Episode 75: Kratom Is Changing - New Semi-Synthetic Compounds & Rising Harm

Episode 80: Novel Benzodiazepines – Emerging Trends and Analytical Challenges

This week on The Tox Lab, we’re discussing novel benzodiazepines and examining recent trends in their emergence and detection. We begin by exploring the origins of novel benzodiazepines, including how these compounds have entered the drug market and the factors contributing to their continued appearance. We then turn to a paper from the Society of Forensic Toxicologists (SOFT) Novel Psychoactive Substances Committee, examining trends in novel benzodiazepine detections between 2021 and 2025. We discuss findings from post-mortem investigations, clinical presentations, driving under the influence of drugs cases, and drug-facilitated crime, highlighting the compounds most commonly encountered, including bromazolam, etizolam, and desalkylgidazepam, and how patterns have changed over time. We also explore the analytical challenges associated with novel benzodiazepines, including their detection and identification in toxicology laboratories, the limitations of routine testing, and the difficulties associated with interpreting toxicological findings when limited pharmacological, toxicological, and concentration data are available. Join us as we examine the evolving landscape of novel benzodiazepines, consider the challenges they present for forensic and clinical toxicology, and discuss what these trends may tell us about the future of the drug market. Hope you enjoy! Links to the paper we discussed: https://academic.oup.com/jat/advance-article/doi/10.1093/jat/bkag026/8662327?searchresult=1 https://academic.oup.com/jat/advance-article-abstract/doi/10.1093/jat/bkag027/8663758?redirectedFrom=fulltext Disclaimer: All opinions are our own. Find us on instagram: @the_tox_lab Email us here: thetoxlab@gmail.com Check out our new website: https://thetoxlab.co.uk/ Support us here: https://buymeacoffee.com/thetoxlab

Episode 79: Kava – Tradition, Benefits and Toxicity

This week on The Tox Lab, we’re discussing kava and examining its history, use, and potential toxicological effects. We begin by exploring the history of kava and its longstanding cultural and social significance, before discussing reported benefits associated with its use and the reasons it continues to gain popularity. We then turn to potential harms associated with kava, examining cases of acute liver injury and acute interstitial nephritis linked to its use, before discussing a fatal case involving kava ingestion and the toxicological considerations surrounding these reports. Join us as we examine the evolving story surrounding kava, from its traditional use and perceived benefits to the clinical and toxicological challenges associated with its increasing use. Links to the papers we discussed: https://pmc.ncbi.nlm.nih.gov/articles/PMC12405834/pdf/DAR-44-1601.pdf https://doi.org/10.1155/crgm/3914876 https://onlinelibrary.wiley.com/doi/10.1111/nep.70051 http://dx.doi.org/10.1016/j.forsciint.2015.01.032 Check out our new website: https://thetoxlab.co.uk/ Disclaimer: All opinions are our own. Find us on instagram: @the_tox_lab Email us here: thetoxlab@gmail.com Support us here: https://buymeacoffee.com/thetoxlab

Episode 78: Strange Things in Strange Places – Poison Dart Frogs, Navalny and Epibatidine

This week on The Tox Lab, we’re discussing poison dart frogs and the alkaloid epibatidine. We begin by examining recent reports surrounding the death of Alexei Navalny and the suggestion that epibatidine may have been involved. We then discuss poison dart frogs and the toxins found within them, including the discovery and isolation of epibatidine. From there, we explore its potent analgesic properties, how it acts at nicotinic acetylcholine receptors, and what makes it both pharmacologically interesting and highly toxic. Finally, we examine attempts to develop epibatidine analogues as novel analgesics and explore the evolutionary question of how poison dart frogs themselves avoid poisoning. Join us as we examine the pharmacology, toxicity, and evolving story surrounding epibatidine, and consider how a toxin derived from poison dart frogs became linked to drug development, toxicology, and international headlines. Hope you enjoy! Links to the papers we discussed: https://www.gov.uk/government/news/joint-statement-by-the-uk-sweden-france-germany-and-the-netherlands-on-alexei-navalnys-death https://pubs.rsc.org/en/content/articlelanding/2000/np/a900728h https://www.science.org/doi/epdf/10.1126/science.aan5061 Check out our new website: https://thetoxlab.co.uk/ Disclaimer: All opinions are our own. Find us on instagram: @the_tox_lab Email us here: thetoxlab@gmail.com Support us here: https://buymeacoffee.com/thetoxlab

Episode 77: Novel Synthetic Opioids – An Update on Emerging Trends

This week on The Tox Lab, we’re back with a long-awaited update on novel synthetic opioids. We begin by discussing the April 2026 UNODC announcement on the increasingly varied forms in which synthetic opioids are being encountered, including vapes, powders, and counterfeit tablets marketed as benzodiazepines, oxycodone, and MDMA. We then turn to the emergence of orphine analogues in both the UK and the US, discussing recent reports and trends associated with these compounds. Finally, we examine a clinical case involving N-propionitrile chlorphine (cychlorphine), exploring the toxicological features and the challenges these emerging opioids present for clinicians, laboratories, and public health systems. Join us as we examine the changing landscape of novel synthetic opioids, consider what these developments may mean for toxicology, harm reduction, and public health, and discuss where the market may be heading next. Hope you enjoy! This episode is very kindly sponsored by Cayman Chemical. Check out their Synthetic Opioid Analytical Standards Panel here: https://www.caymanchem.com/product/44436/synthetic-opioid-analytical-standards-panel-1 Links to papers we discussed: https://www.unodc.org/LSS/Announcement/Details/973e194e-f8d6-4b4e-8aca-166aaec4ac7c https://www.polizei.bayern.de/aktuelles/pressemitteilungen/100413/index.html https://onlinelibrary.wiley.com/doi/10.1111/dar.70081 https://assets.publishing.service.gov.uk/media/69f3343fab602a88957eef2b/Seventh_addendum_to_the_ACMD_report_on_the_use_and_harms_of_2-benzyl-benzimidazole__nitazene__and_piperidine_benzimidazolone__brorphine-like__opioids_FINAL.pdf https://www.cfsre.org/nps-discovery/public-alerts/increase-in-fatal-overdoses-linked-to-novel-synthetic-opioid-n-propionitrile-chlorphine-cychlorphine https://www.tandfonline.com/doi/full/10.1080/15563650.2025.2594070 Link to our paper on N-pyrrolidino Isotonitazene: https://academic.oup.com/jat/advance-article-abstract/doi/10.1093/jat/bkag027/8663758?redirectedFrom=fulltext Disclaimer: All opinions are our own. Find us on instagram: @the_tox_lab Email us here: thetoxlab@gmail.com Support us here: https://buymeacoffee.com/thetoxlab

Episode 76: Naloxone - Access, Harm Reduction and Disparities

This week on The Tox Lab, we are taking a look at the role of naloxone in risk taking behaviours, harm reduction and disparities surrounding naloxone access. We begin by discussing a study looking at the expansion of naloxone access laws in the United States, exploring whether increased availability is associated with changes in heroin use among adolescents. We then turn to a commentary paper examining the benefits and limitations of educating school children recognise an opioid overdose and administer naloxone. Finally we discuss a paper investigating disparities in naloxone uptake amongst different ethnic and racial groups, and between individuals who inject versus smoke substances. Join us as we explore the impact of naloxone access, education, and disparities, and consider what these findings mean for harm reduction and public health. Hope you enjoy! Links to the papers we discussed: https://www.sciencedirect.com/science/article/abs/pii/S0955395923000294 https://onlinelibrary.wiley.com/doi/abs/10.1111/josh.70089 https://pubmed.ncbi.nlm.nih.gov/41428846/ Disclaimer: All opinions are our own. Find us on instagram: @the_tox_lab Email us here: thetoxlab@gmail.com Support us here: https://buymeacoffee.com/thetoxlab