1. The challenge of new party drugs –
New Psychoactive Substances 
SSAI/SFAI 2017

2. NPS - Legal drugs on the Internet
Sales mostly online from different web shops
Clear web: Legal internet shops (2013 EMDCCA indentified 651 web sales in Europe)
Cryptomarket - DeepWeb: The Onion Router (TOR)/Dark web: SilkRoad, Cloud 9, Hydra and others
Openings/closures 2014: 43 opened, 46 closed
Sales are not for human consumption
Research chemicals - Incense – Spice – Bad salts – Plant nutrition
Age limit
On sale before classification
Discrete delivery
Ignorance
Irresponsibility

3. New Psychoactive Substances Phone inquiries to Swedish Poisons Information Centre – 2010-2016
Unknown/unclassified
Opioids
Numbers
Others
Year

4. Deaths come in clusters
year – seven clusters identified (77 fatalities)
Krypton
5-IT
AH-7921
MT-45
PMMA
Acetylfentanyl
Spice
N= 9 (11)
N= 13
N= 7
N= 15 (18)
N= 5
(6)
N= 21
N= 7
(12)

5. NPS - Conclusions Extent of real consumption is unknown
In recent years a decline in classification of new drugs
Most NPS sold today are already classified
In recent years a decline in phone inquiries to poisons information centres
Poisonings with NPS still a significant clinical problem
388 deaths between in Sweden
Extended chemical screening is necessary (get to know where, who and how)
Deaths come in clusters
Different fentanyls are on their way…