This is what is foreseen by the Ministry of Health decree of 12 October 2018 following new deaths in Europe. The risks associated with the spread of these new psychoactive substances on the international black market have also been taken into consideration. They were created to try to avoid the ban on synthetic heroin. In the world new synthetic drugs are constantly being invented which, once discovered by the authorities, make it necessary to update the list in which the illegal substances are cataloged. Precisely for this reason was signed by Minister Giulia Grillo the decree came into force last November 17, which updates the list on drugs as provided by the Consolidated Law on drugs (Presidential Decree 309/1990). These new generation drugs are very worrying because they were created specifically to avoid the ban on the Fentanil molecule, better known as synthetic drug. "They possess much greater power than the original molecule and those who use them can be subject to respiratory depression due to their high potency on opiate receptors".
For this reason, in Table 1, where there are psychotropic, some new substances similar or deriving from Fentanyl have been added. Some of these were the cause of deaths in Sweden, Poland, Slovenia and the United Kingdom: 3-Fenilpropanoylfentanil, 4-Fluoroisobutirfentanil, Benzodixolfentanil, Benzilfentanil, Benzoilfentanil, Caefentanil, Ciclopentilfentanil, Methoxyacetylfentanil, Tertrahydrofuranilfentanil, Tetrametilciclopropanfentanil and Triofenefentanil. The drugs to be defined such must precisely appear in the list of illegal molecules of the Ministry of Health. If a molecule is not present in the table it is legitimate to sell it, produce it and take it. Synthetic drugs are different versions produced in chemically laboratory, of illegal common drugs. Even a small change allows trade, as they are not classified as real drugs. Precisely for this reason the authorities have the task of discovering new substances and updating the list. A continuous race against time.