Records the recommendations of a committee commissioned to assess data on
selected psychoactive substances and issue advice on the need for their control
under existing international treaties. Recommendations for control balance data
on the therapeutic utility of a drug against experimental evidence of its abuse
potential and direct evidence of actual cases of abuse and reports of illicit
traffic. The report opens with an evaluation of data on 34 benzodiazepines,
currently controlled under the international treaties, with the aim of
determining whether some of these substances should be considered for
rescheduling. On the basis of trends in the pattern of abuse and reports of
illicit traffic, the report concludes that 19 of these substances are
appropriately controlled, and that a further 13 should be monitored continuously
so as to determine whether critical review to consider their possible
descheduling would be required. Of all the benzodiazepines reviewed, diazepam
and flunitrazepam were singled out as showing a continuing higher incidence of
abuse and association with illicit activities. The report also assesses three
additional benzodiazepines (brotizolam, etizolam, and quazepam), concluding that
none of these substances would require international control at this stage.
Propylhexedrine, which is used in an inhalant form for nasal decongestion, is
evaluated in the second section. Noting that the incidence of abuse and illicit
trafficking remains very low, the report concludes that propylhexedrine should
be removed from international control. The third section considers data on
dronabinol, a drug used in the management of nausea and vomiting induced by
cancer chemotherapy. Dronabinol is a stereochemical variant of
delta-9-tetrahydrocannabinol, the active principle of cannabis. The likelihood
of abuse of dronabinol was judged to be substantially lower than that of
cannabis. On the basis of these considerations, the report recommends that
delta-9-tetrahydrocannabinol and its stereochemical variants be moved from
Schedule I to Schedule II of the Convention on Psychotropic Substances, 1971. A
final section discusses 111 preparations exempted by the Government of the
United States of America from certain control measures. Particular concern
centres on the exemption of 55 preparations containing butalbital from export
declarations. In view of possible abuse problems arising from exportation to
another country, the book concludes that the exemption of these 55 preparations
from export declarations should be terminated...