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Title: Assessment of the Availability, Cost, and Motivations for Use over Time of the New Psychoactive Substances-Benzodiazepines Diclazepam, Flubromazepam, and Pyrazolam-in the UK.
Austin Authors: Abouchedid, Rachelle;Gilks, Thea;Dargan, Paul I;Archer, John R H;Wood, David M
Affiliation: Emergency Department, Austin Health, Heidelberg, Victoria, Australia
Undergraduate Medical Program, University of British Columbia, Vancouver, BC, Canada
Clinical Toxicology Department, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners, London, UK
King's College London, London, UK
Issue Date: 2018 2018-04-18
Publication information: Journal of medical toxicology 2018; 14(2): 134-143
Abstract: There has been increasing interest in the availability of non-prescription benzodiazepines and their sale as new psychoactive substances. We wanted to determine UK availability from Internet suppliers and motivations for use of three benzodiazepines (diclazepam, flubromazepam, and pyrazolam). In November 2014 and March 2016, using the European Monitoring Centre for Drugs and Drug Addiction Snapshot Methodology, Internet search engines ( , uk. and ) were searched using the terms 'buy diclazepam', 'buy flubromazepam' and 'buy pyrazolam'. Threads from drug-user forums ( , , , ) were analysed using a general inductive approach. Data were converted into price per gram/pellet to allow cost comparisons and to determine motivations for use. There was an increase in websites selling these benzodiazepines between 2014 and 2016: diclazepam (49 in 2014 to 55 in 2016), pyrazolam (33 to 35), and flubromazepam (39 to 45). Thirty-eight (63.3%) sites were based in the UK/Europe. Drugs were sold as pellets (49 websites, 81.7%), powder (19, 31.7%), and blotters (1, 1.7%). Pill forms were not available, and one (1.7%) website sold diclazepam/flubromazepam in liquid form. The cost reduced with increasing purchase quantities. Main motivations for use included anxiolysis, management of benzodiazepine withdrawal, sedation/sleep aid, and management of stimulant withdrawal. These three benzodiazepines are widely available online, most commonly as pellets, and are (mis)used for a number of reasons. This study could be used to support triangulation of data from other sources to inform harm minimisation strategies.
DOI: 10.1007/s13181-018-0659-3
PubMed URL: 29671244
Type: Journal Article
Subjects: Benzodiazepines
New psychoactive substances
Appears in Collections:Journal articles

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