Carfentanil Fentanyl 6MAM - Confirm BioSciences · analgesic fentanyl, and is one of the most pot...

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www.confirmbiosciences.com 6-MAM Fentanyl Carfentanil

Transcript of Carfentanil Fentanyl 6MAM - Confirm BioSciences · analgesic fentanyl, and is one of the most pot...

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6-MAMFentanyl

Carfentanil

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Understanding 6-Monoacetylmorphine (6-MAM)

One of three active metabolites of heroin, 6-Monoacetylmorphine or 6-MAM happens as a metabolite once heroin has undergone first-pass metabolism. It is then metabolized into morphine and excreted via the kidneys as urine.

6-MAM arises only from metabolism of heroin. It is not found in poppyseeds and is not a metabolic product of morphine, codeine, or any otheropiate. Therefore, its presence therefore confirms usage of heroin

The presence of 6-MAM is conclusive evidence of prior heroin use. However, due to itsshort half-life, it is only detectable in urine for about 8 hours after administration.

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6-MAM

Brief overview

• Metabolite specific to heroin

• Goal: Markets specifically wanting to test for heroin use

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Parent Drug Primary metabolite Minor metaboliteHeroin 6MAM

MorphineMorphine Hydromorphone (<3%)Codeine Morphine Hydrocodone (<11%)Hydrocodone Hydromorphone

NorhydrocodoneDihydrocodeine

HydromorphoneOxycodone Oxymorphone

NoroxymorphoneOxymorphoneNaloxone Noroxymorphone

Metabolites

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MetabolitesOpiates LOQ (ng/mL) Detection Time* up to

6MAM 5 <1 day

Codeine 25 3 days

Dihydrocodeine 25 3 days

Hydrocodone 25 3 days

Norhydrocodone 25 3 days

Hydromorphone 25 3 days

Oxycodone 25 3 days

Noroxycodone 25 3 days

Oxymorphone 25 3 days

Noroxymorphone 25 3 days

Naloxone 25 3 days

Morphine 25 3 days

Approximate Detection Times

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FentanylFentanyl (Duragesic, Sublimaze, "China White") is an extremely fast-acting synthetic narcotic analgesic, of high potency (approximately 100 - 200 times that of morphine)

Fentanyl can be injected, taken orally (licked like lollipops), smoked, or snorted.

Street names include:•China girl•China white•Dance fever•Jackpot•TNT

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Fentanyl

• Majority of Fentanyl coming in from China

• San Diego border most active for incoming fentanyl and heroin

• “China White” heroin

• Canadian lax border laws • 30grams ok w/out opening• Contributes to Canada crisis

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Fentanyl

• Often laced with heroin and other popular opiates

• Concentrated east, particularly New Hampshire

• 70% of Opioid deaths

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Why Synthetic Opioids?

Price

Strength

Concealment

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Carfentanil• What is it?• Synthetic opioid typically used as tranquilizer for elephants and other large animals. • It has 100x potency of fentanyl or 10,000x potency of morphine. Toxicology labs are only just

finding ways to test for it post-death.• Like fentanyl, it is so potent that it can be inadvertently inhaled or absorbed through the skin,

making it a huge threat to law enforcement, EMTs, and even morticians. • In Akron, Ohio, over a 3 day period, there were 25 overdoses of carfentanil with 4 of them being

fatal.

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Carfentanil Carfentanil or carfentanyl (Wildnil) is an analogue of the popular synthetic opioid analgesic fentanyl, and is one of the most potent opioids known (also the most potent opioid used commercially).