Dose Heterogeneity
Definition
The variation in active ingredient content between nominally identical tablets in a counterfeit or clandestinely pressed batch. High dose heterogeneity in illicit fentanyl tablets is a primary driver of overdose deaths when a high-dose tablet is consumed without warning.
Related terms
- 4-Anilinopiperidine Scaffold
- The structural core conserved across fentanyl and its analogues: a piperidine ring bearing an anilide group at the 4-position. Clandestine variation at...
- 6-Monoacetylmorphine (6-MAM)
- A transient diagnostic metabolite of heroin (diacetylmorphine) formed by the rapid hydrolysis of one acetyl group. Half-life is 6 to 25 minutes...
- Alkaloid Ratio Profiling
- A source-attribution technique using the morphine:codeine:papaverine:noscapine ratio in heroin seizures to infer the geographic origin of the opium feedstock, reflecting the chemotype...
- Carfentanil
- A fentanyl analogue with a 4-carbomethoxy substituent on the piperidine ring; approximately 10,000 times the analgesic potency of morphine. Implicated in the...
- Diacetylmorphine
- The IUPAC name for heroin; the 3,6-diacetyl ester of morphine, produced by acetylation with acetic anhydride. More lipophilic than morphine, crosses the...
- Marquis Reagent
- A presumptive drug test reagent consisting of formaldehyde in concentrated sulphuric acid, first described by Edmund Marquis in 1896. It produces characteristic...
- MRM (Multiple Reaction Monitoring)
- A targeted MS/MS scan mode on a triple quadrupole that monitors specific precursor-to-product ion transitions, with two transitions per analyte (quantifier and...
- Nitazenes
- A class of benzimidazole-based synthetic opioids structurally unrelated to fentanyl but with potent mu-opioid receptor agonism. Isotonitazene, metonitazene, and protonitazene have been...
- SWGDRUG
- Scientific Working Group for the Analysis of Seized Drugs, established in 1997 by the US DEA and the Office of National Drug...
Explained in
- Opioids: Heroin, Fentanyl Analogues and Prescription DiversionsThe variation in active ingredient content between nominally identical tablets in a counterfeit or clandestinely pressed batch. High dose heterogeneity in illi...