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Reported user negative effects include palpitations, paranoia, intense anxiety, nausea, vomiting, confusion, poor coordination, and seizures. There have also been reports of a strong compulsion to re-dose, withdrawal symptoms, and persistent cravings.  Severe illnesses and death have resulted from this contamination.

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ADB-BUTINACA (ADB-BINACA) is a new synthetic cannabinoid that was first found in Europe in 2019.  Although National Forensic Service (NFS) also identified it in authentic seizures from early last year, it was unable to test biological samples due to the unavailability of metabolic data with the absence of reference standards. NFS finally established the method of detection in biological samples.

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