• N&PD Moderators: Skorpio

Why is PCP schedule II in the USA?

Internationally, under the Narcotics Control Act of 1968, flunitrazepam is Schedule IV; however, (and this is where I was wrong) in America, flunitrazepam "has never been approved for use and is considered an illegal drug." (wikipedia) :\
 
Internationally, under the Narcotics Control Act of 1968, flunitrazepam is Schedule IV; however, (and this is where I was wrong) in America, flunitrazepam "has never been approved for use and is considered an illegal drug." (wikipedia) :\

It's Schedule III internationally, under the CoPS, and it's Schedule IV in the US, along with the other short-acting benzodiazepines. It was marketed briefly in the '90s before it was withdrawn from the market due to abuse. It is now an orphan drug of sorts in the US.

http://www.justice.gov/dea/pubs/scheduling.html -- you'll find "flunitrazepam" listed under schedule IV.
 
I have a somewhat racist-stereotypical question regard PCP: why do african-american and latinos have a particular desire to use this complex compound? I have seen PCP "overdose" victims, perhaps 40 or more (none fatal, although some had to remain in the psych ward for an extended time period (months in one case), and only one was "white" (jewish young male, 19; he had ordered some PCP analog online and was found swimming in a neigherbors pool, naked and delusional). The rest were largely older adult african-american males, usually discovered in some sort of stupor. There were a handleful of latinos, most of which had used some slang term for a of mixture of meth and PCP, smoked (yikes). No the synthesis is not that hard, but I wouldn't call it easy- meth is far easier to make and is likely more profitable. Perhaps" la eme" has cornered the west coast meth market, but most PCP lab raids take place in black neighborhoods. Unlike meth, it cannot be easily made in quantity without producing a rather strong and incriminating odor.
 
Oh, and all cases have been males, but I have limited experience and avoid emergency medicine, and i hate the psych ward (even passing the floor in the elevator creeps me out). No wonder why psychiatry is the easiest specialty.......it is also poorly paid.............but its a quick way to get a specialty. There is actually a surplus of psychiatrists, most other specialities are in high demand (vascular, card-thor, perioperative surgeons particularly)....
 
Hmmm.... was checking the Federal Register for 2011 controlled substance production quotas, and came across some interesting info....

PCP is slated for a production quota of 24 grams, so it obviously still isn't being used much (or at all) as an anesthetic. The usual "minimum" in the FR is 2 grams (this is what most un-used substances get, the default quota I guess) so somebody is maybe doing something with it, but it probably is just research with that small of an amount being produced...

77 grams of PMA slated...surprised me, as usually it gets the 2 gram listing. Somebody is doing some work I guess. Both MDMA and MDA were listed at 22 grams, a slow and steady increase...

2,5 DMA is down to 24 grams, which is a bit surprising as for many years DMA was being produced in the tens of millions of grams for some mysterious industrial use. Guess they found a less paperwork heavy approach ;)

GHB has skyrocketed up to 3,000,000 grams. Xyrem is a fucking cash cow.....but, considering the dose, I guess that aint a whole lot.

Methamphetamine is holding steady with 3,130,000 grams slated for legal production... ( a whole shit ton to be separated into the levo isomer, and the rest for sale)

and LAAM is down to 3 grams, which is a bit of a surprise as several years ago it was climbing exponentially due to interest in using it in ORT. I guess Suboxone probably took the wind outta those sails......

Cheers
 
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^^^
Very interesting! Perhaps there is a lone vervet or howler monkey being legitimately shot with a Sernylan Pneu-dart...somewhere.

I have seen PCP "overdose" victims...and only one was "white" (jewish young male, 19; he had ordered some PCP analog online and was found swimming in a neigherbors pool, naked and delusional).

Which analog?
 
I would rather not say. One of the hospitals that I used to work at was at a very large and highly-esteemed California university that is particularly strong in the sciences. Thus, we used to get some "psychonauts-psychonerds" who had either dosed excessively or more commonly, were not used to powerful psychotomimetic. Many commonly used toxicological screens (even the standard "comprehensive", which is actually not very comprehensive) will not pick-up on some of the ambiguous compounds, and even if they do, most physicians will not know what to make of it. Due to scheduling hysteria I do not report these cases, of which I am not technically obligated (it can be mandatory if it played a role in lethal overdoses, but let the ME deal with that....the ones here are pretty sharp, but in rural areas, they can be be, well......pretty inept)..........Point is the kid didn't die, he just needed some "time" (sedation). The next morning, while clearing him for release, he told me the compound in front of some nurses and a student, and I wagged my head - he seemed to catch my drift, these Asian kids aren't that dumb after-all..........
 
until the mid 60s

I was reading a review of some legal proceedings related to PCP where the author noted PCP is a schedule II substance in the United States, at first I thought this was an error, but then realized the author was correct. Given that a schedule II drug is partially characterized by having "a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions" and the vast majority of Schedule II drugs are used in some medical capacity (with a few exceptions e.g. phenmetrazine, methorphan, phenazocine) why was PCP saved from placement in schedule I and does it have any currently accepted medical use in the United States or elsewhere?

Hi,

until the mid 60s pcp was used for "twilight sleep" for mothers giving birth

I'm guessing under limited circumstances it's still occasionally used as an anaesthetic

but it's in the same class as cocaine... yea there ARE medical uses... but there are darn few.
 
I've never heard of it used in the US clinically in the past few decades.....outliers almost always exist however, some anesthesiologists really give "off-label" a new meaning..........
 
I was under the impression that cocaine was actually pretty common for use in ocular and nasal surgery because of its vasoconstrictive properties.
 
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