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Health

Lists of controlled substances updated

08/07/2016

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 

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ANVISA approved the update of the "Substances Lists Narcotic Drugs, Psychotropic, Precursor and other under Special Control" contained in Annex I of Ordinance SVS / MS 344/98.

With the new update, start to appear on the list the following substances: fenazepam, rufinamide, acetilfentanil, MT-45, 4,4'-dmar, alpha-PVP and PMMA.

The fenazepam was incorporated into the list B1 (Psychotropic Substances subject to Revenue B Notification) and rufinamide to List C1 (other substances subject to special control).

The fenazepam is a benzodiazepine used to reduce anxiety, seizures and sleep disorders. It is more potent that diazepam and has more severe side effects and longer lasting, with addictive potential. fatal cases have been described by fenazepam intake, particularly in combination with other CNS depressants. To date, there is no drug registered in Brazil on the basis of this substance.

Rufinamide is the active principle of anticonvulsant medication that is in registration process at ANVISA. It is new molecule with psychoactive effects, indicated as adjunctive therapy in the treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients with 4 or more years of age. Based medicines that substance are approved for use in the European Union and the United States.

The acetilfentanil and MT-45 were added to the F1 List (Narcotics prohibited use) and 4,4'-dmar, alpha-PVP and PMMA to List F2 (Psychotropic of prohibited use). This means shall be prohibited in Brazil, allowed exceptionally in research and scientific work.

The acetilfentanilé sold over the Internet and has been associated, at least 52 deaths in the United States. The effects reported by users are similar to those observed in the use of fentanyl and heroin, may be mixed with these drugs to increase the potency. The effects include euphoria, respiratory depression, nausea, confusion, constipation, sedation, unconsciousness, coma, tolerance and dependence.

The MT-45 is a synthetic opioid that has been researched as an analgesic in the 1970s features similar analgesic potency or superior to morphine with addictive potential in humans.

The stimulating 4,4'-dmar has been found in tablets and powders sold in other countries street market (commonly associated with other drugs) and use was associated with 31 deaths. There is no established medical application or recognized that substance, which may have the following effects: agitation, hyperthermia, convulsions, respiratory and cardiac arrest.

The Alpha-PVP is a synthetic cathinone stimulant action and addictive potential in humans. It is presented on the form of powder or tablets usually originating in China. In 2015, more than 280 kg were seized in EU countries. 140 serious adverse events were reported, including poisonings and deaths.

PMMA (para-metoximetanfetamina) is a synthetic drug structurally related to methamphetamine. The symptoms in users include: tachycardia, hyperthermia, seizures, breathing problems and heart failure.

The inclusion of these substances in the control lists of the SVS / MS 344/98 was held in compliance with international requirements of the UN Convention on Narcotic Drugs (1961) and on Psychotropic Substances (1971), of which Brazil is a signatory. These compounds were included in the International Control Lists contained in these treaties after the 59th Meeting Narcotic Drugs Commission (CND) of the United Nations Office on Drugs and Crime (UNODC), which Anvisa participated.

Such substances are known to New Psychoactive Substances (NSP), which are designed molecules, mostly for illegal purposes and in order to evade control measures applied to substances already controlled, which derive or mimic the effects.

The inclusion of these substances in the SVS / MS 344/1998 is in line with major international strategies to combat the appearance of these drugs.

In 2016, it was included in lists 11 substances in Annex I of Ordinance 344/1998, in addition to structural class of synthetic cannabinoids. Of these, 8 and those that fit the structural classes of synthetic cannabinoids are classified as NSP. Following is the list of substances included in 2016:

Updates Ordinance 344/98 are available at: http://portal.anvisa.gov.br/lista-de-substancias-sujeitas-a-controle-especial

 

Source: Anvisa

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