PMID- 14594341 OWN - NLM STAT- MEDLINE DCOM- 20040304 LR - 20190917 IS - 0277-0008 (Print) IS - 0277-0008 (Linking) VI - 23 IP - 10 DP - 2003 Oct TI - Putting an Ecstasy test kit to the test: harm reduction or harm induction? PG - 1238-44 AB - OBJECTIVE: To evaluate the DanceSafe Complete Adulterant Screening Kit for Ecstasy with regard to its accuracy in identifying 3,4-methylenedioxymeth-amphetamine (MDMA) and methylenedioxyamphetamine (MDA) derivatives and its ability to detect certain contaminants. METHODS: In part 1, 39 street-grade tablets purported to be MDMA were tested with the Marquis, Mecke, and Simon's reagents provided by the DanceSafe testing kit. The tablets then were submitted to gas chromatography-mass spectrometry for identification of active ingredients. In part II, seven known drugs of abuse were tested with the Marquis, Mecke, and Simon's reagents. These drugs were codeine, dextromethorphan, dihydrocodeine, ketamine, MDMA, morphine, and d-norpropoxyphene. RESULTS: The Marquis, Mecke, and Simon's reagents did not differentiate pure MDMA from adulterated forms. They lacked both sensitivity and specificity for the purpose of MDMA identification when tested by persons unfamiliar with these reagents. Also, experienced toxicologists using this unfamiliar procedure generated false-positive results. CONCLUSIONS: Neither the Marquis, Mecke, nor Simon's reagents should be used by the public for harm reduction purposes. These agents do not help identify pure MDMA tablets. Gas chromatography-mass spectrometry remains the most sensitive and specific testing method for identifying MDMA and its contaminants. FAU - Murray, Rebecca A AU - Murray RA AD - Department of Pharmacy Practice, College of Pharmacy, University of Florida, Gainesville, Florida, USA. FAU - Doering, Paul L AU - Doering PL FAU - Boothby, Lisa A AU - Boothby LA FAU - Merves, Michele L AU - Merves ML FAU - McCusker, Rachel R AU - McCusker RR FAU - Chronister, Chris W AU - Chronister CW FAU - Goldberger, Bruce A AU - Goldberger BA LA - eng GR - T35 HL07489/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Pharmacotherapy JT - Pharmacotherapy JID - 8111305 RN - 0 (Reagent Kits, Diagnostic) RN - 0 (Tablets) RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - 3,4-Methylenedioxyamphetamine/analysis MH - N-Methyl-3,4-methylenedioxyamphetamine/*analysis MH - *Reagent Kits, Diagnostic MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Substance Abuse Detection/methods MH - Tablets EDAT- 2003/11/05 05:00 MHDA- 2004/03/05 05:00 CRDT- 2003/11/05 05:00 PHST- 2003/11/05 05:00 [pubmed] PHST- 2004/03/05 05:00 [medline] PHST- 2003/11/05 05:00 [entrez] AID - 10.1592/phco.23.12.1238.32704 [doi] PST - ppublish SO - Pharmacotherapy. 2003 Oct;23(10):1238-44. doi: 10.1592/phco.23.12.1238.32704.