Sunday, August 12, 2012

Apocalypse 2012


     How many people think that this is the year of 'the end of the world, 'the rapture', 'the return of the messiah'? How many times has the human race thought of it before?

     There are legends, myths, confabulations about 'the end times' in nearly every culture that currently exists or has ever existed on this planet. And what demagogue (politician? religious leader?) wouldn't want to take advantage of that?
      
     *Apocalypse: subject of research for the novel  The Tao of the Thirteenth God - Amazon Kindle.

Tuesday, July 24, 2012

A Pile of Stones


Inuksuk
     Rock cairns may, at times, appear to be simple piles of stones but these man-made structures have been used throughout the world and throughout time as markers for various purposes:
  • markers for pathways or navigation (sea marks), signals for direction (Inuit inuksuk - see post: The Inuksuk)), 
  • ceremonial or religious purposes, 
  • remembrance of people or events (airplane crashes-see post: The Accidental Cannibal) 
  • solar observatories (Medicine Wheels, North America-see post: Temples to Watch the Sun) in modern times, 
  • as storage sites for preservation of rare or threatened specimens and,
  • in the frozen north or at high altitude, as caches for protection and storage of food.
Sea 'Mark', Finland

     The Svalbard Global Seed Bank on the island of Spitzbergen, Norway is a giant cairn/vault established to preserve samples of the world's seeds, guarding them from extinction.

     Cairns as graves have been used since prehistoric times with different configurations (based on the design and age that they were built) described as chambered cairns, clava cairns and court cairns.  
     The city of Cairns in Queensland, Australia is not named after the finding of stone mounds but rather after the state's governor of the day (1876), William Wellington Cairns.
The Svalbard Global Seed Bank


     A burial cairn, is a last place of rest, a symbol of endurance as well as a monument to the person(s) beneath the pile of stones. Memorial to Stella Maris.
 Cairn Memorial to Stella Maris
Rugby Crash (1972)

   
     *Stone markers and symbols: subject of research for the novel  The Tao of the Thirteenth God - Amazon Kindle.
Chamber Burial Cairn
-Orkney Islands

Thursday, July 12, 2012

The Risk of Never Waking Up at All


     In 1996, the American Medical Association recognized sleep (and the lack of sleep, insomnia) as a medical speciality. But the history of sleeplessness has been with the human race for tens and probably hundreds of thousands of years. The earliest cavemen likely suffered from sleep disturbances, associated with the worries about what they would eat the next day, how to keep the carve warm or how to avoid the many predators that were wandering around.
Complications of Insomnia

     The word 'insomnia' was first used in 1623, in the third known English Language dictionary, written by Henry Cockeram. Cockeram defined insomnia as 'Insomnie (the 'anglicized' form of the Latin 'insomnia'): 'Watching, want of power to sleepe'.
     Insomnia (the absence of sleep) is intricately related to the night and the absence of light. Insomnia is considered by some to be a 'double negative' -  the absence of unconsciousness (a lack of sleep when there is lack of light).
     The descriptive history of insomnia dates far back. The Babylonian Atrahasis epic (about 2000 B.C.), describes a war among the gods at the end of which the lead troublemaker is killed and his remains used to create human beings.
Epic of Gilgamesh

     But these humans, set to work at manual labour, reproduce so rapidly that their noise keeps the god Enil from sleeping. In the real world, ancient peoples were kept from sleep by wars, moonlight, love and lust, anxiety, hunger noise...making insomnia a real and probably daily problem.
     In Greece, around 400 B.C, the father of western medicine, Hippocrates wrote his theory of sleep in 'Corpus Hippocraticum'.
     The oldest known literary work (The Epic of Gilgamesh) tells the story of the oldest human hero, the Mesopotamian Gilgamesh. Gilgamesh becomes mortal by making a transition from constant wakefulness to sleeplessness to knowledge, on the way, experiencing significant insomnia due to all the energy he possessed for work and celebration.
King Wu

     As in other ancient tales, sleeplessness and sleep play on the fault line between mortality and immortality. The 'devil' was to blame for the inability to fall asleep, a punishment from the gods. Others in the ancient world knew sleeplessness because of hunger, worry, and love sickness or—in the case of the Chinese King Wu—because he could not sleep as long as he had not secured heaven’s support'.
     Inhabitants of medieval Europe did not seem to have been worried when they woke up in the middle of the night - a worry that concerns insomniacs today. At that time, interrupted nocturnal sleep was a common experience, the culprits behind insomnia included bedbugs and fear of arson, robbery, and political conspiracy.
     But most worrisome of all were the Devil and his minions (see post: Devils and Demons): According to some, the Devil himself was an insomniac, a fact which required vigilance on the part of Christians.
     In the 1300s, public clocks and bells triggered a heightened awareness of insomnia (or, perhaps became a major cause of it). In Shakespeare’s plays, insomnia was often a condition that affected 'the unsettled mind'.

     With the emergence of the mercantile economy in modern Europe, new forms and ideas of insomnia began to predominate. Wasting one’s time became a serious sin and time was increasingly counted and calculated. New notions about sleep and the stresses of life arose: sleeplessness was secondary to anxiety and that anxiety came from putting faith in material things. Dutch Calvinists demanded moderation in both sleep and consumption. English preachers of the seventeenth century moulded the concept of sleep into the equivalent of 'moral disorder'. Sleeping in was a bad thing and morally condemned.
     In the 19th century, there were many schools of thought for the cause of sleep (and the lack of it). One  idea was that sleep was related to the blood vessels, that sleep was due either to congestion or pressure of blood in the brain, or a lack of blood in the brain.
     Two chemical approaches were also thought to be possible concepts for the cause of sleep. The chemical approach implied that sleep was caused by either a lack of oxygen to the brain or an accumulation of toxic substances, such as cholesterol, carbon dioxide, 'urotoxins' or 'leucomaines'.  With the build-up of these toxins during the day, sleep eventually ensued. As one slept, these same toxins slowly drained away.
     With a new understanding of the central nervous system, the demonstration of the electrical activity of the nervous system, and the newly named neuron (the nerve cell), neural theories for the cause of sleep came into vogue. One type of neural theory was that neurons were paralyzed during sleep, preventing communication between other nerve cells.

     Based on earlier experiments, behavioral theories for the cause of sleep were presented in the late 1800s, theories which proposed the existence of an 'inhibitory reflex' as the cause of sleep; sleep occurred as the result of something being turned off or removed. This inhibitory theory was expanded to state that a loss of wakefulness was based on a loss of stimulation to the senses. By the end of the century, this theory was refuted with the finding of the role of the brainstem in sleep and wakefulness.
     An experiment performed by two neuro-anatomists in the early 1800s, revealed the anatomy of sleep and wakefulness to some degree. In 1809,
Anatomy Museum of Luigi Rolando (Turin)

     Luigi Rolando noted that a permanent state of sleepiness occurred after he removed the cerebral hemispheres in the brains of birds. Marie Jan Pierre Flourens repeated the same experiment in pigeons in 1822.
     Human beings always attempt to'correct' what they deem to be an abnormal state. With lack of sleep (insomnia) judged as an abnormal state, sleeping remedies were invented.
     Evidence of the earliest forms of sleeping remedies are found in ancient Greece and Egypt.
     The most common form of sleep aid used in the ancient world was opium, a very effective antidote to sleeplessness. The Greek God of sleep, Hypnos, was usually shown holding a poppy flower in paintings and sculpture.

Hypnos

     Other sleeping aids of the ancient world included lettuce juice, the bark of mandrake (mandragora), the seeds of a herb called henbane, and, of course wine. The juice of lettuce was also used to induce sleep. As early as 300 B.C. , Greek doctors were known to prescribe concoctions of all these different plant derivatives. Similar prescriptions were also apparently known throughout the Arab world.
     Plant-based sleep aids were all that were available up until the nineteenth century. Apothecaries of the Middle Ages in Europe stocked 'spongia somnifera' a sponge soaked in wine and various herbs. Other mixtures were known in England in the Middle Ages and the Renaissance as 'drowsy syrups'.
Mandrake (Mandragora)
     In 1805, the chemist, Fredrick Setumer synthesized opium for the first time (see post: Ancient remedies), followed by new research into synthesized sedatives to be used as sleeping remedies. By the 1850s two new sleep aids had emerged as the most successful and were being commonly used around the world.
     Chloral hydrate, developed in the early 1830s in Germany (by Justus von Liebig who used dry chlorine on ethylic alcohol, creating chloroform) was a very fast acting depressant of the central nervous system and  extremely effective for inducing sleep quickly (especially when mixed with alcohol).
     Chloral hydrate became known as 'knock out drops', 'Mickey Finn' or 'Mickeys' whence the saying 'slip a Mickey into his drink'. The new drug was introduced in Berlin as a surgical anesthetic and began to be used for insomnia, in lieu of opiates. The problem was that in many cases people overdosed, especially if any amount of alcohol was consumed, and never woke up after using these 'sleep aids'.

Justus von Liebig

     The other extremely popular sleep aid of the nineteenth century was pills made of a combination of bromides  - sodium bromide, potassium bromide, and ammonium bromide, which all act as central nervous system depressants -  invented in 1857 by an English chemist, Sir Charles Locock. These were originally designed as a (rather ineffective) treatment for epilepsy.
     In 1864, however, a German doctor, Otto Behrend, discovered that potassium bromide was a useful sedative. From that point on, the various bromides be-came popular as sleep aids in the late nineteenth and early twentieth century. Although bromides could make someone fall asleep very easily, these drugs came with a variety of side effects and like chloral hydrate, could also cause overdose.
     In the early twentieth century, the most popular sleeping pills were the barbiturates. The barbiturates comprise a class of drugs with more than 25,000 known compounds.

Adolf von Baeyer

     A Prussian chemist, Adolf von Baeyer, is credited with discovering barbituric acid in 1864, creating the acid out of a compound of malonic acid and urea. In 1903, a student of Baeyer's produced a new compound out of barbituric acid and a diethyl derivative and gave the new chemical (diethyl-malonyl) the commercial name Veronal.
     The most widely used was phenobarbital. Other pharmaceutical companies created new barbiturates in the 1920s and 1930s - Eli Lilly produced Amytal and Seconal; Abbott Laboratories invented Pentothal.
     As with chloral hydrate and the bromides, the barbiturates were effective sleep aids but also dangerous. Barbiturates were shown to be addictive, could have a variety of unpleasant side-effects and, when taken with alcohol, were often lethal either through accidental overdose or planned suicide.

     The benzodiazepines were developed as safer sleeping pills in the 1970s (Valium, Xanax, Ativan) but these chemicals still shared some of the problems seen with barbiturates (addiction and memory impairment).
     In 1978, the US Food and Drug Administration (FDA) approved one active ingredient for an over-the-counter sleep aid - the antihistamine doxylamine succinate and, in 1982 approved two more antihistamines for non-prescription hypnotics (diphenhydramine HCL and diphenhydramine citrate).

St. John's Wort Flower

     Today's 'natural' sleeping remedies are more advanced than opium and lettuce juice used in ancient times. Most modern natural sleep aids use combinations from a variety of herbs and herbal extracts from all over the world. These herbal extracts include St. Johns Wort and nardostchya jatamanshi and valeriana wallichi which are mild sedatives.
     Aside from Gilgamesh and the ancient Greeks and Egyptians, many famous people in more recent times have suffered from sleep disturbances. Insomnia is not a modern problem. Insomnia is a fact of life and always has been.

Sir Isaac Newton

     Sir Isaac Newton (see post: Doomsday in Modern Culture) suffered from a severe case of depression and, consequently, had trouble sleeping.
     Some famous insomniacs felt that their nocturnal wakefulness was connected with the beds in which they were sleeping.
     Benjamin Franklin insisted on having bed-sheets that had low temperature as this would help him sleep.
     Sir Winston Churchill had two beds and if he couldn’t sleep in one, he would lie down in the second.

Thomas Edison

     Thomas Edison was unable to have a normal night sleep pattern so he started catnapping during the day.
     Charles Dickens believed that the position he had in bed and the position of the bed itself were factors in getting a good sleep and he placed his bed facing north and slept exactly in the middle of the mattress. He used to check this by extending both his arms out sideways and then wriggling until he was exactly in the centre. Only after this ritual could he begin to enjoy his slumber.
     Marcel Proust used Barbital to trick his insomnia.
     Napoleon was unable to sleep more than three hours every night but it seemed that this was enough for him.
     One of the most creative insomniacs was Alexandre Dumas who produced enough words to fill 1,200 volumes and claimed to have fathered 500 children.
Alexandre Dumas

     The English writer, Arthur Evelyn St. John Waugh, consumed huge amounts of bromides to the point that he suffered hallucinations but still could not get the sleep he wanted.
     The Earl of Rosebery, the Prime Minister of England for one year, between 1894 and 1895 was forced to resign due to chronic insomnia. He had become a chronic user of Sulphonal.
     Margaret Thatcher stated that 'sleep is for wimps'.
     Richard Nixon, American president from 1969 to 1974 was a known chronic insomniac, often binge drinking when under stress. In 1968, Nixon was given an anti-convulsant medication (Dilantin) by his financier friend Jack Dreyfus (who had used the drug to treat his depression).
Margaret Thatcher

     The president then used the drug an on-going basis, resulting in slurred speech, dizziness, at times mental confusion and, increased insomnia during his final months in office before his resignation.
     Human beings always strive to correct 'abnormal' states and with the invention of 'sleeping  pills' as a 'correction', complications ensued.
     A white, crystalline powder called Sulphonal (dimethyl sulphone dimethyl methane) was developed in Germany in 1886 and marketed as a 'sleeping draught'. Within a short time, it became evident that use of Sulphonal on a regular basis resulted in hallucinations and addiction.
     Paraldehyde is a colourless liquid, soluble in water and highly soluble in alcohol. Paraldehyde slowly oxidizes in air, turning brown and producing an odour of acetic acid (vinegar). The drug was synthesized in 1829 and  introduced into clinical practice in the UK by an Italian physician in 1882. It has been used to treat epilepsy as well as a sedative and sleep medication. It is one of the safest hypnotics and was regularly given at bedtime in psychiatric hospitals and to the elderly up until the 1960s.

Richard Nixon
     Today, paraldehyde is sometimes used to treat unresponsive seizures (status epilepticus). Paraldehyde was the last injection given to Edith Alice Morrell in 1950 by the suspected serial killer Dr. John Bodkin Adams (see post: Death by Physician).
     An American survey of 107 physicians taken in 1880, reported 135 patients with 'chloral cravings'.
     The German writer, Karl Gutzkow became addicted to the drug and died in a fire from an over turned oil lamp while in a chloral stupor. The philosopher, Friedrich Nietzsche used large doses of chloral for his sleep problems.

     The guilt ridden Dante Gabriel Rossetti (whose wife had overdosed on laudanum in 1862) avoided opiates but became hooked on chloral hydrate for his insomnia to the point he suffered paranoid delusions.
     A total of 376,000 kilograms of barbiturates were produced in the USA in 1946 (equivalent to 5 million people taking 1 sleeping pill each day for a full year). Patients taking barbiturates for longer than 4-6 weeks become depressed and anxious, develop tolerance and, if the drug is stopped are unable to sleep.

Paraldehyde
     Barbiturates have been used for murder as well as suicide. The death of an English widow in 1956 led to the arrest of her physician, Dr. John Bodkin Adams (see post: Death by Physician) who had a habit of prescribing large doses of heroin and other lethal drugs to elderly woman who had named him as beneficiary in their wills (see above).
     The American poet, Anne Sexton overdosed several times on Nembutal (a drug she dubbed her 'kill-me' pills) in the 1950s before finally carrying out a successful suicide by breathing in the exhaust from her car.

Virginia Woolf
     Author Virginia Woolf attempted suicide by overdosing on Veronal in 1913
     Marilyn Monroe took up to 20 Phenobarbital daily hoping she could get some sleep. On August 5, 1962, she was found dead in her hotel room. Her death was ruled to be 'acute barbiturate poisoning' by the Los Angeles County Coroner's Office; a 'probable suicide' at age 36 although numerous conspiracy theories have been proposed, suggesting that her death was actually murder.
     Her internist had refilled Monroe's prescription for the barbiturate Nembutal a day earlier and the actress may very well have ingested enough Nembutal throughout the day such that it would lethally react with the chloral hydrate given to her later on.
     On June 22, 1969, Judy Garland was found dead in the bathroom of her rented house in London. Her blood contained the equivalent of 970 mg Seconal capsules. According to the coroner, the cause of death was an 'incautious self-overdosage of barbiturates' ('unintentional' suicide).
     Jimi Hendrix died of an overdose in London in 1970 (see post: Last Songs from the Opium Den), probably heroin but he had also taken 9 tablets of a sleeping medication called Vesparax, a combination tablet containing 50 mg brallobarbital, 150 mg secobarbital and 50 mg hydroxyzine (the antihistamine Atarax).

Jimi Hendrix
     The death of American rock star Michael Jackson in 2011 at 50 years of age, was one of the most high profile 'insomnia-related' deaths in recent history.
      Jackson  suffered from a long history of insomnia and had been under physician care for this problem for years. He died on June 25, 2009 of propofol intoxication after suffering a respiratory arrest at his home in Los Angeles.
     Propofol (marketed as Diprivan by pharmaceutical firm AstraZeneca) is a short-acting, intravenously administered hypnotic agent, used for induction and maintenance of general anesthesia. Chemically, propofol is unrelated to barbiturates but has replaced the barbiturate Pentothal for anesthetic induction.
     Jackson had used a number of aliases (Omar Arnold and Jack London) to secure prescription drugs. He was said to have used propofol several times before his death, as well as alprazolam (a benzodiazepine), sertaline (an antidepressant), hydromorphone and hydrocodone (opioid pain killers) as well as a number of other prescription medications (omeprazole, paroxetine, carisopradol), all for insomnia. Jackson had been reported to be taking up to 40 alprazolam pills every night.
Michael Jackson

     Jackson's death was ruled a homicide. His personal physician, Conrad Murray, had administered propofol as well as two benzodiazepines (lorazepam and  midazolam) to his patient that same evening in Jackson's home.  Murray was convicted of involuntary manslaughter and sentenced to four years in prison.

     The ancient Mesopotamians, Greeks and Egyptians had perhaps only one really powerful medication to treat insomnia, one which was powerful enough to kill (opium). Today, modern society has hundreds of these lethal drugs and, with this plethora of 'cures' for the ill of sleeplessness, comes the risk of never waking up at all.
 
     *Insomnia and sleep deprivation: subject of research for the novel The Judas Kiss - Amazon Kindle

Sunday, June 24, 2012

Drugs by Design


     Designer shoes, clothes, luggage - today, the name tag of companies such as Gucci or Prada add 'value' or, at least are often deemed more valuable by the purchaser than similar or even the same item without the cachet of the designer logo. These designer products cater to the consumer who wishes to be noticed and often feels the need to declare to the world that he or she has the wealth (and the sophistication) to own this special product.
Prada Men's Shoe

     Designer drugs have often been called 'research chemicals', 'bath salts', or 'plant food'. A discussion about 'designer drugs' is not about what you can afford or how the world sees you. A discussion about 'designer drugs' is, effectively, a discussion about chemistry.
     'Designer' substances are not (usually) created or consumed for reasons of vanity or glamour but rather have a more 'practical' purpose. Designer drugs are chemicals that have been created to avoid the restrictions of drug laws, altering the drug in question just enough to place it in a different class than the 'prohibited' substance but not altered enough that its effects are less significant.
'Designer' Drugs

     'Designing' of the new drug usually involves starting with the drug in question and modifying its chemical structure or occasionally by finding drugs with entirely different chemical structures that produce similar effects to (usually illegal) recreational drugs. These new substances can then be sold on the 'gray market' where little or no regulation is applied.
     The use of the term 'designer drug' was first used by in the 1980s but the first appearance of what would now be termed designer drugs occurred as early as the 1920s.
     Perhaps the best known of the early 'designer drugs' was a chemical alteration of morphine (a diacetyl ester), created in 1874 by an English chemist and then marketed as a cough suppressant in 1899 by Bayer Pharmaceuticals. The new drug was ten times more effective than codeine to treat coughs, was a better pain-killer than morphine, was safe and non-habit forming. They named it heroin (see post: AHistory of Heroin).

     The second International Opium Convention (Geneva, 1925) specifically banned morphine (other than by prescription) which led to heroin (as well as a number of alternative esters of morphine) to be manufactured and sold on the 'gray', but effectively still legal market. When heroin was declared illegal, the drug trade simply adapted.
     By 1925 in Egypt, narcotic addiction had become such a problem that a law was passed making trafficking as well as possession, criminal offences.  The price of narcotics increased significantly and the dangers of imprisonment for narcotics use sent users into hiding but chemistry came to their rescue.
     A chemist by the name of Dr. Hefti of Altstatten, a suburb of Zurich, began to produce a drug he called 'Dionyl' (see post: Dawn of the Drug Dealers), indistinguishable from heroin but different enough chemically that it could be sold without infringing Swiss narcotics laws.
Zurich

     Dionyl (acetylpropionylmorphine) is an opiate analogue, a derivative of morphine, developed in the early 1900s after first being synthesised in Great Britain in 1875 but shelved along with heroin and various other esters of morphine.
     Dionyl was never used medically but was sold as one of the first ' designer drugs' for around five years. The effects of this designer drug was virtually identical to heroin and consequently dionyl was  banned internationally in 1930 by the Health Committee of the League of Nations.
Morphine

     There were many other narcotic alterations, created to skirt the laws. Benzylmorphine  was a semi-synthetic narcotic, created in 1896. It was similar to codeine, except with a benzyl group attached to the basic morphine molecule just as the methyl group creates codeine. It is about 90 per cent as strong as codeine by weight.
     Diethyl ether (ethyl ether, ether, ethoxyethane), is a compound with the formula (C2H5)2O. It is a colorless and highly flammable liquid. It is used as a solvent, as fuel and was once used as a general anesthetic. Because of these anesthetic effects, it has also been used as a recreational drug.
     Ether was likely created by Jabir ibn Hayyan, a scientist 'of all trades', said to have been the first practical alchemist. He was an astronomer, an astrologer, an engineer, a geographer, philosopher, physicist, pharmacist and physician born in Persia in 721 AD.
Jabir ibn Hayyan

     Hayyan's creation was first synthesized in 1540 by Valerius Cordus (a sixteenth century German physician) who named it 'sweet oil of vitriol', synthesized by the distillation of ethanol with sulfuric acid (oil of vitriol).
     In the late 19th century, it was not considered proper for women to drink alcohol, and so a 'designer drug' was created. Instead, the women took extremely potent 'medicines' when the men did their drinking. One product was called 'Hoffmannstrophen' or 'Hoffmann's Drops', made up of 3 parts alcohol to 1 part ether.
     There was also 'compound spirit of ether', ('Hoffmann's anodyne', 'aetheris spiritus compositus'), a solution of ether and ethereal oil in alcohol, used as a painkiller or sedative. Its use as an anesthetic drug was introduced by Friedrich Hoffman, an 18th century German physician and chemist.
Valerius Cordus

     Ether will burn the mouth when taken straight but when mixed with alcohol it is possible to ingest orally. In the 19th century and early 20th century ether drinking became popular among Polish peasants. It is a traditional and still relatively popular recreational drug among Lemkos, a small ethnic group living in the Carpathian Mountains. The ether is consumed in a small quantity poured over milk or water with sugar or orange juice in a shot glass.
     In more recent times (1980s to present), the use of the term designer drug initially referred to various synthetic opioid drugs, based mostly on the fentanyl molecule (see post: A Basket Full of Narcotics).
     One, narcotic derivative called MPPP (desmethylprodine) was found to contain MPTP, an nerve toxin impurity which caused brain damage that could result in a syndrome identical to full-blown Parkinson's Disease, from just one dose. Other problems were highly potent fentanyl analogues, which were sold as China White (α-methylfentanyl) which caused several accidental overdoses.
Sweet Oil of Vitriol (Ether)

     One of the main problems for law makers faced with the onslaught of hundreds of new, often poorly-defined drugs which began to appear on the illicit market was how to develop legislation to ban or regulate their use. Frequently, novel drugs have appeared directly in response to legislative action, drugs similar to the compound that had recently been banned (just like Dionyl had been similar but not identical to heroin).
     Many of the chemicals fall under the various drug analogue legislations in certain countries, but Most countries do not have general analogue legislation, where, if a new drug is similar enough to the banned drug, it too is also banned. In these cases, novel compounds can fall outside of the law after only minor structural modifications.

Ethnic Lemkos
     The United States tried to address this problem with the Controlled Substances Act and the Controlled Substance Analogue Substance Analogue Enforcement of 1986, which attempted banned designer drugs pre-emptively by making it illegal to manufacture, sell, or possess chemicals that were substantially similar in chemistry and pharmacology to Schedule I or Schedule II drugs.
     In Germany, Canada, the United Kingdom, and Sweden, new drugs are banned when they become recognized as a danger. In Sweden, the police and customs are able to seize drugs that are not on the list of drugs covered by the anti-drug laws if the police suspect that the purpose of the holding is related to drug abuse.
     Australia has enacted legislation, banning drugs based on chemical structure alone, making chemicals illegal even before they are created. Even this type of law however, would still not cover drugs that have no structural similarity to any controlled drug, even if they produced similar effects.
     In the late 1990s and early 2000s, there was an explosion in designer drugs being sold over the internet. The term of 'research chemicals' was coined by some marketers of designer drugs in an attempt to by-pass the 'intent' clause of the U.S. 'analogue drug laws'. Despite this, by July, 2004, the 'Drug Enforcement Administration' (DEA) in 'Operation Web Tryp', raided multiple suppliers (JLF Primary Materials) and vendors ('RAC Research').
     These internet companies were knowingly carrying on business in a 'gray' area. The majority of these chemical suppliers sold 'research chemicals' in bulk form as powder, not as pills, as selling in pill form would invalidate the claims that they were being sold for non-consumptive research.
Amanita Muscaria

     JLF Primary Materials (also known as JLF Poisonous Non-Consumables) was a mail order company based in Elizabethtown, Indiana, specializing in plants and chemicals, especially those reputed to have psychoactive properties such as the mushroom, amanita muscaria (see post: The High Priest) and Trichocereus pachanoi, also known as the San Pedro cactus (see post: Drugs Used in Religion-The New World).
     The company made no claim as the quality of any of their products. and the JLF catalogue proudly bore 'The Longest Warning Label You've Ever Seen'. JLF stated in their advertisements that:
     'Our products are poisonous and are not intended for human or animal consumption. Do not take internally. JLF assumes no liability for damages resulting from prohibited use (abuse) of these products. Customer automatically accepts all responsibilities for any consequences incurred from said misuse or abuse. Check local and state laws before ordering.'
San Pedro Cactus

     But, 'designer drug' became best known with the increased use of MDMA (Ecstasy) during the mid 1980s. MDMA (3,4-methylenedioxy methamphetamine) is a synthetic, psychoactive drug that is chemically similar to the stimulant methamphetamine and the hallucinogen mescaline.
     The compound was first synthesized by Merck in 1912 but not put into use until the 1940s when it was tested as a 'truth drug' by the CIA.In the 1960s, an American biochemist, Alexander Shulgin, researching psychedelic drugs, tested MDMA on himself. Shulgin promoted the drug for 'therapeutic' possibilities and others began to use MDMA in marriage therapy and psychotherapy.
Dr. Alexander Shulgin

     


     The early alternative name for MDMA was 'Adam', a reference to the innocent 'inner child' from Eden. Once the euphoric effects of the drug became known, it became fashionable as early as 1984 in the Dallas 'Starck Club', known under the slang name of 'X' or 'X-T-C' (hence Ecstasy).
     By mid-1984, sale of MDMA was declared illegal and possession was illegal within the next 12 months. Ecstasy has become the 'drug of choice' at modern 'raves', gatherings with loud music and flashing lights, flooding the senses. There have been 3 phases associated with the ecstasy high. Within the first hour, your senses 'light up', you start 'rushing'. The next is the plateau stage, lasting about 4 hours followed by the last stage, a long, gentle 'comedown' and 'afterglow' which may last into the next day.
The Starck Club, Dallas

     MDMA produces feelings of increased energy, euphoria, emotional warmth, and distortions in time, perception, and tactile experiences, exerting its primary effects in the brain on neurons which use the neurotransmitter serotonin (see post: The Genetics of Drug Addiction).
     MDMA binds to the serotonin transporter and increases and prolongs the serotonin signal. Through several mechanisms, MDMA accentuates the effects of serotonin and also has similar effects on the neurotransmitter, norepinephrine, causing increased heart rate and blood pressure. MDMA also releases dopamine, but to a much lesser extent.
MDMA (Ecstasy)

     MDMA can produce confusion, depression, sleep problems, drug craving, and severe anxiety. These problems can occur soon after taking the drug or, sometimes, even days or weeks after taking MDMA. Chronic users perform more poorly than nonusers on certain types of cognitive or memory tasks. One study in nonhuman primates showed that exposure to MDMA for only 4 days caused damage to serotonin nerve terminals that was still evident 6 to 7 years later. 
     Phencyclidine (1-(1-phenylcyclohexyl)piperidine), commonly also known as PCP with street names such as angel dust, Cadillac, DOA (dead on arrival), peace pill, rocket fuel, synthetic marijuana, zombie and many others is a recreational dissociative drug (a type of hallucinogen which reduce or block signals to the conscious mind from other parts of the brain).
Phencyclidine (PCP)

     PCP was synthesized in 1926 and tested as a human anesthetic by US pharmaceutical company Parke Davis. Despite the production of halluciantions, manic episodes, disorientation and delirium, the drug was marketed for human use in 1959.
     Use in humans was abandoned because many patients became agitated, delusional and irrational while recovering from their operations. PCP use was eventually limited to anesthetizing and tranquilizing large animals but is now illegal, still sold on the street, made illegally in labs.
Parke Davis

     In its pure form, PCP is a white crystalline powder with a bitter taste. It can be mixed with dyes and can be sold in tablets, capsules and coloured powder. PCP is easily synthesized and is often passed off to street buyers as another drug such as methamphetamine, mescaline, LSD even THC.
     For smoking, it can be applied to parsley, oregano, even marijuana (called 'superweed', 'killerweed', 'supergrass' or 'peaceweed'). It is usually snorted or ingested but also, at times, injected.
     When smoked or snorted, PCP rapidly enters the bloodstream and then the brain. PCP acts by altering the distribution of the neurotransmitter glutamate in the brain, this neurotransmitter involved in a person's perception of pain, responses to the environment, and memory. PCP also alters dopamine levels in the brain.
     The effects of PCP on a person are unpredictable. The way a person feels after taking PCP depends on many factors such as age, body weight, and sex, the amount of PCP consumed, whether the person has eaten recently as well as the use of other drugs, including non-prescription, prescription, and street drugs. Short-term effects of PCP vary greatly and it is often impossible to predict the behaviour of someone who has taken the drug. PCP can produce feelings of well-being and relaxation in users but, in others, can induce severe traumatic effects such as feelings of anxiety, fear, panic, agitation and paranoia.
     Overdoses are life-threatening. Intoxication with PCP can cause convulsions, coma, hyperthermia and death (usually because breathing stops). There are no antidotes for PCP intoxication and comas resulting from PCP may last 7-10 days.
     Use of PCP over an extended period of time can lead to memory loss, difficulties speaking and thinking. These symptoms can last for a year or more after last use. Severe anxiety and depression are common and may continue indefinitely.
Ketamine

     Ketamine (initially known as CI-581)was synthesized in 1962 as a derivative of PCP by Parke Davis. Ketamine's shorter duration of action and made it favorable over PCP as a 'dissociative anesthetic'.  The FDA approved the drug for medical use in 1970 and ketamine anesthesia was first given to American soldiers during the Vietnam War. It is a rapid acting anesthetic drug used mainly by veterinarians and sometimes in human surgery.
     Commercial ketamine is a liquid while the street drug is usually sold as a powder. The powder may be dissolved in a liquid, snorted, or smoked in a cigarette. Ketamine dissolves in liquid and it is odourless and tasteless, allowing it to be slipped into drinks. Its sedative effects have been used to prevent victims from resisting sexual assault and for this reason, it can be referred to as a 'date rape' drug.
Ketamine Powder

     Ketamine is a NMDA receptor antagonists ( inhibits the action of, the N-Methyl d-aspartate receptor). Toxic changes in brain cells (Olney lesions) have been shown to be induced in the brain (of rats) by these dissociative anesthetics (ketamine and PCP).
     Known in the club scene as vitamine Kspecial K, breakfast cereal, kit-kat, and many other names, ketamine became popular in the early 1970s in dance clubs a s fashionable hallucinogenic. In the brain, the drug acts by redistributing the neurotransmitter glutamate which is involved in memory, learning, the perception of pain and responses to the environment.
Brain Scan Showing Evidence of Olney Lesions

     The speed at which ketamine reaches the brain varies greatly. After snorting the effects are usually felt within 1 to 10 minutes and can last for about one hour. When taken by mouth the effects are felt more slowly but may last up to four hours.
     Ketamine produces a drunken, dizzy feeling. Some people describe 'near-death' or 'out-of-body' experiences and sensations of weightlessness. This experience is often described as being in or 'going through the k-hole'.
     Ketamine produces vivid dreams or hallucinations which may be intense and terrifying can cause rapid loss of consciousness if injected. The drug can also produce the sensation that the mind is separated from the body (dissociation).

     Ketamine can cause vomiting. When taken in large amounts, ketamine may depress the central nervous system, leading to slower breathing, seizures, severe high blood pressure, coma and possibly death.  In large doses, like amphetamines, it can cause schizophrenia-like psychosis.
Through the 'K' Hole?

     Methaqualone (Known as Quaalude in North America, Mandrax (in combination with an anti-histamine) in Europe) is a sedative-hypnotic similar in effect to barbiturates. Methaqualone was first synthesized in India in 1951 and patented in the US in 1962 as a treatment for insomnia and as a muscle relaxant.

     David Bowie sang about 'Quaaludes and Red Wine' and the American novelist, Edmund White described the effects as 'twilight drowsiness, lowering of the pain threshold and a stripping away of the defences and inhibitions, leading some to take the drug for heavy 'S and M' sessions.'
David Bowie-'Quaaludes and Red Wine'

     Recreationally, the drug was called 'mandies', 'mandrake', 'mandrix' or 'disco biscuits') and 'luding out' was a popular college pastime. Smoking methaqualone, either alone or with additives was popular in the US during the mid-1970s.
     The drug was banned in 1984 but is still continued to be produced in illegal labs. Today, methaqualone is one of the most commonly used hard drugs in South Africa, due to its relatively low cost. It is known as M-pills, buttons, 'geluk-tablette' (happy tablets) or smarties and is crushed and mixed in a pipe with marijuana.

     Amyl nitrite, a compound with the formula  C5H11ONO was first used in the mid-1800s but became popular as an inhalant in gay dance clubs during the 1960s. This drug, along with its similar cousins, butyl nitrite, isobutyl nitrite and octyl nitrite were known as 'poppers' and often sold as incense or room deodorisers.  
     Trade names included Rush, Locker Room, Thrust and Lightening Bolt.
     Amyl nitrite is a vasodilator (it expands blood vessels and lowers blood pressure) and is used medically to treat heart disease such as angina and also to treat cyanide poisoning. Physical effects include decrease in blood pressure, headache, flushing of the face, increased heart rate, dizziness, and relaxation of involuntary muscles, especially the walls of blood vessel and the anal sphincter.

     The effects are rapid, typically within a few seconds and disappear soon after (within minutes). As an inhalant, the drug that induces a brief euphoric state, and when combined with other intoxicant stimulant drugs such as cocaine or ecstasy, the euphoric state intensifies and can be prolonged.
     All of these drugs - from morphine derivatives to sedatives to the euphorics of vasodilators - have been created or used for their 'psychoactive' properties, to attain pleasure, euphoria, shed anxiety or feel powerful. And there are literally hundreds more, some with mechanisms of action similar to the drugs discussed, others which mimic marijuana or other chemicals.
Rush 'Poppers'

     In the late 1990s and early 2000s, a new type of 'designer drug' came onto the scene, one which did not aim to bring pleasure to the user but rather enhance the user's performance, to make him/her faster, stronger, more agile. These new 'designer drugs' were the anabolic steroids created for competitive athletes.
     Steroids had been banned by the International Olympic Committee in 1976, but the huge number of different anabolic agents available for human and veterinary use overwhelmed the ability of laboratories to test for all available drugs had always lagged behind the ability of athletes (and their chemists/doctors) to find new compounds to enhance their performance.
   
Effects of Anabolic Steroids
     Many of the new compounds are undetectable with standard tests and, when a new test is devised, the chemist will often have already created the 'next generation' of anabolic drug which can slip under the radar of detection.

     'Bath salts' may resemble the sweet-smelling epsom salts some people put in their bath but, on the street, the term refers to the latest in 'designer drugs'. Known as 'Ivory Wave', 'Purple Wave', 'Vanilla Sky' and 'Bliss', these 'bath salts' have been the reason for thousands of calls to poison centers across the U.S. in 2011-2012.
     Methylenedioxypyrovalerone (MDPV) is a stimulant which acts on certain neurotransmitters in the brain (norepinephrine-dopamine reuptake inhibitor). MDPV was developed in 1969 but started to be used as a designer drug in 2004. Bath salts containing MDPV  are sold as recreational drugs in gas stations and convenience stores labelled as 'bath salts'.

     Another chemical commonly found in 'bath salts' is mephedrone (4-methylmethcathinone) another synthetic stimulant (also known as meph, drone, and MCAT) in the same class as the amphetamines. The drug is manufactured in China and is chemically similar to the cathinone compounds found in the khat plant commonly chewed in eastern Africa and Yemen. It comes in the form of tablets or a powder, which users can swallow, snort or inject.
     Agitation, paranoia, hallucinations, high blood pressure, chest pain and the tendency to suicide (even days after the stimulating effects of the drug have worn off) are all commonly seen in cases of 'bath salt' consumption.
Methylenedioxypyrovalerone (MDPV)

     In May 2012, police in Florida shot a man who was eating the face of his unconscious victim, 'the face-eater' having apparently consumed 'bath salts'.
     Designer drugs are perhaps a pharmacological 'arms race'. Laws backed by better detection lead to the development of a different or 'stealthier' compound, triggering new detection techniques and new laws which, of course, create the 'incentive' (because the market and the money are always there) to create another 'better research chemical', a 'better' designer drug.

   
Mephedrone

     *Designer drugs: subject of research for the novel The Judas Kiss- Amazon Kindle.