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QJM. 2013 Feb;106(2):147-52. doi: 10.1093/qjmed/hcs219. Epub 2012 Nov 22.  Analysis of anonymous pooled urine from portable urinals in central London confirms the significant use of novel psychoactive substances.  Archer JR1, Dargan PI, Hudson S, Wood DM.

AIM: Analysis of urine samples collected across a city centre, for the detection of novel psychoactive substances (NPS).

DESIGN:  Cross-sectional study of anonymized urine samples used for the analysis of classical recreational drugs, NPS and metabolites.

METHODS:  Pooled urine samples collected from portable stand-alone four-person urinals across a city centre were analysed using full-scan accurate-mass high-resolution liquid chromatography coupled to tandem mass spectrometry. Data were processed against compound databases containing >1700 drug compounds and metabolites.

RESULTS:  Seven established recreational drugs

• 3,4-methylenedioxyamphetamine,
• cocaine,
• cannabis,
• ketamine,
• 3,4-methylenedioxy-N-methylamphetamine,
• methamphetamine and
• amphetamine

and six potential NPS

• hordenine (all 12 urinals),
• cathine (11),
• methylhexaneamine (9),
• 4-methylmethcathinone (6),
• methiopropamine and metabolites (2) and
• methoxetamine and metabolites (1)]

were detected. Methylhexaneamine, methiopropamine and hordenine are currently uncontrolled in the UK, whereas methoxetamine is currently subject to a Temporary Class Drug Order. Metabolites of the anabolic steroid nandrolone were found in two urinals and trenbolone metabolites and clenbuterol in one urinal.

CONCLUSION:  Analysis of pooled urine samples collected anonymously from stand-alone urinals in a large inner city can detect the use of recreational drugs, NPS and anabolic steroids. Metabolite detection indicates actual drug use, metabolism and elimination rather than simply discarded drugs in the urinals. This technique by confirming the actual drug(s) used has the potential to be additive to currently used datasets/key indicators providing more robust information for healthcare authorities, legislative and law enforcement on the drugs actually being used.

PMID: 23178933