Trends

Police drug trends bulletin

The purposes of the Police Scotland’s Statement of Opinion (STOP) bulletin are to raise awareness of drug trends and to demonstrate some of the substances present in Scotland's drugs market. This edition describes the diversification in the supply of cannabinoids.

Synthetic cannabinoid receptor agonists (SCRAs)

Officers from the STOP Unit West attended an address that was being used in the production of synthetic cannabinoid receptor agonists (SCRAs, also known as synthetic cannabinoids or ‘spice’), namely MDMB-4en-PINACA and ADB-INACA. This is the first known site attended by the STOP Unit in Scotland. The operation was notable for its highly sophisticated setup.

SCRAs are primarily associated with use in prisons, where they are consumed in various forms, including vapes, paper and powder. More information on drug use in prisons, can be found in the indicator: Drug seizures in Scottish prisons.

They have also been identified in community settings, appearing in products such as vapes, edibles or sprayed onto resin and plant material (commonly referred to as ‘bud’). Although less common, SCRAs have occasionally been detected in tablet form as well.

Most synthetic cannabinoids are deemed class B drugs under the Misuse of Drugs Act 1971. Newer ones are covered by the Psychoactive Substances Act 2016.

Semi-synthetic cannabinoids

STOP Unit West have recently seen a recovery of a drug that appeared to be cannabis resin. Laboratory analysis revealed the presence of the SCRA, MDMB-4en-PINACA, as well as hexahydrocannabinol (HHC). While the detection of a SCRA on cannabis resin is not unusual, the presence of HHC is uncommon.

HHC is a semi-synthetic cannabinoid, a compound that is derived from naturally occurring cannabinoids but is modified to enhance or alter the effects. It is controlled by the Psychoactive Substances Act 2016.

Tetrahydrocannabinol

Tetrahydrocannabinol (THC) is a class B drug under the Misuse of Drugs Act 1971. It is most commonly found in herbal form as one of the main cannabinoids in cannabis. It has also been detected in vape oils and in crystal form. Below is an image of a recent recovery of THC crystals.

 

Image caption THC crystals

Cannabidiol

STOP Unit West have seen a recent increase in the recovery of cannabis extracts being recovered containing cannabidiol (CBD) only (no THC). These have taken the form of crystals, similar to but larger than the THC crystals shown above, or as yellow/brown material with similar appearance to ‘shatter’.

CBD is a cannabinoid, but it is non-intoxicating and non-euphoric, meaning it is not psychoactive and does not produce a ‘high’. Unlike other cannabinoids, it is not controlled by the Misuse of Drugs Act or Psychoactive Substances Act. It is commonly sold as a food supplement and is advertised as helping with conditions such as inflammation, pain, nausea, migraines, seizures and anxiety, although further research is needed to establish a firmer evidence base for its use as a treatment for such conditions.

RADAR intelligence and reports

97 reports were validated by RADAR between 5 October 2024 and 4 January 2025.

RADAR has received over 450 reports of drug-related information and harms. Our sincere thanks to everyone who has contributed.

These reports have been invaluable in identifying early changes to trends and supply, enabling more rapid responses to emerging threats. This has been especially important as we currently navigate significant disruptions to several key drug markets. Anyone can make a report through the reporting form and mailbox.

Summary

A summary of key trends is shown below. Intelligence reports to RADAR can be filtered by drug type and region on the dashboard (external website).

Please note, many of these reports have not been confirmed by toxicology and should be considered anecdotal.

Trends by primary drug type

Quarterly dates are shown on the chart below. In the latest period (QR10; 5 October 2024 to 4 January 2025):

  • The majority of submissions report polydrug use – the use of more than one substance at a time.
  • Most concerns were related to adverse effects (seizures, wounds and confusion), overdose (collapse, unconsciousness) and death.
  • The most common primary drugs or drug types reported were heroin and benzodiazepines.
    • Heroin was the most commonly reported drug of concern, accounting for 19% of drugs reported. This was stable compared to the previous quarter, but reports have increased throughout the time series, from 5% in QR1.
    • Benzodiazepines (benzos) accounted for 16% of all drugs reported. Between QR1 and QR5, benzos accounted for 34% of drugs reported, before decreasing to an average of 20% between QR6 and QR8 and increasing in QR9 (26%).
    • Synthetic opioids (nitazene/fentanyl-type drugs) accounted for 13% of drugs reported, similar to the previous five quarters (average 11%). Nitazenes continue to be the most common novel synthetic opioid detected in toxicology but several submissions reported drugs sold as ‘fentanyl’.
    • Cocaine accounted for 15% of drugs reported, similar to the 18% average between QR1 and QR8 and an increase from 8% in QR9. Reports of crack cocaine were more frequent than powder cocaine for the first time.
    • The most common drugs reported in the ‘other’ category were ketamine, MDMA, pregabalin, alcohol and zopiclone.
Image caption Reports to RADAR by primary drug(s)
  • In the last quarter, RADAR received reports from all mainland NHS boards concerning changes to the heroin supply.
  • These reports include adverse effects, overdoses and deaths. Reports also concern heroin having a different appearance (colour, texture, smell) than expected, with several noting the heroin turned green when prepared for injection.
  • In the last quarter, several reports were received concerning benzo supply shortages. Reports were received from Tayside, Highland and Greater Glasgow and Clyde (GGC).
  • Other reports varied, including changes in quality and toxicity, with some reporting lower quality supply, whilst others report suggested increase in adverse or unusual effects (commonly memory loss or ‘losing days’), and people experiencing reduced tolerance (e.g. taking less than normal but experiencing more of an effect).
  • Multiple street benzo samples tested by WEDINOS from over the UK including Lothian, Tayside, GGC and Grampian have found paracetamol, sometimes on its own, or with bromazolam, lorazepam or etizolam.

In the last quarter, we received several reports from independent sources about people having seizures following drug consumption. These reports have been received from across Scotland.

Drugs reported during these incidents include cocaine, benzodiazepines, alcohol, ketamine, pregabalin, heroin and synthetic cannabinoids, with several incidents reporting polydrug use.

Seizures can result from drug intoxication (from taking drugs such as MDMA and cocaine) or withdrawal (from suddenly stopping drugs such as benzos and alcohol).

Signs of a seizure

  • collapse
  • stiff body
  • sudden jerky or uncontrolled body movements
  • loss of bowel or bladder control

Learn first aid for seizures

If someone is having a seizure:

  • Prevent injury by clearing the area of objects that could cause harm.
  • Protect their head using a blanket or cushion.
  • Do not restrain them.
  • Time how long the seizure lasts.
  • After seizure ends, check to see if person is breathing normally. Help the person to rest on their side with their head tilted back. 
  • The person needs urgent medical attention if:
    • it is their first seizure
    • they are unresponsive for more than 10 minutes after the seizure
    • the seizure lasts longer than five minutes
    • they have repeated seizures
    • they are not breathing normally
    • they have hurt themselves
    • drugs are suspected to be involved
    • you are unsure as to the cause.
  • Call 999 and ask for an ambulance:
    • tell them your location and what’s happened
    • be open about the substances taken.

Learn more about how to respond to an overdose:

WEDINOS

WEDINOS (external website) is a harm reduction project, providing an anonymous testing service, to show trends in substance use.

Between September and November 2024, 142 samples from Scotland were tested by WEDINOS. Seven samples contained no active components.

Among the 135 samples testing positive for a controlled drug:

  • There were 235 detections of 135 individual substances.
  • The average number of substances detected per sample was two, with the number of substances ranging from one to eight per sample.
  • Over half did not test positive for the intended purchase.

The following controlled drugs were the most common:

  • bromazolam: 15 (6% of detections, 11% of samples)
  • diazepam: 14 (6% of detections, 10% of samples)
  • cocaine: 12 (5% of detections, 9% of samples)
  • 6-MAM: 11 (5% of detections, 8% of samples)
  • heroin: 10 (4% of detections, 7% of samples)

Scottish Drugs Forum (SDF) drug trends

SDF are funded by the Scottish Government to develop regional Living Experience Engagement Groups - safe spaces for those with living experience to express their views and share information about drug trends and harms. These groups typically meet weekly and are facilitated by staff with lived experience from the SDF Living Experience Engagement Team and local partner agencies.

Several groups are operational or in development across Scotland. Regional group members have the opportunity to contribute to a national group, which engages with strategic bodies, stakeholders and policymakers, such as the Scottish Government's National Collaborative. While the groups operate independently, they can provide valuable input to local Lived Experience Panels or Alcohol and Drug Partnership subgroups through member representation.

Each group sets its meeting agenda, ensuring a safe space to discuss their needs, opinions and the issues affecting them. An important part of this is learning and sharing information about current trends and the related risks and harms. SDF publishes regular trend bulletins based on group insights. Read the latest report at Resources - Scottish Drugs Forum (external website).

Reporting drug harms

Please encourage people and services in your area to share information on trends, incidents and harms related to drugs, such as:

  • adverse effects including overdose and wounds
  • routes of administration
  • new substances or patterns of use
  • testing data.

The information in the regional breakdown can be used by local areas for their own drug trend surveillance.

Anyone can make a report by using our reporting form (external website) or by emailing phs.drugsradar@phs.scot.

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Last updated: 27 January 2025
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