David Nutt's dangerous drug list..

buzzmarlie

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How harmful are the drugs on the list drawn up by the ousted government drugs adviser and his colleagues?

Professor David Nutt was last week forced to resign from his role as chairman of the Advisory Council on the Misuse of Drugs. Research by Nutt and his colleagues, published in the medical journal the Lancet in 2007, rates the following as the most dangerous drugs (They are listed in descending order from the most harmful and all figures are for England and Wales in 2008 unless stated otherwise):

1. Heroin

Class A drug. Originally used as a painkiller and derived from the opium poppy. There were 897 deaths recorded from heroin and morphine use in 2008 in England and Wales, according to the Office of National Statistics (ONS). There were around 13,000 seizures amounting to 1.6m tonnes of heroin.

2. Cocaine

Class A. Stimulant produced from the South American coca leaf. Accounted for 235 deaths – a sharp rise on the previous year's fatalities. Nearly 25,000 seizures were made, amounting to 2.9 tonnes of the drug.

3. Barbituates

Class B. Synthetic sedatives used for anaesthetic purposes. Blamed for 13 deaths.

4. Street methadone

Class A. A synthetic opioid, commonly used as a substitute for treating heroin patients. Accounted for 378 deaths and there were more than 1,000 seizures of the drug.

5. Alcohol

Subject to increasing concern from the medical profession about its damage to health. According to the ONS, there were 8,724 alcohol deaths in the UK in 2007. Other sources claim the true figure is far higher.

6. Ketamine

Class C. A hallucinogenic, dance drug for clubbers. There were 23 Ketamine-related deaths in the UK between 1993 and 2006. Last year there were 1,266 seizures.

7. Benzodiazepines

Class C. A hypnotic relaxant used to treat anxiety and insomnia. Includes drugs such as diazepam, temazepam and nitrazepam. Caused 230 deaths and there were 1.8m doses confiscated in more than 4,000 seizure operations.

8. Amphetamine

Class B. A psychostimulant that combats fatigue and suppresses hunger. Associated with 99 deaths, although this tally includes some ecstasy deaths. Nearly 8,000 seizures adding up to almost 3 tonnes.

9. Tobacco

A stimulant that is highly addictive due to its nicotine content. More than 100,000 people a year die from smoking and tobacco-related diseases, including cancer, respiratory diseases and heart disease.

10. Buprenorphine

An opiate used for pain control, sometimes used as a substitute to wean addicts off heroin.

Said to have caused 43 deaths in the UK between 1980 and 2002.

11. Cannabis

Class B. A psychoactive drug recently appearing in stronger forms such as "skunk". The subject of intense controversy over its long-term effects and capacity for inducing schizophrenia. Caused 19 deaths and there were 186,000 seizures, netting 65 tonnes of the drug and 640,000 cannabis plants.

12. Solvents

Fumes inhaled to produce a sense of intoxication. Usually abused by teenagers. Derived from commonly available products such as glue and aerosol sprays. Causes around 50 deaths a year.

13. 4-MTA

Class A. Originally designed for laboratory research. Releases serotonin in the body. Only four deaths reported in the UK between 1997 and 2004.

14. LSD

Class A. Hallucinogenic drug originally synthesised by a German chemist in 1938. Very few deaths recorded.

15. Methylphenidate

Class B drug. Brand name of Ritalin. A psychostimulant sometimes used in the treatment of attention deficit disorders.

16. Anabolicsteroids

Class C. Used to develop muscles, notably in competitive sports. Also alleged to induce aggression. Has been blamed for causing deaths among bodybuilders. More than 800 seizures.

17. GHB

Class C drug. A clear liquid dance drug said to induce euphoria, also described as a date rape drug. Can trigger comas and suppress breathing. Caused 20 deaths and 47 seizures were recorded.

18. Ecstasy

Class A. Psychoactive dance drug. Caused 44 deaths with around 5,000 seizures made.

19. Alykl nitrites

Known as "poppers". Inhaled for their role as a muscle relaxant and supposed sexual stimulant. Reduces blood pressure which can cause fainting and in some cases death.

20. Khat

A psychoactive plant, the leaves of which are chewed in East Africa and Yemen. Also known as qat. Produces mild psychological dependence. Its derivatives, cathinone and cathine, are Class C drugs in the UK.

November 2, 2009
UTV
http://u.tv/News/David-Nutts-dangero...5-75d98fed21a4
 
So Ketamine is more dangerous than Benzos (Physically addictive, possible to OD on), Amphetamines (highly addictive, can cause heart problems and psychosis), Solvents (guaranteed brain-damage), Methylphenidate (same as amps), Steroids (don't get me started), GHB (physically-addictive, can cause coma and death), Ecstasy (can contain anything from MDMA to BZP to your mother's nail polish), and Khat (probably the cause of many social problems in Yemen and East Africa)?

Wonderful. Dr Nutt impresses us again with his encyclopaedic knowledge of drug dangers.
 
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14. LSD

Class A. Hallucinogenic drug originally synthesised by a German chemist in 1938. Very few deaths recorded.

Nutt probably was too lazy to check the origin of Albert Hofmann - he was Swiss. And everybody know it
 
^Jamshyd, I appreciate your point, but it's pretty unfair to assess the risks of Ecstasy based on the possible adulterants, isn't it? I mean, street K could also contain any number of cuts.
 
Ok, but ketamine is addictive and hammers your bladder with excessive use, plus it does cause bizarre behaviour in some long term users. I'm not trying to demonise it, it's way too high up that list for sure, but it does have its risks.
 
Looks pretty typical... I wonder what criteria he used for determining one drug more dangerous than the other. It's certainly not deaths caused...
 
I think in order to properly judge that list, it needs to be more in depth as to what makes something more dangerous than something else. It is based on number of actual deaths, or the potential to cause death or harm?
 
^ I think he used his feelings as criteria, to be honest. There is no logical explanation for that hierarchy.

Stop dissing his research without bothering to read it. I linked to it in my last post in this thead.
 
I think in order to properly judge that list, it needs to be more in depth as to what makes something more dangerous than something else. It is based on number of actual deaths, or the potential to cause death or harm?

See page 42 of http://news.bbc.co.uk/2/shared/bsp/hi/pdfs/31_07_06_drugsreport.pdf

an excerpt:

We were interested to find out the criteria used by the ACMD in making its
assessments of harm. The ACMD told us that Professor Nutt and his colleagues on the
ACMD Technical Committee had developed a risk assessment matrix to evaluate the
harms associated with different drugs (see Table 3). Professor Nutt said: “The matrix was
developed when I was working on the Runciman Report because it became quite clear that
we did not have any systematic way of conceptualising the range of harms and any way of
properly categorising them and rating them […] When I became a member of the ACMD
and Chairman of the Technical Committee, we set in process this procedure of getting all
the members of the Technical Committee to work through in a systematic way the
drugs”.187 The Minister, referring to the matrix, told us: “We have a scientific basis for
determining harm. The ACMD refer to that when they classify drugs”.188
 
From what I understand, 'harm' was assessed according to 3 criteria: physical harm (acute, chronic and intravenous), dependency (intensity of pleasure, psychological dependence physical dependence) and social harm (intoxication, other social harms and health-care costs).

So it's not so clear-cut... K for example is physically harmful and if it causes other physiological side-effects (eg bladder damage) it also ticks the health care costs box, plus it's addictive. Now, there might be more recent research published since I finished my psychology degree, but I remember fairly clearly there being some inconclusive evidence about MDMA's neurotoxicity levels especially in the long-term, whereas I recall ketamine being definitely neurotoxic. Correct me if I'm wrong...

As for Dr. Nutt, he might be full of crap or not; either way I always find it a fresh breath of air to see anyone questioning the current ridiculous drug hierarchy and ruffling the politicians' feathers. I hope he continues to generate headlines and challenge the average person's misconceptions about drugs and drug laws.
 
^

harm.jpg


I like pictures. ;)
 
^
That's nice and all, and it seems to have a category for just about every consequence of using, but until I see each drug broken down with empirical evidence for each harm, I'm not convinced one bit.
 
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