender had used a fentanyl test-strip on their sample before sending it, we’re starting to look at what that means for how we report EcstasyData results in such cases.

The question was posed by one sender,  “Would like to know if these immunoassay fentanyl tests actually work.” Like many Yes/No questions that people have about drug analysis, the answer is a combination of “it depends” and “it’s complicated”.

Hot Spots
In answering the question, it helps to remember that not all powders will be completely evenly homogenized and may contain “hot spots” with uneven concentrations of a given chemical in sub-parts of the larger amount of powder or crushed crystalline material.

Powders and tablets that have more than one component to them aren’t always evenly mixed. Sometimes there’s a higher concentration of a drug in one or several areas. Think of a burrito that has hot salsa in one end of the burrito but not the other. If you bite into the burrito on one end, it’s spicy. On the other end, it’s not. Or a chocolate chip cookie — the chocolate chips might not be evenly distributed in the cookie. We’ve discussed homogenization in EcstasyData samples before when talking about traces of drugs in samples sent to the lab.

Hot spots are a bigger deal when it comes to fentanyl drugs or other similarly potent drugs, that are active at doses below a milligram but are sold in powders weighing hundreds of milligrams or grams.

Sub-samples of Sub-samples
When a powder sample is received by the EcstasyData lab, the lab tech preparing it for analysis first does a very simple partial homogenization by shaking the sample container or stirring it a little before extracting a sub-sample with a clean metal or plastic spoon. The sub-sample is then dissolved in a solvent and the technician confirms that the material dissolves completely or may take additional steps to get a fully dissolved, consistent liquid sample.

The dissolved sub-sample is then inserted into the testing equipment (the GC/MS). If fentanyl is present in that solution, then fentanyl will show up on the test, and we report it. If fentanyl is only present in a part of the sample that was not dissolved into solution, the fentanyl can not be detected.

So there are at least two steps of sub-sampling that occur before a tiny amount of material reaches the GC/MS:
1) The sender takes a sub-sample out of their stash/bag/jar at home and sends it to the lab.
2) The lab tech takes a sub-sample of that sub-sample to dissolve and inject into the GC/MS.

Someone using test-strips on powders or tablets at home is facing a similar issue of potential hot spots.

Can’t Be Sure
If a fentanyl test-strip is used to check a drug sample and the result is consistent with the presence of fentanyl (a so-called “positive”), there are several possible explanations, some including fentanyl being present, and some where there is not fentanyl present (“false positive”). A test-strip can also be difficult to read.

Some Positives are False Positives
A positive result with a test-strip can mean fentanyl is present in the sample, either deliberately, or by contamination. Tablets might have come into contact with the substance and have a tiny residue left that could trigger a positive field test.

An unknown and unknowable number of other conditions can cause false positives on urine drug screen strip-tests. Non-fentanyl drugs might trigger the field test to show positive. The problem of false positives is the reason urine strip-tests alone are insufficient to prove someone has taken a given drug in legal or employment contexts. Positives from urine screens are always double checked using an advanced technique such as GC/MS to confirm or exclude the simpler, cheaper strip test.

Test-Strip Outcome Can Be Hard to Interpret
Test-strips and other field tests often have a wide range of possible strengths of color changes. It is common to get results that are not 100% clear in what they mean.

EcstasyData can’t comment on whether fentanyl test-strips in general are useful in detecting fentanyl in drug samples. Each situation is unique.

We are keeping an eye on this topic.

— Sylvia and Earth

PS: In August 2017, Erowid confirmed that the DanceSafe fentanyl test strips give false positives for buprenorphine. When mixed at a concentration of .01mg per ml water. We have another draft post that hasn’t seen proper review yet that goes over this in detail.

International Drug Checking Day – Mar 31, 2017

Erowid is supporting the new International Day of Drug Checking, an initiative by a diverse group of organizations playing active parts in the delivery of harm reduction services.

On the 31st of March we celebrate and raise awareness of drug checking. Here we mean not only the testing of substances; Drug Checking Day serves as a reminder for people to make a habit of testing their knowledge about drugs and their effects. We remind people that taking any drug always comes with risks, as does all human activity. By raising awareness and sharing knowledge, partners in International Day of Drug Checking hope to improve awareness of ways in which each individual and every community can reduce health risks.

Why International Drug Checking Day?

Drug checking is a sound harm reduction approach and we believe more people should have the opportunity to test their drugs so they can make informed choices and reduce risk. Full chemical analysis of substances through GC/MS (Gas Chromatography/Mass Spectrometry), TLC (Thin Layer Chromatography), HP-TLC (High Performance Thin Layer Chromatrography), or infra-red methods is the best way to find out what is really in a substance. Seeking services of drug checking groups offers the best opportunity to connect with a professional who can offer expert harm reduction information. There is a 30 year history of drug checking in Europe with well-established test services in the Netherlands, Spain, Portugal, Switzerland, Germany and France. Testing on-site at festivals has also begun in the UK. Drug checking programs in the United States date back to the 1960s.

International Drug Checking Day is also raising awareness about how people can check their drugs at home using reagent test kits. These can be bought online and can give a good indication of what a substance might be. While we recognize there are limitations to using reagents we still believe this is a great way to reduce risk and an essential way to introduce people to finding out more about harm reduction.

A Right To Know — A Right to Drug Testing

It is Erowid’s stance that individuals should have a right to know what substances they are putting in their bodies, and thus, a right to access accurate, quantitative analysis of the drugs they might ingest. People should be appalled that their governments want to discourage citizens from choosing to use disapproved drugs because they fear toxic adulteration and dangerous substitutions.

Drug use is a global phenomenon. Many people around the world ingest some kind of substance on a daily basis, from caffeine to alcohol, cocaine to heroin. Drug use has become a moral and criminal issue with legislation and regulations generally following a global model of prohibition. Prohibition has led to networks of underground markets, with drugs being purchased on street corners, private homes, and through the internet.

These clandestine markets are unregulated, with no consistent oversight or product verification, which is known to cause increased and unnecessary risks. Quality control standards may be in place at some labs producing illicit drugs, but not others. But once these products are picked up by distribution networks, any certainty of identity or quality is lost, without independent drug checking. There are no standard dosage units, no list of ingredients and no information leaflet about possible side effects, interactions or ways to minimize risk from use included with these products. Similarly, online pharmacies operate in legal grey zones that raise the risks of unregulated medicines reaching the public.

We know that drugs that are sold in grey and black markets are sometimes substituted, mislabeled, or contaminated. Adulterants may be used to mimic the effects of more expensive drugs and while some may be fairly benign, others can produce toxic and fatal results. Global fatalities from drug use are rising, primarily because of the opioid epidemic, while the dynamic drugs market is becoming ever more fluid in response to legislative developments that attempt to limit the proliferation of New Psychoactive Substances (NPS). Avoidable fatalities from unregulated and under-regulated drug distribution are an unfortunate part of the world, one that we can work toward trying to mitigate through drug checking.

People who take drugs recreationally or who use pharmaceuticals from less reputable sources are at increased risk of harm through consumption of pills and powders with unexpected or unknown ingredients. While the use of any drug is not entirely risk-free, having an awareness of the chemicals contained can help people make informed choices about what they might put in their bodies, and help them to plan dosage and minimize the impact of use on their general wellbeing.

How you can join us on the day
  • Tweet, blog, share! Got an opinion about drug checking in your area? Want to know more? Know people who would benefit from drug checking? Join the conversation with #JustSayKnow #IDCDay2017 #TestIt
  • Visit DrugCheckingDay.com to learn more about the partner organizations and event organizers.
  • Write an experience report talking about your experience with drug checking or other risk minimization approaches. Learn about how you can win a free EcstasyData GC/MS test and Erowid schwag by writing a qualifying report.
IDODC Partner Organizations and Supporters INCLUDE:

Asociación Hegoak Elkartea (SP), AVI LSD, Be Aware On Night Pleasure Safety (DE, IT, POR, and SLO), BunkPolice, Check-in! (POR), checkit! (AU), Colour Mind (RO), Crew 2000 (UK), DanceSafe (US), DrogArt (SLO), Drug Policy Alliance / Safer Party (US), drugsand me, DrugScouts, Echele Cabeza (CO), Energy Control (SP),  Erowid’s EcstasyData (US), Karmik (CA), Kosmicare (UK), Lab57 (IT), MDMA the Movie, Muunto-hanke (FI), PsychedSubstance, PsychonautWiki, Reagent Tests UK, SIN (P), ReverdeSer Colectivo (MX), Students for Sensible Drug Policy (IE), The Drug Classroom, The Loop (UK), and UNHARM (AUS), Universo de las Drogas (MX).

 

Text adapted from DrugCheckingDay.com that Erowid participated in drafting.