In
the whole world, there is opioid crisis and agencies of harm reduction are
struggling to help the people who tend to use drugs. Clinics and sites of harm
reduction are increasing over the globe, making it quite critical to provide
precise tools and knowledge to workers for helping drug victims. Substance,
pill, and drug testing are being used as a strategy for decreasing the risks of
adverse effects. Furthermore, drug indicative analysis and testing are becoming
more common in Canada at music festivals. The Health’s Standing Committee in
Canada suggested that the Canadian Government should grant requests under the
Act of Controlled Drugs and Substances so to conduct drug analysis and tests at
desired sites. When it comes to drug testing, there are 3 initial advantages
that are gained including; a worldwide image of drugs in the circulation can be
formed, adverse effects can be evaded, awareness can be increased regarding the
drug.
SWGDRUG or Scientific Working Group for the
Analysis of Seized Drugs has validated the following methods. These groups
involve experts of subject-matter who work together to evaluate the best
practices and create specific consensus standards. Therefore, these methods
have been proven to not only be efficient but also effective in the
identification of substances which are unknown. Not every method can be used
commonly because some need a lot of technical knowledge or professional tools.
Discriminatory methods actually carry a greater tag of price for investing in
proper equipment. Thus, it might require an analysis of cost-benefit or
community partnerships (Harper, Powell and Pijl).
MS or Mass Spectrometry is quite a common
discriminatory drug indicative analysis. The molecular mass is precisely
measured by the mass spectrometry by the m/z ration of ions. This technique is
actually the top standard in the laboratories of drug testing. Generally, detection,
ionization, and separation are required in the mass spectrometry. Capillary
electrophoresis, liquid chromatography, and gas chromatography can be used to
accomplish separation. For ionization, different methods can be utilized.
Commonly, direct analysis, fast atom bombardment, photoionization of
atmospheric pressure, laser desorption ionization that is matrix-assisted,
electrospray ionization, and chemical ionization are used for illicit
substances. It can be said that DART or direct analysis in real time gains a
lot of attention since it enables non-destructive experimenting, is capable of
quantifying quickly, and is fast. When a pill is placed in front of the stream
of gas, every molecular specie can be determined in just seconds. This
technique doesn’t need each specie’s distribution before the analysis.
From a virtual perspective, almost
any substance can be analyzed using the technique of MS together with a
technique of separation. Additionally, the sensitivity of mass spectrometers
enables the identification of analytes at a concentration in the range of
attomolar. Sensitivity has been increased by MS over other techniques since the
filter and analyzer decreased the interference at the background. Excellent
specificity is demonstrated by it because of scarce filtering abilities, high
resolution, and fragmentation patterns present in higher or tandem order of MS.
It can be said that MS provides information regarding isotopic abundance and
molecular mass of elements. Additionally, new devices are simpler and easier to
use with their small sizes. Using computers for interfacing enables making the
indicative process easier and refined searches.
MS has quite a major drawback. The
tested sample is destroyed by the process of testing and the only exception is
Dart. The required amount is very small, almost in milligrams. Furthermore,
there are continuing costs because of the required consumable products. Some of
these products are also hazardous. It is very important to separate complex
mixtures with a technique of chromatographic for the correct identification of
each constituent. The expertise that is needed to use this method is medium to
high. Scientists ought to have some knowledge regarding the specific
instruments and technology. Also, there are significant operational costs like
routine service and maintenance, items for sample preparation, gas consumables,
and chromatography reagents (Harrison).
There is another method that is used for the
identification of drugs. IMS or ion mobility spectrometry identifies and
separates ions on the basis of their speed through a gas carrier. It can be
said that ion mobility depends on 3 molecular specifications; ion's collision
cross-section, reduced mass, and the charge. Ionization is required by IMS
prior to the passing of samples into the whole instrument. It is achievable
using coronal discharge, APPI, MALDI, or ESI. When it comes to an ion mobility
spectrometer, there are various designs such as differential mobility,
asymmetric waveform, traveling wave, ion trap, and drift tube. Ion mobility is
determined by the IMS of the drift tube on the basis of the time that it
consumes for reaching the detector. A drift tube is used by modern instruments
for the drug indicative analysis.
Any illicit substance’s small
molecule can be identified accurately and quickly using IMS. The sensitivity of
FAIMS is actually based on various specifications of the physical environment
and ion of interest. IMS is quite precise and can choose a molecule in almost a
billion of ppb. This selectivity of IMS can be enhanced further when the
scientist is using FAIMS. The capability of FAIMS is quite efficient in
operating in an environment with interference's high levels with non-existent
adjustment to conditions of operations. In addition, the determination is quite
swift and it can be achieved in only a few seconds for even a very complex
sample (Lanucara, Holman and Gray).
Overall, it can be said that there is an
opioid crisis worldwide and countless agencies related to harm reduction are
working very hard for helping individuals that use drugs. There are different techniques
that are used for analyzing drugs and identifying the unknown ones. These
methods have their benefits and limitations. In this paper, only MS and IMS are
discussed. These drug identification techniques are quite efficient and only a
limited number of laboratories and clinics seem to support these techniques due
to their tough requirements and expertise. However, with the advancement of
technology, these drug indicative methods are becoming more proficient.
References of Drug Indicative
Analysis
Harper, Lane, Jeff Powell and Em M. Pijl. "An
overview of forensic drug testing methods and their suitability for harm
reduction point-of-care services." Harm reduction journal 14.1
(2017): 52.
Harrison, Alex G. Chemical
ionization mass spectrometry. Routledge, 2018.
Lanucara, Francesco, et
al. "The power of ion mobility-mass spectrometry for structural
characterization and the study of conformational dynamics." Nature
chemistry 6.4 (2014).