PMID- 15036441 OWN - NLM STAT- MEDLINE DCOM- 20040408 LR - 20131121 IS - 0379-0738 (Print) IS - 0379-0738 (Linking) VI - 140 IP - 2-3 DP - 2004 Mar 10 TI - The designer drug situation in Ibiza. PG - 195-206 AB - A total of 137 urine samples and 46 serum samples, corresponding to 154 self-confessed designer drugs consumers in Ibiza island, were analyzed for the presence of designer drugs: amphetamine and amphetamine derivatives (methamphetamine, methylenedioxymethamphetamine (MDMA), methylenedioxyethylamphetamine (MDEA), methylenedioxyamphetamine (MDA), p-methoxymethylamphetamine (PMMA), p-methoxyamphetamine (PMA), etc.), ketamine and gamma-hydroxybutyric acid. Among this population, coming both from the forensic clinic and from the emergency room of a hospital, a total of 99 cases were found positive for some designer drug. This study shows the prevalence of methylenedioxymethamphetamine (MDMA) among designer drug users, sole or in association with other drugs. Also, the mixture of MDMA with other designer drugs, ethanol and/or cocaine is shown to be more likely to produce toxic symptoms requiring clinical attendance in a hospital emergency room. These findings along with the consumption history, the concentrations of drugs and metabolites in urine and serum and the toxicological significance for the interpretation of some MDMA metabolites such as 4-hydroxy-3-methoxymethamphetamine (HMMA) are discussed in this study. FAU - Lora-Tamayo, C AU - Lora-Tamayo C AD - Instituto Nacional de Toxicologia, Ministerio de Justicia, C/ Luis Cabrera 9, Madrid 28002, Spain. c.lora-tamayo@mju.es FAU - Tena, T AU - Tena T FAU - Rodriguez, A AU - Rodriguez A FAU - Moreno, D AU - Moreno D FAU - Sancho, J R AU - Sancho JR FAU - Ensenat, P AU - Ensenat P FAU - Muela, F AU - Muela F LA - eng PT - Journal Article PL - Ireland TA - Forensic Sci Int JT - Forensic science international JID - 7902034 RN - 0 (Designer Drugs) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - *Designer Drugs MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/blood/urine MH - Prevalence MH - Spain/epidemiology MH - Substance Abuse Detection/methods MH - Substance-Related Disorders/blood/*epidemiology/etiology/urine EDAT- 2004/03/24 05:00 MHDA- 2004/04/09 05:00 CRDT- 2004/03/24 05:00 PHST- 2002/01/16 00:00 [received] PHST- 2003/11/12 00:00 [accepted] PHST- 2004/03/24 05:00 [pubmed] PHST- 2004/04/09 05:00 [medline] PHST- 2004/03/24 05:00 [entrez] AID - S0379073803005267 [pii] AID - 10.1016/j.forsciint.2003.11.021 [doi] PST - ppublish SO - Forensic Sci Int. 2004 Mar 10;140(2-3):195-206. doi: 10.1016/j.forsciint.2003.11.021.