PMID- 27936283 OWN - NLM STAT- MEDLINE DCOM- 20180226 LR - 20191210 IS - 1360-0443 (Electronic) IS - 0965-2140 (Linking) VI - 112 IP - 4 DP - 2017 Apr TI - Purity, adulteration and price of drugs bought on-line versus off-line in the Netherlands. PG - 640-648 LID - 10.1111/add.13720 [doi] AB - BACKGROUND AND AIMS: On-line drug markets flourish and consumers have high expectations of on-line quality and drug value. The aim of this study was to (i) describe on-line drug purchases and (ii) compare on-line with off-line purchased drugs regarding purity, adulteration and price. DESIGN: Comparison of laboratory analyses of 32 663 drug consumer samples (stimulants and hallucinogens) purchased between January 2013 and January 2016, 928 of which were bought on-line. SETTING: The Netherlands. MEASUREMENTS: Primary outcome measures were (i) the percentage of samples purchased on-line and (ii) the chemical purity of powders (or dosage per tablet); adulteration; and the price per gram, blotter or tablet of drugs bought on-line compared with drugs bought off-line. FINDINGS: The proportion of drug samples purchased on-line increased from 1.4% in 2013 to 4.1% in 2015. The frequency varied widely, from a maximum of 6% for controlled, traditional substances [ecstasy tablets, 3,4-methylenedioxy-methamphetamine (MDMA) powder, amphetamine powder, cocaine powder, 4-bromo-2,5-dimethoxyphenethylamine (2C-B) and lysergic acid diethylamide (LSD)] to more than a third for new psychoactive substances (NPS) [4-fluoroamphetamine (4-FA), 5/6-(2-aminopropyl)benzofuran (5/6-APB) and methoxetamine (MXE)]. There were no large differences in drug purity, yet small but statistically significant differences were found for 4-FA (on-line 59% versus off-line 52% purity for 4-FA on average, P = 0.001), MDMA powders (45 versus 61% purity for MDMA, P = 0.02), 2C-B tablets (21 versus 10 mg 2C-B/tablet dosage, P = 0.49) and ecstasy tablets (131 versus 121 mg MDMA/tablet dosage, P = 0.05). The proportion of adulterated samples purchased on-line and off-line did not differ, except for 4-FA powder, being less adulterated on-line (chi(2) = 8.3; P < 0.02). Drug prices were mainly higher on-line, ranging for various drugs from 10 to 23% higher than that of drugs purchased off-line (six of 10 substances: P < 0.05). CONCLUSIONS: Dutch drug users increasingly purchase drugs on-line: new psychoactive substances in particular. Purity and adulteration do not vary considerably between drugs purchased on-line and off-line for most substances, while on-line prices are mostly higher than off-line prices. CI - (c) 2016 Society for the Study of Addiction. FAU - van der Gouwe, Daan AU - van der Gouwe D AD - Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. FAU - Brunt, Tibor M AU - Brunt TM AD - Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. FAU - van Laar, Margriet AU - van Laar M AD - Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. FAU - van der Pol, Peggy AU - van der Pol P AD - Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands. LA - eng PT - Journal Article DEP - 20170202 PL - England TA - Addiction JT - Addiction (Abingdon, England) JID - 9304118 RN - 0 (Amphetamines) RN - 0 (Benzofurans) RN - 0 (Central Nervous System Stimulants) RN - 0 (Cyclohexanones) RN - 0 (Cyclohexylamines) RN - 0 (Dimethoxyphenylethylamine) RN - 0 (Hallucinogens) RN - 0 (Illicit Drugs) RN - 0 (Propylamines) RN - 2M3825704H (5-(2-aminopropyl)benzofuran) RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - CK833KGX7E (Amphetamine) RN - I5Y540LHVR (Cocaine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - S5744XYR1Z (4-fluoroamphetamine) RN - V77772N32H (2-(4-bromo-2,5-dimethoxyphenyl)ethylamine) RN - ZO5ZCE6E12 (2-(3-methoxyphenyl)-2-(ethylamino)cyclohexanone) SB - IM CIN - Addiction. 2017 Apr;112(4):649-650. PMID: 28261980 EIN - Addiction. 2017 Sep;112(9):1690. PMID: 28778124 MH - Amphetamine/chemistry/economics MH - Amphetamines/chemistry/economics MH - Benzofurans/chemistry/economics MH - Central Nervous System Stimulants/*chemistry/economics MH - Cocaine/chemistry/economics MH - Cyclohexanones/chemistry/economics MH - Cyclohexylamines/chemistry/economics MH - Dimethoxyphenylethylamine/analogs & derivatives/chemistry/economics MH - *Drug Contamination MH - *Drug Costs MH - Drug Trafficking MH - Hallucinogens/*chemistry/economics MH - Humans MH - Illicit Drugs/*chemistry/economics MH - *Internet MH - Lysergic Acid Diethylamide/chemistry/economics MH - N-Methyl-3,4-methylenedioxyamphetamine/chemistry/economics MH - Netherlands MH - Propylamines/chemistry/economics OTO - NOTNLM OT - Adulteration OT - cryptomarkets OT - darknet OT - dosage OT - drug markets OT - price OT - purity OT - quality OT - webshops EDAT- 2016/12/10 06:00 MHDA- 2018/02/27 06:00 CRDT- 2016/12/10 06:00 PHST- 2016/04/26 00:00 [received] PHST- 2016/07/25 00:00 [revised] PHST- 2016/12/08 00:00 [accepted] PHST- 2016/12/10 06:00 [pubmed] PHST- 2018/02/27 06:00 [medline] PHST- 2016/12/10 06:00 [entrez] AID - 10.1111/add.13720 [doi] PST - ppublish SO - Addiction. 2017 Apr;112(4):640-648. doi: 10.1111/add.13720. Epub 2017 Feb 2.