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Analysis of Narcotic
Drugs &
Psychotropic
Substances
By:
Raghu Khimani,
M.S. Forensic Pharmacy,
M. Pharm (Pharmaceutical Analysis)
PhD (R)
E: raghukhimani2007@gmail.com
Definitions:
 Drug: Drug is any substance intended for use as a medicine
for the alleviation of human and animal suffering from pain
or any disease, either alone or in the form of medical
preparation.
 A drug when taken into by a living organism, modifies one
or more of its function.
 Drug of Abuse: is any substance that, because of some
desirable effect, is used for some purpose other than that
intended.
OR
 Drug of Abuse: any substance the possession or supply of
which is restricted by law because of its potential harmful
effect on the user.
 Narcotic Drugs: These are drugs that have analgesic
effects, depress the CNS and tend to promote sleep.
 Psychotropic Substances: Drugs, which in therapeutic
doses, diminish awareness of sensory impulse, especially
pain, by the brain. (Mind Altering Drugs)
 NARCOTICS:
 The term “Narcotic” is derived from the Greek word
“Narcoticos”, which implies as state of lethargy or
sluggishness.
 Narcotic drugs are those substances which gives
relief from pain and induce sleep but socially not
acceptable.
 PSYCHOTROPICS:
 The Greek word “Psycho” means “soul” and “trope”
means “turning”.
 Any drug having peculiar affinity for (effect on) mind
(mind altering).
Natural Narcotics:
 Occurring in nature as plants like roots, barks, leaves,
flowers, fruits, seeds, resinous and milky exudations.
 Ex. Cannabis / Marijuana – Charas, Hashish Oil, Ganja,
Bhang – Cocaine, Opium
Semi synthetic Narcotics:
 Crude and raw natural drugs are processed and isolated
to active compounds by chemical process.
 Such man made drugs derived from natural drugs are
called semi synthetic drugs.
 Ex. Heroin, Brown sugar (Smack) etc.
Synthetic Narcotics:
 Drugs are wholly man-made
 Prepared from elements like Carbon, Hydrogen,
Nitrogen, Phosphorous, Sulphur etc.
 Prepared from simple primary chemicals
 Ex. Pethidine and psychotropic subs.
 Psychotropic Substances:
 Methaqualone /Mecloqualone /Mandrax
 Amphetamines /Methamphetamine
 Barbiturates and Derivatives
 Benzodiazepines
 Lysergide (LSD)
Classification of Narcotic Drugs and
Psychotropic Substances
Narcotic Drugs & Psychotropic Substances
Narcotic
Drugs.
Natural
Ex.
Opium,
Cannabis,
Cocaine, Ganja,
Bhang
Semi-
Synthetic
Ex. Heroin,
Brown Sugar
Psychotropic
Subs.
Synthetic
Ex. Methaqualone,
Aspirine, LSD, PCM,
Baribturates,
Benzodiazepines.
Opium (અફીણ – ઘેન લાવનારી દવા)
 Also known as paregoric, Dover’s powder
 Opium comes under Natural type of Narcotic drugs.
 The immediate precursor of heroin is morphine, and
morphine is obtained from opium.
 Opium is the dried milky, sticky white juice which is
obtained by cutting slits of the unripe seed pods of
Papaver Somniferum L., more commonly referred as the
opium poppy.
 This milky white juice darkens to a blackish brown color
thickens upon exposure to air.
 The principle use of prepared opium is for smoking.
 The Opium Poppy is obtained from the plant ‘Papaver
somniferum’.
 The word “Papaver” is a Greek word meaning “Poppy”,
“Somniferum” is from Latin and means to dream or
induce sleep.
Opium
 It also grows wild in many areas, but the largest quantities
come from three main areas of the world, the areas
known as Golden Triangle (Laos, Burma and Thailand),
the Golden Crescent (Afghanistan, Pakistan, Iran) and
Mexico.
 The plant grows to 2 to 5 feet in height and displays a
beautiful flower that ranges in color from white to purple
with the shades of red and orange being most common.
 Opium contains various organic and inorganic substances
like alkaloids, acids, protein, sugar and inorganic elements
etc..
 About 40 opium alkaloids have been known in the opium
out of which 5 are major.
 They are morphine, codeine, thebaine, papavarine and
narcotine (noscapine).
Fields of Opium
Flowers of Opium Poppy
POS DODA
Poppy Capsule
Poppy Capsule (Pos Doda)
Key Terms
 ALKALOID: Any organic agent isolated from plants
that contains nitrogen and reacts with an acid to
form a salt.
 ANALGESIC: A type of drug that alleviates pain
without loss of consciousness.
 OPIATE: Drug derived directly from opium and used
in its natural state, without chemical modification.
Opiates include morphine, codeine, thebaine,
narcotine, papaverine, etc..
 OPIOID: A drug, hormone, or other chemical
substance having sedative or narcotic effects similar
to those containing opium or its derivatives; a
natural brain opiate.
 Major Alkaloids found in Raw Opium:
Opium
Alkaloids
Alkaloid Content
Min % Avg. % Max %
Morphine 3.1 11.4 19.2
Codeine 0.7 3.5 6.6
Thebaine 0.2 3.1 10.6
Papaverine <0.1 3.2 9.0
Narcotine
(Noscapine)
1.4 8.1 15.8
Effects of components of Opium
 Narcotic Effect: (Phenanthrene Group +nt)
 Morphine
 Codeine
 Thebaine
 Analgesic Effect: (Iso-quinoline group +nt)
 Papaverine
 Narcotine (Noscapine)
Phenanthrene (C14H10)
Isoquinoline (C9H7N)
Structure of Opium
Analysis of Opium
Extraction of Morphine from Opium
Opium + NH4Cl
+ C2H5OH +
Ether
Stir for 4-5 hours
Filter by Filtrate
Cloth
Keep aside
Filtrate and
Proceed with
Residue
Add H2SO4 &
Charcoal for
Purification &
De-colorization
Reflux for ½
hour
Remove
Residue & Take
Filtrate & also
add NH4OH
Residue and ppt.
are formed.
Dry the ppt. of
Morphine to get White
Crystalline powder of
Morphine
Extraction of Heroin from Morphine
Acetylation
(CH3CO)2O
Refluxed for
5 hours with constant
temperature
(230° C),
Cool at room temp. +
Na2CO3
3
6
If at position 3, H = CH3 = Codeine
If at position 3 & 6, H = CH3 = Thebaine
CH3
Heroin
Mexican Heroin
Opiates
Opium
C17H19NO2
H
Effects of Opiates on Human Body
 Overdose:
 Euphoria (Jolly Mood)
 Dysphoria (Feeling
Unhappy)
 Drowsy > Coma
 Respiratory Depression
 Temperature
 Blood Pressure
 Pulmonary Edema
 Risk of Death
 Withdrawal Syndromes:
 Drug Seeking Behavior
 Restlessness
 Anxiety > Lacrimation
 Yawning
 Temperature
 Blood Pressure
 Nausea & Vomiting
 Sweating
Cannabis (Marijuana) (ગાાંજો)
 Also known as Grass Weed/ Dope
 Cannabis is the common name for the dried leaves and flowers
of the plant Cannabis sativa, a member of the Cannabaceae
family.
 There are more than 420 chemicals in Cannabis Plant.
 Cannabis is usually smoked in cigarettes ("joints") or water pipes
("bongs") mixed with tobacco.
 Cannabis can also be baked in cakes or biscuits.
 Hash and hash oil are derived from the resin of the cannabis
plant.
 Hash is a highly concentrated form of cannabis resin, and is
usually sold in small brown blocks.
 Hash oil is a sticky black liquid.
 Both hash and hash oil are stronger than cannabis.
Marijuana Plant
Cannabis Sativa Plant
Key Terms
 BHANG: The mildest form of cannabis used in India.
 CHARAS: Concentrated cannabis resin, similar to hashish.
 GANJA: A moderately potent form of Indian cannabis,
marked by a greater THC content than bhang.
 HASHISH: Concentrated cannabis resin, similar to charas.
 HASHISH OIL: The most potent form of cannabis resin,
extracted by chemical solvent.
 MARIJUANA: The dried leaves and flowers of female Cannabis
sativa plants.
 TETRAHYDROCANNABINOLS (THC): A group of cannabinoid
compounds thought to cause most of the psychoactive
reactions to marijuana use.
Bhang
Ganja
Ganja
Charas
Hashish Oil
 What does it do?
 Cannabis can make you feel happy and relaxed.
 It can increase your sense of taste, smell and hearing,
making you talk louder and laugh more than normal,
and increase your desire for food.
 The chemical in cannabis that produces the "high" is
called THC (tetrahydrocannabinol).
 The strength of cannabis depends on the level of THC.
 Effects can begin immediately, depending on the
strength and how much you take.
 If smoked the biggest effect is in the first 20 minutes
and can last for 1-2 hours.
 If eaten, the biggest effect occurs around 60 minutes
later and can last up to 4 hours.
Main Ingredients of Cannabis Sativa:
 There are main 3 ingredients of Cannabis Sativa:
1. Δ9-THC = Δ9-Tetra Hydro Cannabinol
2. CBN = Cannabinol
3. CBD = Cannabidiol
Cannabinoids
Extraction of Cannabis:
Plant Material
Extract with
organic solvent
Extract liquid
and remove
residue
Extracted Liquid
is concentrated
Thick brownish
black oil
(Hash oil)
Analysis of Cannabis:
 Presumptive Tests of Cannabis:
 Used to test for the presence of phenolic
cannibinoids.
 Involves a reaction between the cannbinioids and a
test reagent to form colored products.
1. Duquenois-Levine test
2. Corinth IV salt test
 Thin Layer Chromatography of Cannabis
 Gas Chromatography–Mass Spectrometry of Cannabis
Effects of Cannabis on Human Body
 Overdose:
 Euphoria
 Anxiety
 Dreamy, Fantasy State
 Labile Mood (Fluctuation)
 Illusions /
 Hallucinations
 Blood Pressure
 Impaired Judgment
 Risk of Death
 Withdrawal Syndromes:
 Only after prolonged high
dose
 Anorexia
 Nausea
 Insomnia
 Anxiety
 Restlessness
 Irritability
 Depression
Cocaine (કોકેન – નશો ચઢાવતી દવા)
 Other names: Powder Cocaine, Crack Cocaine
 An odorless white crystalline powder usually found in the
form of a salt, such as cocaine hydrochloride.
 It is considered the purification product of coca paste, an
extract of the leaves of the coca bush (Erythroxylum coca or
Erythroxylum novogranatense), where it is found as a natural
alkaloid.
Coca Leaves and Cocaine
Hydrochloride powder Rocks of Crack Cocaine
COCA PLANT
Coca Flowers & Leaves
Key Terms
 ANAESTHETIC: An agent that causes loss of sensation.
 COCA PASTE: An impure free base made from coca
leaves. Coca paste is smoked and is highly addictive.
 CRACK COCAINE: A highly addictive free-base cocaine
that is smoked. Crack is made by combining powder
cocaine, sodium bicarbonate and water, then heated.
 POWDER COCAINE (COCAINE HYDROCHLORIDE): A
psychoactive substance derived from coca leaves.
Powder cocaine is either snorted into the nose or mixed
with water and injected into the veins. It is prepared by
dissolving alkaloid in HCl, forming a water soluble salt.
 FREE BASE: The form of cocaine that can be smoked.
There are three free-base forms of cocaine – coca paste,
crack and free base. All free base are highly addictive.
What does it do?
 Cocaine is a stimulant .
 It speeds up your body and mind so you feel more
energetic.
 It also acts as an anaesthetic that causes your nose and
gums to go numb.
 After taking cocaine you will feel “high”/good and have
more energy . This "peaks" in 10-20 minutes.
 Because the good feelings from cocaine lasts a very
short time, people often use it many times a day.
 If you are injecting the cocaine many times a day , this
can damage your veins.
 If you snort cocaine, it can cause damage inside your
nose.
 Causes numbness of the tongue.
 It is believed to be a potent anti-fatigue agent and also
reduces hunger.
 Causes mental effect.
 The after effect of cocaine: anxiety, restlessness,
feeling of paranoia and depression
 Causes dilation of the pupils of the eyes.
 Cocaine is believed to be aphrodisiac and increase
duration of the sexual act.
Cocaine: A Stimulant
Cocaine
hydrochloride, a fine
powder can be
snorted through the
Nasal passage.
Route of Administration
Powder Cocaine (Cocaine Hydrochloride)
Crack Cocaine
Where as, Coca Leaves are Chewed or Ingested.
Testing at Laboratory
Structure of Cocaine
Cocaine (methyl benzoyl ecgonine) C17H21NO4 , MW = 303.4
Extraction of Cocaine
Dry Powder of Coca Leaf + Lime Water (Ca(OH)2) + Kerosene
Aqueous Layer + Concentrated Lime Water
White ppt. (Coca Paste)
Aqueous Layer – Treated with NH4OH
1. Purify for 2-3 Days 2. Remove Kerosene Layer
Remove Aqueous Solution
1. Purify by adding Dil. H2SO4 2. Remove Morphine Sulphate ppt.
1. Residue (ppt. of Alkaloid)
2. Aqueous Layer
Cocaine
Cocaine Hydrochloride
Add HCl
1. Filtration 2. Remove Aqueous Layer
Analysis of Cocaine
 Non-Instrumental Methods for
Detection of Cocaine:
 Check for Adulteration
 Crystalline Precipitates:
 Platinic chloride test
 Gold Chloride test
 Gold Bromide test
 Lead Iodide test
 Color/Spot tests:
 White spot plate
 Cobalt Thiocyanate test
 Scott test
 Logan test
 Odor test
 TLC
 GC-NPD (GC-Nitrogen Phosphorus
Detection)
 HPLC
 CZE (Capillary Zone
Electrophoresis)
 GC/MS
 MS/MS
 IR & FTIR
Effects of Cocaine on Human Body
 Overdose:
 Euphoria & Anxiety
 Increased Energy
 Excitation & Hyperactivity
 Hypersexuality
 Stereotypy
 Violent Behavior
 Blood Pressure
 Temperature
 Stroke
 Risk of Death
 Withdrawal Syndromes:
 Psychologic symptoms
 Behavioral symptoms
 Agitation
 Fatigue
 Depression
 Prolonged Sleep
 Intense Anxiety
Lysergic acid diethylamide (LSD)
 Also known as Lysergide, LSD25, D- Lysergic Acid Diethyl
Amide, N,N – Diethyl – D – Lysergemide.
 It is the semi-synthetic Psychedelic drug of the Ergotine
family.
 It is the most potent drug and widely used of the
category of drugs known as hallucinogenics.
 Hallucinogenic drugs, also called psychedelics, distort
and confuse the senses, making people see, hear, feel,
smell, or taste things that are not really there.
 The word hallucinate comes from a Latin word meaning
“to wander in the mind.”
 Only 1 µg/lit. drug in our plasma/blood can give toxic
effect on our body.
 As little as 30 to 50 micrograms (millionths of a gram)
is required to produce effects that last six to 12 hours,
sometimes longer. The effects usually start about 30
to 90 minutes after taking the drug; a faster response
time may occur at higher doses.
 It is a non-addictive drug.
 LSD is sensitive to oxygen, Ultra-violet light &
chlorine.
 But its potency may last for year if it is stored away
from light & moisture at low temperature.
 In pure form, it is colorless, odorless & mild bitter
solid.
 It’s routes of administration are oral, IV, IM and
Ocular. It is also delivered usually on a substrate such
as absorbent blotter paper, a sugar cube or gelatin.
Structure of LSD:
N
C2H5
C2H5
Formula: C20H25N3O
Mol. Wt. : 323.43 g/mol
M.P. = 80 – 85° C (176 - 185° F)
Analysis of LSD:
1. Fluorescence Testing
 (U.V. light detection at 360 nm gives Blue fluorescence)
2. Chemical Testing
 Ehlrich’s reagent test
3. TLC of LSD
4. Confirmatory tests for presence of LSD:
 HPLC analysis
 GC analysis
 Microscopic FTIR spectroscopy
Effects of LSD on Human Body
 Overdose:
 Euphoria
 Tension
 Anxiety - Panic
 Illusions
 Paranoia
 Pupils dilated
 Blood Pressure
 Temperature
 Heart Rate
 Wakefulness
 Numbness
Medical Uses of LSD
 Psychotherapy
 Alcoholism
 Pain
 Cluster Headaches
 Spiritual (It can analyze intense spiritual
experiences)
 Enhance creativity.
Mandrax (એક જાતની માદક વનસ્પતત)
 Pronounced as “Mandrakes”
 It is a sedative drug.
 It is great CNS depressant.
 Combination of Methaqualone and Diphenhydramine.
 Alcohol potentiates its actions.
 The preparation of Methaqualone is simple.
 Hidden home made factories are engaged in the
manufacturing of this drug.
 Its another names are Quaalude, Ludes, White Pipe,
Buttons, MX, Gholfsticks, Doodies, Lizards, Press outs,
andquas, quacks, soaps, and sopes.
 South Africa is the largest abuser of Mandrax in the world.
 Mandrax = Methaqualone + Diphenhydramine
What does it do?
 Reduces heart rate
 Increases sexual arousal
 Paresthesia (numbness of the fingers and toes)
 Slurred speech
 Headaches
 Convulsions
 Death through cardiac or respiratory arrest.
Effects of Mandrax on Human Body
 Overdose:
 Red, gazed or puffy eyes
 Feel tired
 Go to Coma
 Depression
 Nausea
 Vomiting
 Stomach pains
 Withdrawal Syndromes:
 Sleeping problems
 Nervousness
 Anxiety
 Irritable feelings
 Headaches
 Restlessness
 Eating problems
Methaqualone
 Its another names are Mandrax, Mandies, Quaaludes, Ludes,
Sopors, Buttons, Disco Biscuits, Love Drug.
 It is an addictive, habit-forming synthetic drug that alters brain
function.
 It is a great CNS depressant.
 It is a white, crystalline, odorless substance with a bitter taste.
 The main ingredients in the manufacturing of Methaqualone
are N-acetylanthranilic acid and anthranilic acid.
 Methaqualone was originally prescribed for the treatment of
insomnia and anxiety disorders.
 It was also prescribed as “stress reducer”.
 But today there are no recognized therapeutic uses for
methaqualone.
 The drug is so physically and psychologically addictive,
that US DEA (US Drug Enforcement Administration) has
declared it as Schedule I drug.
 Schedule I drugs are substances that have a high
potential for abuse, have no current medical necessity
in the United States, and are considered unsafe for use
even under a physician’s supervision.
 Methaqualone is a banned substance internationally as
well and is not used as a therapeutic prescription drug
overseas.
Methaqualone
Formula: C16H14N2O
Mol. Wt. : 250.30 g/mol
M.P. = 113° C (235° F)
Mecloqualone = Methaqualone + Chlorine
 Its another names are Nubarene, Casfen.
 It is an analogue of Methaqualone.
 It is faster acting but shorter lasting than
methaqualone and so was used only as a sleeping
pill.
 It was not used as widely as methaqualone.
 It is also banned due to its abuse and overdose.
Mecloqualone
Key Terms
 Anxiety: A group of mental disorders or conditions
characterized in part by chronic feelings of fear,
excessive and obsessive worrying, restlessness, and
panic attacks.
 Aphrodisiac: A substance or drug that increases sexual
desire.
 Hypnotic: A drug that induces sleep by depressing the
central nervous system.
What does it do?
 Psychological addiction to methaqualone occurs quickly.
 Memory loss.
 Difficulties with work or school.
 Cognitive impairment or learning problems.
 It is CNS depressant.
 Lowers blood pressure level, breathing rate, pulse.
 Bring about a state of deep relaxation.
 Impairs sexual performance.
 Reduced heart rate & respiration
 Euphoria
 Drowsiness
 Paresthesia (numbness of fingers & toes)
 Photophobia (a symptom of excessive sensitivity to light).
 On long term, liver damage, numbness in the hands & feet
Effects on Human Body
 Overdose:
 Hypothermia
 Hypotension
 Respiratory depression
 Gangrene
 Skin abscess
 Clammy skin
 Dilated pupils
 Coma
 Death
 Withdrawal Syndromes:
 Anxiety
 Insomnia
 Muscle tremors
 Loss of appetite
 Irritability
 Feeling faint
 Seizures
 Hyperthermia
 Tachycardia
 Delirium
Barbiturates
 These are psychotropic substances.
 These are CNS depressants.
 These drugs depress or slow down the activity of nerves that
control emotions and bodily functions such as breathing.
 Barbiturates are prescribed as a sedative that calms the
patient or as a hypnotic that helps a person sleep.
 Other uses include epilepsy treatment and anesthesia before
surgery.
 Barbiturates are compounds derived from barbituric acid.
 These drugs are classified into four categories that are
defined by the amount of time that it takes for barbiturate to
produce results and how long those results last.
1. Ultra short acting barbiturates:
- Act within 7 minutes
- Methohexital, thiamylal and thiopental
- Used for anesthesia before surgery
2. Short acting barbiturates:
- Take effect within 15-40 minutes and last upto 5-6 hours
- Prescribed for sedation or to help people sleep
- Amobarbital, pentobarbital, secobarbital, bubalbital,
butabarbital, talbutal, and aprobarbital
3. Intermediate acting barbiturates:
- Same as above
4. Long acting barbiturates:
- Take effect within approximately one to two hours.
- These effects last approximately 12 hours.
- Mephobarbital and phenobarbital
Barbiturates
Barbitone
Phenobarbitone
Analysis of Barbiturates
Presumptive Tests:
 Dille –Koppanyi Test for Barbiturates
TLC Analysis of Barbiturates
GC–MS Analysis of Barbiturates
Quantification of Barbiturates by HPLC
Effects on Human Body
 Overdose:
 Tiredness
 Confusion
 Irritability
 Fewer
 Drunk Behavior
 Slowed & Slurred speech
 Lower BP
 Risk of Death
 Ataxia
 Withdrawal Syndromes:
 Insomnia
 Anxiety
 Weakness
 Anorexia
 Hypotension
 Delirium
 Seizures
 Cardiovascular collapse
 Risk of Death
Benzodiazepines
 Benzodiazepines are still widely prescribed in the treatment
of anxiety disorders and other medical conditions.
 These drugs are classified as sedative-hypnotic agents, which
depress or slow down the body.
 Benzodiazepines are the first treatment choice for treatment
of depression and anxiety.
 Benzodiazepines are used to treat a wide range of psychiatric
and medical conditions.
 The top four—alprazolam, clonazepam, diazepam and
lorazepam—are consistently listed among the top 100 most
commonly prescribed medications.
 Flunitrazepam (Rohypnol) has recently received a lot of
attention, especially on college campuses, where its use as a
“date rape” drug has placed it on the watch list of students
and police.
 Flunitrazepam is one of the drugs, along with MDMA
(ecstasy), used by teenagers and young adults as part
of the nightclub, bar, “rave,” or “trance” scene.
 Benzodiazepines are classified according to how long
their effects last and by their potency.
 The ultra-short acting benzodiazepines include
midazolam (Versed) and triazolam (Halcion); the short-
acting benzodiazepines include alprazolam (Xanax) and
lorazepam (Ativan); the long-acting include
chlordiazepoxide (Librium) and diazepam (Valium).
 High potency benzodiazepines include alprazolam,
lorazepam, triazolam, and clonazepam (Klonopin).
Low-potency benzodiazepines include
chlordiazepoxide, clorazepate (Tranxene), diazepam
and flurazepam (Dalmane).
Analysis of Benzodiazepines
Presumptive Tests:
 Zimmerman Test for Benzodiazepines
TLC Analysis of Benzodiazepines
GC–MS Analysis of Benzodiazepines
Quantification of Benzodiazepines by HPLC
Effects on Human Body
 Effects are as same as Barbiturates.
Schedules of controlled substances
(1) Schedule I.—
 The drug or other substance has a high potential for abuse.
 The drug or other substance has no currently accepted medical use in
treatment in the United States.
 There is a lack of accepted safety for use of the drug or other substance
under medical supervision.
 Eg. Acetylmethadol, Allylprodine, Alphamethadol, Benzethidine,
Furethidine, Phenadoxone, Trimeperidine, Codeine methylbromide,
Codeine-N-Oxide, Heroin, Morphine-N-Oxide, Lysergic acid diethylamide,
Marijuana, etc.
(2) Schedule II.—
 The drug or other substance has a high potential for abuse.
 The drug or other substance has a currently accepted medical use
in treatment in the United States or a currently accepted medical
use with severe restrictions.
 Abuse of the drug or other substances may lead to severe
psychological or physical dependence.
 E.g. Opium and opiate, and any salt, compound, derivative, or
preparation of opium or opiate, Opium poppy and poppy straw,
Diphenoxylate, Fentanyl, Levorphanol, Methadone, Pethidine.
(3) Schedule III.—
 The drug or other substance has a potential for abuse less
than the drugs or other substances in schedules I and II.
 The drug or other substance has a currently accepted
medical use in treatment in the United States.
 Abuse of the drug or other substance may lead to
moderate or low physical dependence or high
psychological dependence.
 E.g. Amphetamine, its salts, optical isomers, and salts of its
optical isomers, Any substance (except an injectable liquid)
which contains any quantity of methamphetamine,
including its salts, isomers, and salts of isomers, Any
substance which contains any quantity of a derivative of
barbituric acid, or any salt of a derivative of barbituric acid,
Glutethimide, Lysergic acid, Lysergic acid amide,
Phencyclidine
(4) Schedule IV.—
 The drug or other substance has a low potential for abuse relative
to the drugs or other substances in schedule III.
 The drug or other substance has a currently accepted medical use
in treatment in the United States.
 Abuse of the drug or other substance may lead to limited physical
dependence or psychological dependence relative to the drugs or
other substances in schedule III.
 E.g. Barbital, Chloral betaine, Chloral hydrate, Ethchlorvynol,
Ethinamate, Methohexital, Meprobamate, Methylphenobarbital,
Paraldehyde, Petrichloral, Phenobarbital
(5) Schedule V.—
 The drug or other substance has a low potential for abuse relative
to the drugs or other substances in schedule IV.
 The drug or other substance has a currently accepted medical use
in treatment in the United States.
 Abuse of the drug or other substance may lead to limited physical
dependence or psychological dependence relative to the drugs or
other substances in schedule IV.
 E.g. (1) Not more than 200 milligrams of codeine per 100 milliliters
or per 100 grams.
 (2) Not more than 100 milligrams of dihydrocodeine per 100
milliliters or per 100 grams.
 (3) Not more than 100 milligrams of ethylmorphine per 100
milliliters or per 100 grams.
 (4) Not more than 2.5 milligrams of diphenoxylate and not less
than 25 micrograms of atropine sulfate per dosage unit.
 (5) Not more than 100 milligrams of opium per 100 milliliters or per
100 grams.
Narcotic Drugs & Psychotropic Subtances

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Narcotic Drugs & Psychotropic Subtances

  • 1. Analysis of Narcotic Drugs & Psychotropic Substances By: Raghu Khimani, M.S. Forensic Pharmacy, M. Pharm (Pharmaceutical Analysis) PhD (R) E: raghukhimani2007@gmail.com
  • 2. Definitions:  Drug: Drug is any substance intended for use as a medicine for the alleviation of human and animal suffering from pain or any disease, either alone or in the form of medical preparation.  A drug when taken into by a living organism, modifies one or more of its function.  Drug of Abuse: is any substance that, because of some desirable effect, is used for some purpose other than that intended. OR  Drug of Abuse: any substance the possession or supply of which is restricted by law because of its potential harmful effect on the user.  Narcotic Drugs: These are drugs that have analgesic effects, depress the CNS and tend to promote sleep.  Psychotropic Substances: Drugs, which in therapeutic doses, diminish awareness of sensory impulse, especially pain, by the brain. (Mind Altering Drugs)
  • 3.  NARCOTICS:  The term “Narcotic” is derived from the Greek word “Narcoticos”, which implies as state of lethargy or sluggishness.  Narcotic drugs are those substances which gives relief from pain and induce sleep but socially not acceptable.  PSYCHOTROPICS:  The Greek word “Psycho” means “soul” and “trope” means “turning”.  Any drug having peculiar affinity for (effect on) mind (mind altering).
  • 4. Natural Narcotics:  Occurring in nature as plants like roots, barks, leaves, flowers, fruits, seeds, resinous and milky exudations.  Ex. Cannabis / Marijuana – Charas, Hashish Oil, Ganja, Bhang – Cocaine, Opium Semi synthetic Narcotics:  Crude and raw natural drugs are processed and isolated to active compounds by chemical process.  Such man made drugs derived from natural drugs are called semi synthetic drugs.  Ex. Heroin, Brown sugar (Smack) etc.
  • 5. Synthetic Narcotics:  Drugs are wholly man-made  Prepared from elements like Carbon, Hydrogen, Nitrogen, Phosphorous, Sulphur etc.  Prepared from simple primary chemicals  Ex. Pethidine and psychotropic subs.  Psychotropic Substances:  Methaqualone /Mecloqualone /Mandrax  Amphetamines /Methamphetamine  Barbiturates and Derivatives  Benzodiazepines  Lysergide (LSD)
  • 6. Classification of Narcotic Drugs and Psychotropic Substances Narcotic Drugs & Psychotropic Substances Narcotic Drugs. Natural Ex. Opium, Cannabis, Cocaine, Ganja, Bhang Semi- Synthetic Ex. Heroin, Brown Sugar Psychotropic Subs. Synthetic Ex. Methaqualone, Aspirine, LSD, PCM, Baribturates, Benzodiazepines.
  • 7. Opium (અફીણ – ઘેન લાવનારી દવા)  Also known as paregoric, Dover’s powder  Opium comes under Natural type of Narcotic drugs.  The immediate precursor of heroin is morphine, and morphine is obtained from opium.  Opium is the dried milky, sticky white juice which is obtained by cutting slits of the unripe seed pods of Papaver Somniferum L., more commonly referred as the opium poppy.  This milky white juice darkens to a blackish brown color thickens upon exposure to air.  The principle use of prepared opium is for smoking.  The Opium Poppy is obtained from the plant ‘Papaver somniferum’.  The word “Papaver” is a Greek word meaning “Poppy”, “Somniferum” is from Latin and means to dream or induce sleep.
  • 9.  It also grows wild in many areas, but the largest quantities come from three main areas of the world, the areas known as Golden Triangle (Laos, Burma and Thailand), the Golden Crescent (Afghanistan, Pakistan, Iran) and Mexico.  The plant grows to 2 to 5 feet in height and displays a beautiful flower that ranges in color from white to purple with the shades of red and orange being most common.  Opium contains various organic and inorganic substances like alkaloids, acids, protein, sugar and inorganic elements etc..  About 40 opium alkaloids have been known in the opium out of which 5 are major.  They are morphine, codeine, thebaine, papavarine and narcotine (noscapine).
  • 14.
  • 15.
  • 16.
  • 18. Key Terms  ALKALOID: Any organic agent isolated from plants that contains nitrogen and reacts with an acid to form a salt.  ANALGESIC: A type of drug that alleviates pain without loss of consciousness.  OPIATE: Drug derived directly from opium and used in its natural state, without chemical modification. Opiates include morphine, codeine, thebaine, narcotine, papaverine, etc..  OPIOID: A drug, hormone, or other chemical substance having sedative or narcotic effects similar to those containing opium or its derivatives; a natural brain opiate.
  • 19.  Major Alkaloids found in Raw Opium: Opium Alkaloids Alkaloid Content Min % Avg. % Max % Morphine 3.1 11.4 19.2 Codeine 0.7 3.5 6.6 Thebaine 0.2 3.1 10.6 Papaverine <0.1 3.2 9.0 Narcotine (Noscapine) 1.4 8.1 15.8
  • 20.
  • 21. Effects of components of Opium  Narcotic Effect: (Phenanthrene Group +nt)  Morphine  Codeine  Thebaine  Analgesic Effect: (Iso-quinoline group +nt)  Papaverine  Narcotine (Noscapine)
  • 26. Extraction of Morphine from Opium Opium + NH4Cl + C2H5OH + Ether Stir for 4-5 hours Filter by Filtrate Cloth Keep aside Filtrate and Proceed with Residue Add H2SO4 & Charcoal for Purification & De-colorization Reflux for ½ hour Remove Residue & Take Filtrate & also add NH4OH Residue and ppt. are formed. Dry the ppt. of Morphine to get White Crystalline powder of Morphine
  • 27.
  • 28. Extraction of Heroin from Morphine Acetylation (CH3CO)2O Refluxed for 5 hours with constant temperature (230° C), Cool at room temp. + Na2CO3 3 6 If at position 3, H = CH3 = Codeine If at position 3 & 6, H = CH3 = Thebaine
  • 29. CH3
  • 33. H
  • 34. Effects of Opiates on Human Body  Overdose:  Euphoria (Jolly Mood)  Dysphoria (Feeling Unhappy)  Drowsy > Coma  Respiratory Depression  Temperature  Blood Pressure  Pulmonary Edema  Risk of Death  Withdrawal Syndromes:  Drug Seeking Behavior  Restlessness  Anxiety > Lacrimation  Yawning  Temperature  Blood Pressure  Nausea & Vomiting  Sweating
  • 35.
  • 36.
  • 37. Cannabis (Marijuana) (ગાાંજો)  Also known as Grass Weed/ Dope  Cannabis is the common name for the dried leaves and flowers of the plant Cannabis sativa, a member of the Cannabaceae family.  There are more than 420 chemicals in Cannabis Plant.  Cannabis is usually smoked in cigarettes ("joints") or water pipes ("bongs") mixed with tobacco.  Cannabis can also be baked in cakes or biscuits.  Hash and hash oil are derived from the resin of the cannabis plant.  Hash is a highly concentrated form of cannabis resin, and is usually sold in small brown blocks.  Hash oil is a sticky black liquid.  Both hash and hash oil are stronger than cannabis.
  • 40. Key Terms  BHANG: The mildest form of cannabis used in India.  CHARAS: Concentrated cannabis resin, similar to hashish.  GANJA: A moderately potent form of Indian cannabis, marked by a greater THC content than bhang.  HASHISH: Concentrated cannabis resin, similar to charas.  HASHISH OIL: The most potent form of cannabis resin, extracted by chemical solvent.  MARIJUANA: The dried leaves and flowers of female Cannabis sativa plants.  TETRAHYDROCANNABINOLS (THC): A group of cannabinoid compounds thought to cause most of the psychoactive reactions to marijuana use.
  • 41. Bhang
  • 42. Ganja
  • 43. Ganja
  • 46.  What does it do?  Cannabis can make you feel happy and relaxed.  It can increase your sense of taste, smell and hearing, making you talk louder and laugh more than normal, and increase your desire for food.  The chemical in cannabis that produces the "high" is called THC (tetrahydrocannabinol).  The strength of cannabis depends on the level of THC.  Effects can begin immediately, depending on the strength and how much you take.  If smoked the biggest effect is in the first 20 minutes and can last for 1-2 hours.  If eaten, the biggest effect occurs around 60 minutes later and can last up to 4 hours.
  • 47.
  • 48. Main Ingredients of Cannabis Sativa:  There are main 3 ingredients of Cannabis Sativa: 1. Δ9-THC = Δ9-Tetra Hydro Cannabinol 2. CBN = Cannabinol 3. CBD = Cannabidiol
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55. Extraction of Cannabis: Plant Material Extract with organic solvent Extract liquid and remove residue Extracted Liquid is concentrated Thick brownish black oil (Hash oil)
  • 56. Analysis of Cannabis:  Presumptive Tests of Cannabis:  Used to test for the presence of phenolic cannibinoids.  Involves a reaction between the cannbinioids and a test reagent to form colored products. 1. Duquenois-Levine test 2. Corinth IV salt test  Thin Layer Chromatography of Cannabis  Gas Chromatography–Mass Spectrometry of Cannabis
  • 57. Effects of Cannabis on Human Body  Overdose:  Euphoria  Anxiety  Dreamy, Fantasy State  Labile Mood (Fluctuation)  Illusions /  Hallucinations  Blood Pressure  Impaired Judgment  Risk of Death  Withdrawal Syndromes:  Only after prolonged high dose  Anorexia  Nausea  Insomnia  Anxiety  Restlessness  Irritability  Depression
  • 58. Cocaine (કોકેન – નશો ચઢાવતી દવા)  Other names: Powder Cocaine, Crack Cocaine  An odorless white crystalline powder usually found in the form of a salt, such as cocaine hydrochloride.  It is considered the purification product of coca paste, an extract of the leaves of the coca bush (Erythroxylum coca or Erythroxylum novogranatense), where it is found as a natural alkaloid. Coca Leaves and Cocaine Hydrochloride powder Rocks of Crack Cocaine
  • 60. Coca Flowers & Leaves
  • 61. Key Terms  ANAESTHETIC: An agent that causes loss of sensation.  COCA PASTE: An impure free base made from coca leaves. Coca paste is smoked and is highly addictive.  CRACK COCAINE: A highly addictive free-base cocaine that is smoked. Crack is made by combining powder cocaine, sodium bicarbonate and water, then heated.  POWDER COCAINE (COCAINE HYDROCHLORIDE): A psychoactive substance derived from coca leaves. Powder cocaine is either snorted into the nose or mixed with water and injected into the veins. It is prepared by dissolving alkaloid in HCl, forming a water soluble salt.  FREE BASE: The form of cocaine that can be smoked. There are three free-base forms of cocaine – coca paste, crack and free base. All free base are highly addictive.
  • 62. What does it do?  Cocaine is a stimulant .  It speeds up your body and mind so you feel more energetic.  It also acts as an anaesthetic that causes your nose and gums to go numb.  After taking cocaine you will feel “high”/good and have more energy . This "peaks" in 10-20 minutes.  Because the good feelings from cocaine lasts a very short time, people often use it many times a day.  If you are injecting the cocaine many times a day , this can damage your veins.  If you snort cocaine, it can cause damage inside your nose.
  • 63.  Causes numbness of the tongue.  It is believed to be a potent anti-fatigue agent and also reduces hunger.  Causes mental effect.  The after effect of cocaine: anxiety, restlessness, feeling of paranoia and depression  Causes dilation of the pupils of the eyes.  Cocaine is believed to be aphrodisiac and increase duration of the sexual act.
  • 64. Cocaine: A Stimulant Cocaine hydrochloride, a fine powder can be snorted through the Nasal passage.
  • 65. Route of Administration Powder Cocaine (Cocaine Hydrochloride)
  • 66. Crack Cocaine Where as, Coca Leaves are Chewed or Ingested.
  • 68. Structure of Cocaine Cocaine (methyl benzoyl ecgonine) C17H21NO4 , MW = 303.4
  • 69. Extraction of Cocaine Dry Powder of Coca Leaf + Lime Water (Ca(OH)2) + Kerosene Aqueous Layer + Concentrated Lime Water White ppt. (Coca Paste) Aqueous Layer – Treated with NH4OH 1. Purify for 2-3 Days 2. Remove Kerosene Layer Remove Aqueous Solution 1. Purify by adding Dil. H2SO4 2. Remove Morphine Sulphate ppt.
  • 70. 1. Residue (ppt. of Alkaloid) 2. Aqueous Layer Cocaine Cocaine Hydrochloride Add HCl 1. Filtration 2. Remove Aqueous Layer
  • 71. Analysis of Cocaine  Non-Instrumental Methods for Detection of Cocaine:  Check for Adulteration  Crystalline Precipitates:  Platinic chloride test  Gold Chloride test  Gold Bromide test  Lead Iodide test  Color/Spot tests:  White spot plate  Cobalt Thiocyanate test  Scott test  Logan test  Odor test  TLC  GC-NPD (GC-Nitrogen Phosphorus Detection)  HPLC  CZE (Capillary Zone Electrophoresis)  GC/MS  MS/MS  IR & FTIR
  • 72. Effects of Cocaine on Human Body  Overdose:  Euphoria & Anxiety  Increased Energy  Excitation & Hyperactivity  Hypersexuality  Stereotypy  Violent Behavior  Blood Pressure  Temperature  Stroke  Risk of Death  Withdrawal Syndromes:  Psychologic symptoms  Behavioral symptoms  Agitation  Fatigue  Depression  Prolonged Sleep  Intense Anxiety
  • 73. Lysergic acid diethylamide (LSD)  Also known as Lysergide, LSD25, D- Lysergic Acid Diethyl Amide, N,N – Diethyl – D – Lysergemide.  It is the semi-synthetic Psychedelic drug of the Ergotine family.  It is the most potent drug and widely used of the category of drugs known as hallucinogenics.  Hallucinogenic drugs, also called psychedelics, distort and confuse the senses, making people see, hear, feel, smell, or taste things that are not really there.  The word hallucinate comes from a Latin word meaning “to wander in the mind.”  Only 1 µg/lit. drug in our plasma/blood can give toxic effect on our body.
  • 74.  As little as 30 to 50 micrograms (millionths of a gram) is required to produce effects that last six to 12 hours, sometimes longer. The effects usually start about 30 to 90 minutes after taking the drug; a faster response time may occur at higher doses.  It is a non-addictive drug.  LSD is sensitive to oxygen, Ultra-violet light & chlorine.  But its potency may last for year if it is stored away from light & moisture at low temperature.  In pure form, it is colorless, odorless & mild bitter solid.  It’s routes of administration are oral, IV, IM and Ocular. It is also delivered usually on a substrate such as absorbent blotter paper, a sugar cube or gelatin.
  • 75. Structure of LSD: N C2H5 C2H5 Formula: C20H25N3O Mol. Wt. : 323.43 g/mol M.P. = 80 – 85° C (176 - 185° F)
  • 76. Analysis of LSD: 1. Fluorescence Testing  (U.V. light detection at 360 nm gives Blue fluorescence) 2. Chemical Testing  Ehlrich’s reagent test 3. TLC of LSD 4. Confirmatory tests for presence of LSD:  HPLC analysis  GC analysis  Microscopic FTIR spectroscopy
  • 77. Effects of LSD on Human Body  Overdose:  Euphoria  Tension  Anxiety - Panic  Illusions  Paranoia  Pupils dilated  Blood Pressure  Temperature  Heart Rate  Wakefulness  Numbness
  • 78. Medical Uses of LSD  Psychotherapy  Alcoholism  Pain  Cluster Headaches  Spiritual (It can analyze intense spiritual experiences)  Enhance creativity.
  • 79. Mandrax (એક જાતની માદક વનસ્પતત)  Pronounced as “Mandrakes”  It is a sedative drug.  It is great CNS depressant.  Combination of Methaqualone and Diphenhydramine.  Alcohol potentiates its actions.  The preparation of Methaqualone is simple.  Hidden home made factories are engaged in the manufacturing of this drug.  Its another names are Quaalude, Ludes, White Pipe, Buttons, MX, Gholfsticks, Doodies, Lizards, Press outs, andquas, quacks, soaps, and sopes.  South Africa is the largest abuser of Mandrax in the world.
  • 80.
  • 81.  Mandrax = Methaqualone + Diphenhydramine
  • 82. What does it do?  Reduces heart rate  Increases sexual arousal  Paresthesia (numbness of the fingers and toes)  Slurred speech  Headaches  Convulsions  Death through cardiac or respiratory arrest.
  • 83. Effects of Mandrax on Human Body  Overdose:  Red, gazed or puffy eyes  Feel tired  Go to Coma  Depression  Nausea  Vomiting  Stomach pains  Withdrawal Syndromes:  Sleeping problems  Nervousness  Anxiety  Irritable feelings  Headaches  Restlessness  Eating problems
  • 84. Methaqualone  Its another names are Mandrax, Mandies, Quaaludes, Ludes, Sopors, Buttons, Disco Biscuits, Love Drug.  It is an addictive, habit-forming synthetic drug that alters brain function.  It is a great CNS depressant.  It is a white, crystalline, odorless substance with a bitter taste.  The main ingredients in the manufacturing of Methaqualone are N-acetylanthranilic acid and anthranilic acid.  Methaqualone was originally prescribed for the treatment of insomnia and anxiety disorders.  It was also prescribed as “stress reducer”.  But today there are no recognized therapeutic uses for methaqualone.
  • 85.  The drug is so physically and psychologically addictive, that US DEA (US Drug Enforcement Administration) has declared it as Schedule I drug.  Schedule I drugs are substances that have a high potential for abuse, have no current medical necessity in the United States, and are considered unsafe for use even under a physician’s supervision.  Methaqualone is a banned substance internationally as well and is not used as a therapeutic prescription drug overseas.
  • 86. Methaqualone Formula: C16H14N2O Mol. Wt. : 250.30 g/mol M.P. = 113° C (235° F)
  • 87. Mecloqualone = Methaqualone + Chlorine  Its another names are Nubarene, Casfen.  It is an analogue of Methaqualone.  It is faster acting but shorter lasting than methaqualone and so was used only as a sleeping pill.  It was not used as widely as methaqualone.  It is also banned due to its abuse and overdose.
  • 89. Key Terms  Anxiety: A group of mental disorders or conditions characterized in part by chronic feelings of fear, excessive and obsessive worrying, restlessness, and panic attacks.  Aphrodisiac: A substance or drug that increases sexual desire.  Hypnotic: A drug that induces sleep by depressing the central nervous system.
  • 90. What does it do?  Psychological addiction to methaqualone occurs quickly.  Memory loss.  Difficulties with work or school.  Cognitive impairment or learning problems.  It is CNS depressant.  Lowers blood pressure level, breathing rate, pulse.  Bring about a state of deep relaxation.  Impairs sexual performance.  Reduced heart rate & respiration  Euphoria  Drowsiness  Paresthesia (numbness of fingers & toes)  Photophobia (a symptom of excessive sensitivity to light).  On long term, liver damage, numbness in the hands & feet
  • 91. Effects on Human Body  Overdose:  Hypothermia  Hypotension  Respiratory depression  Gangrene  Skin abscess  Clammy skin  Dilated pupils  Coma  Death  Withdrawal Syndromes:  Anxiety  Insomnia  Muscle tremors  Loss of appetite  Irritability  Feeling faint  Seizures  Hyperthermia  Tachycardia  Delirium
  • 92. Barbiturates  These are psychotropic substances.  These are CNS depressants.  These drugs depress or slow down the activity of nerves that control emotions and bodily functions such as breathing.  Barbiturates are prescribed as a sedative that calms the patient or as a hypnotic that helps a person sleep.  Other uses include epilepsy treatment and anesthesia before surgery.  Barbiturates are compounds derived from barbituric acid.  These drugs are classified into four categories that are defined by the amount of time that it takes for barbiturate to produce results and how long those results last.
  • 93. 1. Ultra short acting barbiturates: - Act within 7 minutes - Methohexital, thiamylal and thiopental - Used for anesthesia before surgery 2. Short acting barbiturates: - Take effect within 15-40 minutes and last upto 5-6 hours - Prescribed for sedation or to help people sleep - Amobarbital, pentobarbital, secobarbital, bubalbital, butabarbital, talbutal, and aprobarbital 3. Intermediate acting barbiturates: - Same as above 4. Long acting barbiturates: - Take effect within approximately one to two hours. - These effects last approximately 12 hours. - Mephobarbital and phenobarbital
  • 97. Analysis of Barbiturates Presumptive Tests:  Dille –Koppanyi Test for Barbiturates TLC Analysis of Barbiturates GC–MS Analysis of Barbiturates Quantification of Barbiturates by HPLC
  • 98. Effects on Human Body  Overdose:  Tiredness  Confusion  Irritability  Fewer  Drunk Behavior  Slowed & Slurred speech  Lower BP  Risk of Death  Ataxia  Withdrawal Syndromes:  Insomnia  Anxiety  Weakness  Anorexia  Hypotension  Delirium  Seizures  Cardiovascular collapse  Risk of Death
  • 99. Benzodiazepines  Benzodiazepines are still widely prescribed in the treatment of anxiety disorders and other medical conditions.  These drugs are classified as sedative-hypnotic agents, which depress or slow down the body.  Benzodiazepines are the first treatment choice for treatment of depression and anxiety.  Benzodiazepines are used to treat a wide range of psychiatric and medical conditions.  The top four—alprazolam, clonazepam, diazepam and lorazepam—are consistently listed among the top 100 most commonly prescribed medications.  Flunitrazepam (Rohypnol) has recently received a lot of attention, especially on college campuses, where its use as a “date rape” drug has placed it on the watch list of students and police.
  • 100.  Flunitrazepam is one of the drugs, along with MDMA (ecstasy), used by teenagers and young adults as part of the nightclub, bar, “rave,” or “trance” scene.  Benzodiazepines are classified according to how long their effects last and by their potency.  The ultra-short acting benzodiazepines include midazolam (Versed) and triazolam (Halcion); the short- acting benzodiazepines include alprazolam (Xanax) and lorazepam (Ativan); the long-acting include chlordiazepoxide (Librium) and diazepam (Valium).  High potency benzodiazepines include alprazolam, lorazepam, triazolam, and clonazepam (Klonopin). Low-potency benzodiazepines include chlordiazepoxide, clorazepate (Tranxene), diazepam and flurazepam (Dalmane).
  • 101. Analysis of Benzodiazepines Presumptive Tests:  Zimmerman Test for Benzodiazepines TLC Analysis of Benzodiazepines GC–MS Analysis of Benzodiazepines Quantification of Benzodiazepines by HPLC
  • 102. Effects on Human Body  Effects are as same as Barbiturates.
  • 103. Schedules of controlled substances (1) Schedule I.—  The drug or other substance has a high potential for abuse.  The drug or other substance has no currently accepted medical use in treatment in the United States.  There is a lack of accepted safety for use of the drug or other substance under medical supervision.  Eg. Acetylmethadol, Allylprodine, Alphamethadol, Benzethidine, Furethidine, Phenadoxone, Trimeperidine, Codeine methylbromide, Codeine-N-Oxide, Heroin, Morphine-N-Oxide, Lysergic acid diethylamide, Marijuana, etc.
  • 104. (2) Schedule II.—  The drug or other substance has a high potential for abuse.  The drug or other substance has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions.  Abuse of the drug or other substances may lead to severe psychological or physical dependence.  E.g. Opium and opiate, and any salt, compound, derivative, or preparation of opium or opiate, Opium poppy and poppy straw, Diphenoxylate, Fentanyl, Levorphanol, Methadone, Pethidine.
  • 105. (3) Schedule III.—  The drug or other substance has a potential for abuse less than the drugs or other substances in schedules I and II.  The drug or other substance has a currently accepted medical use in treatment in the United States.  Abuse of the drug or other substance may lead to moderate or low physical dependence or high psychological dependence.  E.g. Amphetamine, its salts, optical isomers, and salts of its optical isomers, Any substance (except an injectable liquid) which contains any quantity of methamphetamine, including its salts, isomers, and salts of isomers, Any substance which contains any quantity of a derivative of barbituric acid, or any salt of a derivative of barbituric acid, Glutethimide, Lysergic acid, Lysergic acid amide, Phencyclidine
  • 106. (4) Schedule IV.—  The drug or other substance has a low potential for abuse relative to the drugs or other substances in schedule III.  The drug or other substance has a currently accepted medical use in treatment in the United States.  Abuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in schedule III.  E.g. Barbital, Chloral betaine, Chloral hydrate, Ethchlorvynol, Ethinamate, Methohexital, Meprobamate, Methylphenobarbital, Paraldehyde, Petrichloral, Phenobarbital
  • 107. (5) Schedule V.—  The drug or other substance has a low potential for abuse relative to the drugs or other substances in schedule IV.  The drug or other substance has a currently accepted medical use in treatment in the United States.  Abuse of the drug or other substance may lead to limited physical dependence or psychological dependence relative to the drugs or other substances in schedule IV.  E.g. (1) Not more than 200 milligrams of codeine per 100 milliliters or per 100 grams.  (2) Not more than 100 milligrams of dihydrocodeine per 100 milliliters or per 100 grams.  (3) Not more than 100 milligrams of ethylmorphine per 100 milliliters or per 100 grams.  (4) Not more than 2.5 milligrams of diphenoxylate and not less than 25 micrograms of atropine sulfate per dosage unit.  (5) Not more than 100 milligrams of opium per 100 milliliters or per 100 grams.

Editor's Notes

  1. Alleviation = Relaxation Diminish = Decrease Sensory Impulse = ઇન્દ્રિયો સંબંધિત પ્રેરણા
  2. Lethargy = સુસ્તી, જડતા Sluggishness = જડતા Peculiar = Specific
  3. Exudation = સ્ત્રાવ
  4. Slit = ચીરો Unripe = પાકેલું ના હોય તેવું Pod = શીંગ Seed Pod = The part of plant part having seeds in it which is going to blossom flowers.
  5. Laos = Country of Southeast Asia bordered by Burma, China, Cambodia and Thailand
  6. Reflux = the process of boiling a liquid in such a way that any vapor is liquefied and returned to the stock
  7. Drowsy = half asleep Edema = a condition characterized by an excess of watery fluid collecting in the cavities or tissues of the body. (sojo) Pulmonary Edema = fefsa ma sojo Anxiety = અસ્વસ્થતા Nausea = ઉબકા
  8. Anorexia = અરુચિ Insomnia = અનિદ્રા
  9. Gum = દાંતનું પેઢુ Numb = સંવેદનાશૂન્ય
  10. Paranoia = લોકો નુક્સાન કરશે એવા વહેમવાળી મગજની વિકૃતિ; બીજાઓ વિષે વહેમ અને અવિશ્વાસની અપવૃત્તિ. Anorexia = અરુચિ Dilation = પહોળું થવું Aphrodisiac = કામોદ્દીપક (દ્રવ્ય).
  11. Stereotypy = Won’t change any type of decision. Make their mind to a specific thinking. Stroke = વિશિષ્ટ ક્રિયાઓ કરવી, આંચકી આવવી. Agitation = સંમત ન થવાને કારણે ઉશ્કેરાઇને અશાંતિ પેદા કરવાની ક્રિયા
  12. Psychedelic = ભ્રમ ઉત્પન્ન કરનાર દવા Distort = ખોટી રજૂઆત કરવી Hallucinate = આભાસ – ભ્રમ – થવાનો અનુભવ કરવો
  13. Ocular = આંખ
  14. Paranoia = લોકો નુક્સાન કરશે એવા વહેમવાળી મગજની વિકૃતિ; બીજાઓ વિષે વહેમ અને અવિશ્વાસની અપવૃત્તિ.
  15. Cluster = ઝુમખું
  16. Slur = અસ્પષ્ટ Convulsions = આખા શરીરનું કે હાથપગનું જોરથી ખેંચાવું કે તણાવું તે
  17. Gazed = તાકીને – એકીટસે – જોવું Puffy = ફૂલેલું
  18. Ataxia: Loss of control of muscle coordination.
  19. Cognitive = જ્ઞાનાત્મક Impair = નબળું પાડવું Drowsiness = સુસ્તી
  20. Hypothermia = Low Temperature Hypotension = Lower BP Gangrene = કોઈ ભાગમાં સડો થવો Clammy Skin = ચોંટી જાય એવી ભીની ચામડી Tremor = ધ્રુજારી Faint = નબળાઈ Hyperthermia = Higher Temperature Tachycardia = Higher Heart Rate Delirium = Sudden severe confusion
  21. Ataxia = Lack of voluntary coordination of muscle movements = છેડાના સ્નાયુઓનું અસંયોજન Anorexia = અરુચિ Delirium = ચિત્તભ્રમણા Seizure = એકદમ રક્તજ મૂર્છા આવવી તે, પકડવું – પકડાવું