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www.confirmbiosciences.com
6-MAMFentanyl
Carfentanil
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Understanding 6-Monoacetylmorphine (6-MAM)
One of three active metabolites of heroin, 6-Monoacetylmorphine or 6-MAM happens as a metabolite once heroin has undergone first-pass metabolism. It is then metabolized into morphine and excreted via the kidneys as urine.
6-MAM arises only from metabolism of heroin. It is not found in poppyseeds and is not a metabolic product of morphine, codeine, or any otheropiate. Therefore, its presence therefore confirms usage of heroin
The presence of 6-MAM is conclusive evidence of prior heroin use. However, due to itsshort half-life, it is only detectable in urine for about 8 hours after administration.
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6-MAM
Brief overview
• Metabolite specific to heroin
• Goal: Markets specifically wanting to test for heroin use
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Parent Drug Primary metabolite Minor metaboliteHeroin 6MAM
MorphineMorphine Hydromorphone (<3%)Codeine Morphine Hydrocodone (<11%)Hydrocodone Hydromorphone
NorhydrocodoneDihydrocodeine
HydromorphoneOxycodone Oxymorphone
NoroxymorphoneOxymorphoneNaloxone Noroxymorphone
Metabolites
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MetabolitesOpiates LOQ (ng/mL) Detection Time* up to
6MAM 5 <1 day
Codeine 25 3 days
Dihydrocodeine 25 3 days
Hydrocodone 25 3 days
Norhydrocodone 25 3 days
Hydromorphone 25 3 days
Oxycodone 25 3 days
Noroxycodone 25 3 days
Oxymorphone 25 3 days
Noroxymorphone 25 3 days
Naloxone 25 3 days
Morphine 25 3 days
Approximate Detection Times
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FentanylFentanyl (Duragesic, Sublimaze, "China White") is an extremely fast-acting synthetic narcotic analgesic, of high potency (approximately 100 - 200 times that of morphine)
Fentanyl can be injected, taken orally (licked like lollipops), smoked, or snorted.
Street names include:•China girl•China white•Dance fever•Jackpot•TNT
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Fentanyl
• Majority of Fentanyl coming in from China
• San Diego border most active for incoming fentanyl and heroin
• “China White” heroin
• Canadian lax border laws • 30grams ok w/out opening• Contributes to Canada crisis
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Fentanyl
• Often laced with heroin and other popular opiates
• Concentrated east, particularly New Hampshire
• 70% of Opioid deaths
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Why Synthetic Opioids?
Price
Strength
Concealment
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Carfentanil• What is it?• Synthetic opioid typically used as tranquilizer for elephants and other large animals. • It has 100x potency of fentanyl or 10,000x potency of morphine. Toxicology labs are only just
finding ways to test for it post-death.• Like fentanyl, it is so potent that it can be inadvertently inhaled or absorbed through the skin,
making it a huge threat to law enforcement, EMTs, and even morticians. • In Akron, Ohio, over a 3 day period, there were 25 overdoses of carfentanil with 4 of them being
fatal.
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Carfentanil Carfentanil or carfentanyl (Wildnil) is an analogue of the popular synthetic opioid analgesic fentanyl, and is one of the most potent opioids known (also the most potent opioid used commercially).