A Fatal Case Report Resulting from the Abuse of the Designer Benzodiazepines Clonazolam and Flualprazolam in Conjunction with Dried Opium Poppy Pods
Journal of Analytical Toxicology November 1, 2022 Nadine Theofel, Philipp Möller, Elke Vejmelka et al. 10 citations
A 21-year-old man was found unconscious in his bed with multiple controlled substances nearby, including opium poppy pods and designer drugs. Toxicological analysis of his blood and urine revealed lethal concentrations of the designer benzodiazepines flualprazolam (0.74 mg/L) and clonazolam (2.08 mg/L), along with high levels of opiates (thebaine 0.81 mg/L, codeine 0.23 mg/L, morphine 0.13 mg/L) and the synthetic cannabinoid CUMYL-4CN-BINACA (0.01 mg/L). The combination of these substances, especially the benzodiazepines, likely caused his death. The report also includes mass spectra of additional compounds found at the scene, such as several tryptamines, amphetamines, and arylcyclohexylamines.