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Adulterated heroin wasn't the sole risk, with results of “strong synthetic opioids in fake oxycodone tablets, and less usually in fake or ‘street’ benzodiazepines As well as in synthetic cannabinoids”, it stated.

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Metonitazene was initial reported in the scientific literature while in the 1950s alongside other nitazene analogues [

The key metabolites determined in human hepatocyte incubations and authentic samples are shown in Fig. 5.

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