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467 Results Found

  • Opinion
  • Open Access
1 Citations
2,935 Views
6 Pages

Genotoxic Aspects of Psychoactive Substances

  • Nuno G. Oliveira and
  • Ricardo Jorge Dinis-Oliveira

Exposure to psychoactive substances is undoubtedly a serious public health issue that should be carefully analyzed from different perspectives. Regarding the types of toxic effects inflicted by these xenobiotics, it is already known that many of the...

  • Review
  • Open Access
21 Citations
19,374 Views
18 Pages

New Psychoactive Substances: Health and Legal Challenges

  • Inês C. Santos,
  • Daniela Maia,
  • Ricardo Jorge Dinis-Oliveira and
  • Daniel José Barbosa

Drug abuse represents a significant public health problem with a growing tendency. As a way of circumventing the strict national and international control of psychoactive substances by regulatory agencies, there is a market release of new substances...

  • Communication
  • Open Access
3 Citations
2,602 Views
8 Pages

Associations between HIV Status, SARS-CoV-2 Infection, Increase in Use of Psychoactive Substances and Oral Ulcers among People Who Used Psychoactive Substances during the First Wave of the COVID-19 Pandemic

  • Morenike Oluwatoyin Folayan,
  • Roberto Ariel Abeldaño Zuñiga,
  • Jorma I. Virtanen,
  • Oliver C. Ezechi,
  • Nourhan M. Aly,
  • Joanne Lusher,
  • Annie L. Nguyen and
  • Maha El Tantawi

3 April 2023

The aim of this study was to assess the associations between HIV status, SARS-CoV-2 infection, increase in use of psychoactive substances and oral ulcers among people who use psychoactive substances. This was a secondary analysis of the data of 1087...

  • Review
  • Open Access
2 Citations
17,531 Views
9 Pages

Microdosing of Psychoactive Substances in Business Practice

  • Karel Lehmert,
  • Eva Ambrozova,
  • Vratislav Pokorny and
  • Jiri Kolenak

6 December 2021

Abusing psychoactive substances has been a popular sport in the business world since the mid-19th century. First, they were appreciated for their stimulating or tonic effects, but later with psychedelics on the scene, their importance in subculture m...

  • Review
  • Open Access
12 Citations
6,554 Views
12 Pages

10 March 2023

Introduction: A significant increase in psychoactive drugs use was observed in women of childbearing age and during the perinatal period worldwide. Yet, the use of illicit drugs, alcohol and tobacco during pregnancy is a serious health risk for the m...

  • Review
  • Open Access
27 Citations
5,365 Views
37 Pages

New Psychoactive Substances Intoxications and Fatalities during the COVID-19 Epidemic

  • Alfredo Fabrizio Lo Faro,
  • Diletta Berardinelli,
  • Tommaso Cassano,
  • Gregory Dendramis,
  • Eva Montanari,
  • Angelo Montana,
  • Paolo Berretta,
  • Simona Zaami,
  • Francesco Paolo Busardò and
  • Marilyn Ann Huestis

8 February 2023

In January 2020, the World Health Organization (WHO) issued a Public Health Emergency of International Concern, declaring the COVID-19 outbreak a pandemic in March 2020. Stringent measures decreased consumption of some drugs, moving the illicit marke...

  • Review
  • Open Access
47 Citations
7,038 Views
15 Pages

New Psychoactive Substances and Suicidality: A Systematic Review of the Current Literature

  • Stefania Chiappini,
  • Alessio Mosca,
  • Andrea Miuli,
  • Maria Chiara Santovito,
  • Laura Orsolini,
  • John Martin Corkery,
  • Amira Guirguis,
  • Mauro Pettorruso,
  • Giovanni Martinotti and
  • Massimo Di Giannantonio
  • + 1 author

Background and Objectives: Over the past twenty years a large number of new psychoactive substances (NPS) have entered and modified the recreational drug scene. Their intake has been associated with health-related risks, especially so for vulnerable...

  • Review
  • Open Access
50 Citations
13,767 Views
42 Pages

An Update on the Implications of New Psychoactive Substances in Public Health

  • Ana Y. Simão,
  • Mónica Antunes,
  • Emanuel Cabral,
  • Patrik Oliveira,
  • Luana M. Rosendo,
  • Ana Teresa Brinca,
  • Estefânia Alves,
  • Hernâni Marques,
  • Tiago Rosado and
  • Luís A. Passarinha
  • + 3 authors

The emergence of new psychoactive substances has earned a great deal of attention, and several reports of acute poisoning and deaths have been issued involving, for instance, synthetic opiates. In recent years, there have been profound alterations in...

  • Article
  • Open Access
5 Citations
1,654 Views
13 Pages

20 March 2024

Introduction: Alcohol is the most common psychoactive substance among young people. The use of psychoactive substances gives rise to a number of health, social, moral and economic problems. The aim of the study was to characterise the symptoms report...

  • Review
  • Open Access
16 Citations
6,607 Views
18 Pages

12 March 2020

About one-third of adult life is spent in the workplace. The use of psychoactive substances is a major preventable cause of morbidity and mortality. The consumption of psychoactive substances during or outside working hours greatly increases the freq...

  • Article
  • Open Access
24 Citations
10,114 Views
20 Pages

Substance misuse services need to meet the growing demand and needs of individuals using new psychoactive substances (NPS). A review of the literature identified a paucity of research regarding NPS use by these individuals and UK guidelines outline t...

  • Review
  • Open Access
32 Citations
6,062 Views
15 Pages

New Psychoactive Substances: Evolution in the Exchange of Information and Innovative Legal Responses in the European Union

  • Maria Rosaria Varì,
  • Giulio Mannocchi,
  • Roberta Tittarelli,
  • Laura Leondina Campanozzi,
  • Giulio Nittari,
  • Alessandro Feola,
  • Federica Umani Ronchi and
  • Giovanna Ricci

At the end of 2019, the European Monitoring Centre for Drugs and Drug Addiction was monitoring around 790 new psychoactive substances, more than twice the total number of controlled substances under the United Nations Conventions. These substances, w...

  • Article
  • Open Access
5 Citations
3,348 Views
15 Pages

Role of Neonatal Biomarkers of Exposure to Psychoactive Substances to Identify Maternal Socio-Demographic Determinants

  • Pilar Jarque,
  • Antonia Roca,
  • Isabel Gomila,
  • Emilia Marchei,
  • Roberta Tittarelli,
  • Miguel Ángel Elorza,
  • Pilar Sanchís and
  • Bernardino Barceló

4 April 2021

Background: The accurate assessment of fetal exposure to psychoactive substances provides the basis for appropriate clinical care of neonates. The objective of this study was to identify maternal socio-demographic profiles and risk factors for prenat...

  • Article
  • Open Access
6 Citations
3,969 Views
11 Pages

Knowledge and Use of Novel Psychoactive Substances in an Italian Sample with Substance Use Disorders

  • Deborah Dal Farra,
  • Alice Valdesalici,
  • Giancarlo Zecchinato,
  • Alfio De Sandre,
  • Diego Saccon,
  • Pierluigi Simonato,
  • Ornella Corazza,
  • Giovanni Martinotti,
  • Andrew L. Smith and
  • Marco Solmi

This study aims to determine prevalence and frequency of use of novel psychoactive substances (NPS) and to identify the factors associated with NPS use in an Italian sample of patients diagnosed with substance use disorder (SUD). Prevalence and corre...

  • Systematic Review
  • Open Access
600 Views
35 Pages

Wastewater Analyses for Psychoactive Substances at Music Festivals: A Systematic Review

  • Ringala Cainamisir,
  • Xiao Zeng,
  • Samuel B. Himmerich and
  • Hubertus Himmerich

3 December 2025

Music festivals have emerged as venues for the consumption of recreational drugs and novel psychoactive substances. This systematic review provides the first critical evaluation and synthesis of published wastewater analyses for detecting recreationa...

  • Review
  • Open Access
1 Citations
4,572 Views
40 Pages

The Blurred Lines Between New Psychoactive Substances and Potential Chemical Weapons

  • Loreto N. Valenzuela-Tapia,
  • Cristóbal A. Quintul,
  • Nataly D. Rubio-Concha,
  • Luis Toledo-Ríos,
  • Catalina Salas-Kuscevic,
  • Andrea V. Leisewitz,
  • Pamela Cámpora-Oñate and
  • Javier Campanini-Salinas

1 August 2025

The historical use of toxic chemicals to cause intentional harm has evolved from blister agents in World War I to highly lethal organophosphates and emerging families of chemicals, such as Novichok. In turn, medical or recreational substances like fe...

  • Article
  • Open Access
13 Citations
2,666 Views
13 Pages

16 February 2023

As new psychoactive substances (commonly known as “the third generation drugs”) have characteristics such as short-term emergence, rapid updating, and great social harmfulness, there is a large gap in the development of their detection me...

  • Article
  • Open Access
6 Citations
3,955 Views
9 Pages

New Psychoactive Substances Consumption in Opioid-Use Disorder Patients

  • Maria Alías-Ferri,
  • Manuela Pellegrini,
  • Emilia Marchei,
  • Roberta Pacifici,
  • Maria Concetta Rotolo,
  • Simona Pichini,
  • Clara Pérez-Mañá,
  • Esther Papaseit,
  • Robert Muga and
  • Francina Fonseca
  • + 2 authors

22 April 2022

(1) Background: Since the beginning of the 21st century, the large number and wide chemical variety of new psychoactive substances (NPS) that enter the market every year has become a public health problem. Given the rapidity with which the drug marke...

  • Review
  • Open Access
2 Citations
4,514 Views
33 Pages

One of the factors that increase the effectiveness of the pharmacotherapy used in patients abusing various types of new psychoactive substances (NPSs) is the proper functioning of the liver. However, the articles published to date on NPS hepatotoxici...

  • Review
  • Open Access
3 Citations
4,594 Views
14 Pages

A Comprehensive Analysis of Legislative Strategies for New Psychoactive Substances: The Brazilian Panorama

  • Bruno Pereira dos Santos,
  • Letícia Birk,
  • Patricia de Souza Schwarz,
  • Sarah Eller,
  • Tiago Franco de Oliveira and
  • Marcelo Dutra Arbo

Over the last decades, new psychoactive substances (NPSs) have established a new pattern of drug synthesis and distribution. These compounds brought with them several challenges, including their analytical determination by known methodologies, the un...

  • Article
  • Open Access
5 Citations
3,201 Views
23 Pages

6 May 2024

The determination of illegal drugs and psychoactive substances in wastewater is increasingly being used to monitor the use of both by populations in specific areas. This article describes a method for the simultaneous determination of 78 illegal drug...

  • Article
  • Open Access
2 Citations
2,186 Views
17 Pages

The global rise of new psychoactive substances (NPSs) poses challenges for their analysis in biological matrices due to their complex chemistries and short market lifespan. A comparative study for the simultaneous extraction, separation, and detectio...

  • Communication
  • Open Access
24 Citations
7,809 Views
9 Pages

The Internet has played a major role in the distribution of New Psychoactive Substances (NPS), and crypto markets are increasingly used for the anonymous sale of drugs, including NPS. This study explores the availability of individual NPS and vendors...

  • Systematic Review
  • Open Access
2 Citations
2,252 Views
22 Pages

Uncovering the Metabolic Footprint of New Psychoactive Substances by Metabolomics: A Systematic Review

  • Ana Sofia Almeida,
  • Paula Guedes de Pinho,
  • Fernando Remião and
  • Carla Fernandes

13 January 2025

New psychoactive substances (NPSs) emerged in the 2000s as legal alternatives to illicit drugs and quickly became a huge public health threat due to their easy accessibility online, limited information, and misleading labels. Synthetic cannabinoids a...

  • Review
  • Open Access
12 Citations
5,459 Views
20 Pages

New Psychoactive Substances Toxicity: A Systematic Review of Acute and Chronic Psychiatric Effects

  • Beldisa Taflaj,
  • Nunzia La Maida,
  • Roberta Tittarelli,
  • Annagiulia Di Trana and
  • Ilaria D’Acquarica

31 August 2024

New psychoactive substances (NPSs) are a heterogenous group of psychotropic molecules and diverted pharmaceutical drugs sold worldwide as legal substitutes for controlled drugs. The psychiatric consequences of NPS use are relatively unknown, although...

  • Article
  • Open Access
12 Citations
7,230 Views
22 Pages

Exploring the Baseline Knowledge and Experience of Healthcare Professionals in the United Kingdom on Novel Psychoactive Substances

  • Camille Ramos,
  • Amira Guirguis,
  • Nigel Smeeton,
  • Hadar Zaman,
  • Anna-Marie Felice,
  • Stephanie Bancroft,
  • Rosalind Gittins,
  • Gill Hawksworth,
  • John Martin Corkery and
  • Fabrizio Schifano

Objective: This survey aimed to explore knowledge and experience on novel psychoactive substances (NPS) of healthcare professionals (HCPs). The study also aimed to assess how HCPs would like to improve their knowledge of NPS. Methods: Seventy paper q...

  • Article
  • Open Access
2 Citations
2,541 Views
12 Pages

New Psychoactive Substances: Awareness and Attitudes of Future Health Care Professionals in Serbia

  • Vesna Mijatović Jovin,
  • Nina Skoko,
  • Ana Tomas,
  • Dejan Živanović,
  • Darija Sazdanić,
  • Nemanja Gvozdenović and
  • Ana-Marija Vejnović

This study was conducted in order to evaluate prospective health care professionals’ (HCPs) awareness and attitudes regarding new psychoactive substances (NPSs) in the context of their future role in the prevention and treatment of NPS overdose...

  • Article
  • Open Access
1,749 Views
12 Pages

With a rising demand of cocaine over the last years, it is likely that unregulated new psychoactive substances with similar effects such as indatraline ((1R,3S)-3-(3,4-dichlorophenyl)-N-methyl-2,3-dihydro-1H-inden-1-amine) and troparil (Methyl (1R,2S...

  • Editorial
  • Open Access
10 Citations
3,634 Views
4 Pages

New/novel psychoactive substances (NPS) are defined as new narcotic/psychotropic drugs which are not controlled by the United Nations’ 1961 Narcotic Drugs/1971 Psychotropic Substances conventions, but which may pose a public health threat [...]

  • Article
  • Open Access
16 Citations
5,141 Views
10 Pages

Challenges in Drug Surveillance: Strengthening the Analysis of New Psychoactive Substances by Harmonizing Drug Checking Services in Proficiency Testing

  • Margot Balcaen,
  • Mireia Ventura,
  • Cristina Gil,
  • Anton Luf,
  • Daniel Martins,
  • Mar Cunha,
  • Karsten Tögel-Lins,
  • Danny Wolf,
  • Peter Blanckaert and
  • Eric Deconinck

Background: Drug checking is a proven harm reduction strategy and provides real-time information on the market of new psychoactive substances (NPS). It combines chemical analysis of samples with direct engagement with people who use drugs (PWUD), giv...

  • Review
  • Open Access
79 Citations
15,125 Views
17 Pages

Abuse of Prescription Drugs in the Context of Novel Psychoactive Substances (NPS): A Systematic Review

  • Fabrizio Schifano,
  • Stefania Chiappini,
  • John M. Corkery and
  • Amira Guirguis

Recently, a range of prescription and over-the-counter drugs have been reportedly used as Novel Psychoactive Substances (NPS), due to their potential for abuse resulting from their high dosage/idiosyncratic methods of self-administration. This paper...

  • Article
  • Open Access
1 Citations
1,745 Views
19 Pages

Numerous individuals suffer from mental health issues including depression and anxiety, resulting in substantial societal burden. Data suggests individuals are choosing to self-medicate with Novel Psychoactive Substances (NPS); however, this phenomen...

  • Feature Paper
  • Article
  • Open Access
7 Citations
7,113 Views
20 Pages

An ever-increasing need exists within the forensic laboratories to develop analytical processes for the qualitative and quantitative determination of a broad spectrum of new psychoactive substances. Phenylethylamine derivatives are among the major cl...

  • Article
  • Open Access
5 Citations
3,368 Views
13 Pages

The Need for Psychiatric Treatment among Polish Users of Psychoactive Substances Is Increasing: This and Other Results from the Newest PolDrugs Survey

  • Gniewko Więckiewicz,
  • Julia Marek,
  • Iga Stokłosa,
  • Sandra Szafoni,
  • Szymon Pluta,
  • Katarzyna Smukowska,
  • Gabriela Żebrowska,
  • Maciej Stokłosa,
  • Piotr Gorczyca and
  • Robert Pudlo

Background and Objectives: PolDrugs is the largest Polish naturalistic nationwide survey to present basic demographic and epidemiological data that could potentially prevent harm from illicit substances intake in drugs users. The most recent results...

  • Article
  • Open Access
5 Citations
2,732 Views
20 Pages

Novel psychoactive substances (NPSs) are compounds plotted to modify the chemical structures of prohibited substances, offering alternatives for consumption and evading legislation. The prompt emergence of these substances presents challenges in heal...

  • Article
  • Open Access
4 Citations
2,156 Views
13 Pages

20 November 2024

Background/Objectives: This study evaluates the applicability of a comprehensive two-dimensional gas chromatography−flame ionisation detection (GC×GC−FID) approach for the simultaneous determination of 12 underivatised psychoactive...

  • Article
  • Open Access
4 Citations
2,888 Views
12 Pages

Legal highs are new psychoactive substances (NPSs) which pose a high risk for human health, and the spread of the SARS-CoV-2 pandemic has changed peoples’ behaviours, including the demand for NPS. The aim of the study was to assess both the fre...

  • Article
  • Open Access
7 Citations
2,881 Views
10 Pages

Clinical Presentations and Predictors of In-Hospital Mortality in Illicit Drug Users in the New Psychoactive Substances (NPS) Endemic Era in Taiwan

  • Hsin-Tzu Yeh,
  • Hsien-Yi Chen,
  • Sung-Wei Liu,
  • Te-I Weng,
  • Cheng-Chung Fang,
  • Jiun-Hao Yu,
  • Yen-Chia Chen,
  • Yu-Jang Su,
  • Shi-Ying Gao and
  • Chih-Chuan Lin

12 July 2022

Predictors of mortality in illicit drug users involving Novel Psychoactive Substances (NPS) and multiple substances have not been elucidated. We aimed to define predictors of mortality in the NPS endemic era’s illicit drug users to strengthen p...

  • Article
  • Open Access
31 Citations
6,002 Views
21 Pages

The use of the new psychoactive substances is continuously growing and the implementation of accurate and sensible analysis in biological matrices of users is relevant and fundamental for clinical and forensic purposes. Two different analytical techn...

  • Review
  • Open Access
24 Citations
7,557 Views
17 Pages

Molecular Mechanisms of Action of Novel Psychoactive Substances (NPS). A New Threat for Young Drug Users with Forensic-Toxicological Implications

  • Arianna Giorgetti,
  • Jennifer P. Pascali,
  • Paolo Fais,
  • Guido Pelletti,
  • Andrea Gabbin,
  • Giorgia Franchetti,
  • Giovanni Cecchetto and
  • Guido Viel

14 May 2021

Novel psychoactive substances (NPS) represent a severe health risk for drug users. Even though the phenomenon has been growing since the early 2000s, the mechanisms of action of NPS at the receptors and beyond them are still scarcely understood. The...

  • Article
  • Open Access
7 Citations
3,154 Views
16 Pages

First-Generation Synthetic Cathinones Produce Arrhythmia in Zebrafish Eleutheroembryos: A New Approach Methodology for New Psychoactive Substances Cardiotoxicity Evaluation

  • Elisabet Teixidó,
  • Clara Riera-Colomer,
  • Demetrio Raldúa,
  • David Pubill,
  • Elena Escubedo,
  • Marta Barenys and
  • Raul López-Arnau

8 September 2023

The increasing number of new psychoactive substances (NPS) entering the illicit drug market, especially synthetic cathinones, as well as the risk of cardiovascular complications, is intensifying the need to quickly assess their cardiotoxic potential....

  • Review
  • Open Access
1 Citations
1,636 Views
13 Pages

Suicide, Psychoactive Substances, and Homelessness: A Scoping Review

  • Dalvan Antonio de Campos,
  • Adriano Alberti,
  • Carlos Eduardo Seganfredo Camargo,
  • Andréia Biolchi Mayer,
  • João Batista de Oliveira Junior,
  • Nayara Lisboa Almeida Schonmeier,
  • Rose Lampert,
  • Gabriela Kades,
  • Bruna Becker da Silva and
  • Graziela Marques Leão
  • + 9 authors

Background/Objectives: The homeless population (HP) is a heterogeneous group characterized by the absence of stable and conventional housing, often relying on public spaces and deteriorated environments for shelter and survival, either temporarily or...

  • Article
  • Open Access
1 Citations
2,664 Views
17 Pages

Intensity of Psychoactive Substance Use Affects the Occurrence of Prodromal Symptoms of Psychosis

  • Gniewko Więckiewicz,
  • Iga Florczyk,
  • Maciej Stokłosa,
  • Marta Jurga,
  • Piotr Gorczyca and
  • Magdalena Kotlicka-Antczak

28 January 2024

Background: Psychosis is defined as a series of symptoms that impair the mind and lead to a kind of loss of reference to reality. Development of psychosis is usually preceded by the appearance of prodromal symptoms. Numerous attempts have been made t...

  • Feature Paper
  • Article
  • Open Access
6 Citations
4,287 Views
10 Pages

28 June 2023

The proliferation of new psychoactive substances (NPSs) in recent years has posed a significant challenge to public health. Traditional monitoring methods have proven insufficient in tracking these constantly evolving substances, leading to the devel...

  • Article
  • Open Access
14 Citations
4,586 Views
11 Pages

15 August 2019

Screening of illicit drugs for new psychoactive substances—namely cathinone—at crime scenes is in high demand. A dual-emission bovine serum albumin-stabilized gold nanoclusters probe was synthesized and used for quantitation and screening...

  • Article
  • Open Access
6 Citations
2,412 Views
10 Pages

(1) Background: Numerous studies state that the abuse of psychoactive substances produces cognitive, emotional and behavioral disorders. The aim of this study is to analyze the relationship between the consumption of different psychoactive substances...

  • Review
  • Open Access
4 Citations
4,926 Views
16 Pages

Over the past decade, more than a thousand new psychoactive substances (NPSs) have emerged worldwide. This rapid proliferation of “designer drugs” poses significant challenges for drug control, forensic analysis, and public health. Artifi...

  • Article
  • Open Access
1 Citations
6,396 Views
13 Pages

Work Stress and Psychoactive Substance Use among Correctional Officers in the USA

  • Wasantha Jayawardene,
  • Chesmi Kumbalatara,
  • Alsten Jones and
  • Justin McDaniel

Background: Correctional officers’ life expectancy in the U.S. is 59 years, compared to the population average of 75 years. Correctional officers have higher suicide rates than others and carry a higher risk for substance use. This study examin...

  • Article
  • Open Access
2 Citations
2,271 Views
11 Pages

Sociodemographic Factors Associated with Emotional Distress, Transactional Sex and Psychoactive Substance Use during the First Wave of the COVID-19 Pandemic

  • Morenike Oluwatoyin Folayan,
  • Roberto Ariel Abeldaño Zuñiga,
  • Oliver C. Ezechi,
  • Nourhan M. Aly,
  • Joanne Lusher,
  • Annie L. Nguyen and
  • Maha El Tantawi

1 February 2023

The aim of this study was to identify the sociodemographic factors associated with emotional distress and determine if the quality of family relationships and the perception of social isolation can protect those who transacted sex or used psychoactiv...

  • Editorial
  • Open Access
7 Citations
2,355 Views
3 Pages

Molecular Insights on New Psychoactive Substances (NPSs)

  • Francesco Paolo Busardò and
  • Simona Pichini

Currently, more than 1000 molecules have been classified as New Psychoactive Substances (NPSs), and it is reported that, every year, this number increases with new classes of compounds and/or newer generations of NPS families [...]

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