Emergence of novel psychoactive substances among clients of a needle exchange programme in Budapest

Author:

Rácz József12,Csák Róbert1

Affiliation:

1. Semmelweis Egyetem, Egészségtudományi Kar Addiktológiai Tanszék Budapest

2. Eötvös Loránd Tudományegyetem, Pedagógiai és Pszichológiai Kar Pszichológiai Intézet Budapest

Abstract

In this paper the authors summarize experience of a drug service provider with the injecting use of novel psychoactive substances. Among clients of the needle exchange programme of Blue Point Drug Counselling and Outpatient Centre, the authors observed the spread of the novel substances since 2009. The extensive spread of the novel substances caused substantial change in injecting use patterns, thus in the usage of the needle exchange programme. The novel psychoactive substances appeared consecutively, so that this setting gave a unique opportunity to observe and track the emergence of these substances. The authors summarize the characteristics which are important for medical practice (risks, frequent use, severe psychopathological conditions) as well as special risks associated with these substances (substances with unknown composition and effect). They highlight the importance and role of the early warning system, monitoring the online sources of information and testing of samples containing novel psychoactive substances. Orv. Hetil., 2014, 155(35), 1383–1394.

Publisher

Akademiai Kiado Zrt.

Subject

General Medicine

Reference61 articles.

1. Csák, R., Gyékiss, R., Márványkövi, F., et al.: Injecting mephedrone use in Hungary according to the experiences of needle exchange providers. [Magyarországi intravénás mefedronhasználat a tűcsere szolgáltatók tapasztalatai alapján]. Addiktológia, 2010, 9(4), 281–288. [Hungarian]

2. Csák, R., Demetrovics, Z., Rácz, J.: Changes in substance use patterns in the injecting drug user population in Budapest. Conference on Novel Psychoactive Substances (NPS) “The Ever-Changing World of Psychoactive Drugs”. Addiktológia Hungarica, 2012, 11(Suppl.), 45–46.

3. Rácz, J., Márványkövi, F., Melles, K., et al.: Road to survival. Open drug scene and shooting galleries in Budapest. Considerations on harm reduction. [Út a túléléshez. Nyílt színi droghasználat és „belövőszobák” Budapesten. Az ártalomcsökkentéssel kapcsolatos megfontolások.] L’Harmattan Kiadó, Budapest, 2010. [Hungarian]

4. Rácz, J., Csák, R., Karátson, R., et al.: The phenomena of drug transitions in interviews with injecting drug users. [A drogváltás jelensége injekciós droghasználókkal készített interjúkban.] Psychiatria Hungarica, 2012, 27(1), 29–47. [Hungarian]

5. Csák, R., Demetrovics, Z., Rácz, J.: Transition to injecting 3,4-methylene-dioxy-pyrovalerone (MDPV) among needle exchange program participants in Hungary. J. Psychopharmacol., 2013, 27(6), 559–563.

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