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# The Know

Australian drug alerts, all in one place

## Sitemaps

- [XML Sitemap](https://theknow.org.au/sitemap.xml): Contains all public & indexable URLs for this website.

## Posts

- [Drug Facts: Benzodiazepines](https://theknow.org.au/drug-facts-benzodiazepines/)
- [Drug facts: dissociatives](https://theknow.org.au/drug-facts-dissociatives/)
- [Drug facts: MDA](https://theknow.org.au/drug-facts-mda/)
- [[Vic] Health warning on hospitalisations linked to ‘Uncle Frog’s Mushroom Gummies’](https://theknow.org.au/health-warning-on-hospitalisations-linked-to-uncle-frogs-mushroom-gummies/)
- [[SA] Unexpected toxicity - Uncle Frog’s Mushroom Gummies](https://theknow.org.au/unexpected-toxicity-uncle-frogs-mushroom-gummies/)
- [[WA] Uncle Frog's Mushroom Gummies warning for Western Australia](https://theknow.org.au/uncle-frogs-mushroom-gummies-warning-for-western-australia/)
- [[TAS] Alert: Uncle Frogs Food Recall](https://theknow.org.au/alert-uncle-frogs-food-recall/)
- [New Psychoactive Substances (NPS)](https://theknow.org.au/new-psychoactive-substances-nps/)
- [Drug Facts: Amphetamines](https://theknow.org.au/drug-facts-amphetamines/)
- [Drug Facts: 2C-B](https://theknow.org.au/drug-facts-2c-b/)
- [Drug Facts: NBOMes](https://theknow.org.au/drug-facts-nbomes/)
- [Drug Facts: opioids](https://theknow.org.au/drug-facts-opioids/)
- [Drug facts: Cocaine](https://theknow.org.au/drug-facts-cocaine/)
- [Drug Facts: MDMA](https://theknow.org.au/drug-facts-mdma/)
- [Drug Facts: Nitazenes](https://theknow.org.au/drug-facts-nitazenes/)
- [Drug facts: Methamphetamine](https://theknow.org.au/drug-facts-methamphetamine/)
- [Drug facts: GHB](https://theknow.org.au/drug-facts-ghb/)
- [Support services](https://theknow.org.au/support-redirect/)
- [Drug Facts: Ketamine](https://theknow.org.au/drug-facts-ketamine/)
- [Drug Facts: Heroin](https://theknow.org.au/drug-facts-heroin/)
- [Drug facts: synthetic cathinones](https://theknow.org.au/drug-facts-synthetic-cathinones/)
- [Drug facts: Oxycodone](https://theknow.org.au/oxycodone-drug-facts/) - ADF

## Pages

- [Sign up for alerts](https://theknow.org.au/sign-up-for-alerts/)
- [Support Services](https://theknow.org.au/support-services/)
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- [Copyright & disclaimer](https://theknow.org.au/disclaimer/)
- [About The Know](https://theknow.org.au/about-the-know/)
- [The Know](https://theknow.org.au/homepage/) - Accurate and timely information on emerging drugs of concern.
- [Feedback](https://theknow.org.au/feedback/)
- [Page not found](https://theknow.org.au/page-not-found/)
- [Articles](https://theknow.org.au/articles/)
- [Sample Page](https://theknow.org.au/sample-page/) - This is an example page. It's different from a blog post because it will stay in one place and will show up in your site navigation (in most themes). Most people start with an About page that introduces them to potential site visitors. It might say something like this: Hi there! I'm a bike messenger

## Alerts

- [Heroin found in expected 'cocaine' sample](https://theknow.org.au/alerts_warnings/heroin-found-in-expected-cocaine-sample-3/) - A white powder sample expected to contain cocaine was found to contain heroin and no cocaine. What does this mean? This is the third public drug warning that CanTEST have released relating to heroin being present in drugs sold as cocaine in recent months. People consuming cocaine should be aware of the signs of opioid
- [Meth found in expected ketamine sample](https://theknow.org.au/alerts_warnings/meth-found-in-expected-ketamine-sample-2/) - A white powder sample was brought to CanTEST for testing, expected to contain ketamine. The sample was found to contain both methamphetamine (40% free base purity) and ketamine (34% free base purity). What does this mean? Ketamine is a dissociative anaesthetic, while methamphetamine is a stimulant. If you were expecting to only consume ketamine, the
- [Turinabol (T-bol) and methandienone (D-bol) detected in a sample expected to contain oxandrolone](https://theknow.org.au/alerts_warnings/turinabol-t-bol-and-methandienone-d-bol-detected-in-a-sample-expected-to-contain-oxandrolone/) - No oxandrolone was detected. What is Oxandrolone? Oxandrolone, also known as Anavar, is an anabolic-androgenic steroid. Although it may have a lower risk of liver toxicity than some other oral steroids, it can still cause liver enzyme elevation. No oxandrolone was detected in this sample. What is Turinabol? Turinabol (also known as T-bol) is an
- [N-Sec-butyl butlyone detected in a sample expected to be cocaine](https://theknow.org.au/alerts_warnings/n-sec-butyl-butlyone-detected-in-a-sample-expected-to-be-cocaine/) - No cocaine was detected in the sample. What has been detected? A synthetic cathinone, N-sec-butyl butylone was detected The Victorian Pill Testing Service has previously detected N-sec-butyl butylone in samples that were expected to be 3-MMC or 4-MMC (March 2026) This time it has been detected in a sample expected to be cocaine. No cocaine
- [Medetomidine found in ‘Xanax Bars’ expected to contain flualprazolam (new samples)](https://theknow.org.au/alerts_warnings/medetomidine-found-in-xanax-bars-expected-to-contain-flualprazolam-new-samples/) - Two new separate samples were recently submitted. As with the two samples reported on 18 May, no flualprazolam was detected. The samples were found to contain only medetomidine, ethylflualprazolam, and denatonium. What is medetomidine? Medetomidine is a non-opioid sedative. It is very potent– consuming a small amount canresult in heavy sedation. When mixed with benzos, such as ethylflualprazolam or other central nervous system depressants,
- [DOI (2,5-dimethoxy-4-iodoamphetamine) detected in blotter expected to contain LSD](https://theknow.org.au/alerts_warnings/doi-25-dimethoxy-4-iodoamphetamine-detected-in-blotter-expected-to-contain-lsd/) - No LSD was detected. What is DOI? DOI (2,5-dimethoxy-4-iodoamphetamine) is a potent, long lasting psychedelic drug. If you are expecting LSD but take DOI, effects may be longer and less predictable than expected. DOI is often reported as being a challenging experience compared to LSD. Onset can be 1-3 hours. Duration of action can be
- [Heroin found in expected 'cocaine' sample](https://theknow.org.au/alerts_warnings/heroin-found-in-expected-cocaine-sample-2/) - A white rock sample expected to contain cocaine was found to contain heroin and no cocaine. This is the 2nd time this month an expected cocaine sample presented at CanTEST was found to be heroin. What does this mean? In recent weeks, both NSW Health and VIC Health have released public drug warnings relating to heroin being present in drugs
- [MDMA and methamphetamine found in orange Tesla pills](https://theknow.org.au/alerts_warnings/mdma-and-methamphetamine-found-in-orange-tesla-pills/) - Two orange Tesla pills tested positive for MDMA + methamphetamine. One of these pills was sold as MDMA + amphetamine. Methamphetamine is more potent and stimulating than amphetamine, meaning more trouble sleeping and a longer comedown. This combination has higher risks of over-heating and cardiovascular strain.
- [Heroin found in expected 'cocaine' sample](https://theknow.org.au/alerts_warnings/heroin-found-in-expected-cocaine-sample/) - A white powder sample expected to contain cocaine was found to contain heroin and no cocaine. What does this mean? In recent weeks, both NSW Health and VIC Health have released public drug warnings relating to heroin being present in drugs sold as cocaine and methamphetamine. People consuming cocaine should be aware of the signs
- [Rilmazafone found in 'benzo' pill](https://theknow.org.au/alerts_warnings/rilmazafone-found-in-benzo-pill/) - A round green pill with an '86' press on one side and a stylised 'R' logo on the other (resembling a generic alprazolam tablet prescribed in the US), expected to contain a benzodiazepine, was found to be a counterfeit, containing rilmazafone. Rilmazafone is a benzodiazepine prodrug, meaning the body converts the substance into a benzo
- [Heroin found in methamphetamine and cocaine products across Victoria](https://theknow.org.au/alerts_warnings/heroin-found-in-methamphetamine-and-cocaine-products-across-victoria/) - Heroin is an opioid that can produce life-threatening toxic effects in very small amounts Death and serious harms from heroin overdose have occurred after use of cocaine and methamphetamine in Victoria. One person has died and multiple people in four separate incidents across Victoria have required emergency care because they experienced heroin overdose after using
- [Multiple high dose MDMA pills](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-pills-5/) - Two high dose MDMA pills detected: SAMPLE 1 - Black/Dark grey 'Maserati' press pill Total weight of pill: 416mg MDMA purity: 43% (179mg free base) SAMPLE 2 - Blue 'Superman' press pill Total weight of pill: 440mg MDMA purity: 46% (202mg free base) What does this mean? A common dose of MDMA is between 80-120mg.
- [Vape containing potent sedative ‘etomidate’ sold in Melbourne](https://theknow.org.au/alerts_warnings/vape-containing-potent-sedative-etomidate-sold-in-melbourne/) - Etomidate is a powerful drug used to produce general anaesthesia Etomidate is a powerful anaesthetic drug that has been detected in a vape product sold in Melbourne. Etomidate can cause rapid onset deep sedation, confusion, impaired coordination, vomiting, loss of consciousness and dangerously slow or ineffective breathing. These effects may be life-threatening, especially if etomidate
- [Synthetic cannabinoid CUMYL-PINACA found in plant material](https://theknow.org.au/alerts_warnings/synthetic-cannabinoid-cumyl-pinaca-found-in-plant-material/) - A green plant material that was mixed with a synthetic substance, expected to be THC or a ‘synthetic cannabinoid’ was found to contain CUMYL-PINACA. Effects THC occurs naturally in cannabis alongside many other cannabinoids, terpenes and plant compounds, which may influence how cannabis feels and affects a person. THC works mainly by activating CB₁ receptors
- [Multiple high dose MDMA (ecstasy) tablets and capsules circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-and-capsules-circulating-in-nsw-2/) - ​Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. Multiple 'Philipp Plein' detections in varying colours, weights, purity and dose, some at least 138 mg MDMA. Multiple capsules of various appearances with >150 mg MDMA found. Know the risks You are at increased risk of harm if
- [Caffeine, chloroquine, ketamine, & heroin found in 'oxycodone' sample](https://theknow.org.au/alerts_warnings/caffeine-chloroquine-ketamine-heroin-found-in-oxycodone-sample/) - A yellow powder sample expected to contain oxycodone was instead found to contain caffeine, chloroquine, ketamine, 6-MAM, acetylcodeine and heroin. No oxycodone was detected. Effects This combination in a single sample could be particularly unpredictable, with an increased risk of overdose: Heroin & ketamine are both sedating. Heroin's a depressant that suppresses breathing and ketamine
- [Heroin found in cocaine products across Melbourne](https://theknow.org.au/alerts_warnings/heroin-found-in-cocaine-products-across-melbourne/) - Heroin is an opioid that can produce life-threatening toxic effects – especially if you don’t usually use opioids Three people in separate incidents have recently required emergency care because they experienced heroin overdose after using what they thought was cocaine. Specialised blood tests showed evidence of heroin as well as cocaine, suggesting that heroin is likely to have been
- [AB-MDMSBA found in a sample expected to contain alprazolam (Xanax)](https://theknow.org.au/alerts_warnings/ab-mdmsba-found-in-a-sample-expected-to-contain-alprazolam-xanax/) - An off-white powder/fine crystals expected to be alprazolam was found to be a synthetic cannabinoid AB-MDMSBA. No alprazolam was detected. This is the same synthetic cannabinoid we detected in February 2026 in pill form. What is AB-MDMSBA? AB-MDMSBA is a synthetic cannabinoid and is structurally similar to other known synthetic cannabinoids like QMPSB. People who
- [UPDATED 20/5/26: Unknown cathinone identified as N-sec-butyl butlyone](https://theknow.org.au/alerts_warnings/unknown-synthetic-cathinone/) - On March 6th, the Victorian Pill Testing Service reported that an unknown synthetic cathinone has been detected in three samples of white powder expected to contain 3-MMC or 4-MMC. This compound has now been identified as N-sec-butyl butylone. There is no information available about effects, risks, dose, or duration. What has been detected? Three samples
- [Medetomidine found in 'Xanax Bars' expected to contain flualprazolam](https://theknow.org.au/alerts_warnings/medetomidine-found-in-xanax-bars-expected-to-contain-flualprazolam/) - Two separate samples were submitted. No flualprazolam was detected. The samples were found to contain only medetomidine, ethylflualprazolam, and denatonium What is medetomidine? Medetomidine is a non-opioid sedative. It is very potent- consuming a small amount canresult in heavy sedation. When mixed with benzos, such as ethylflualprazolam or other central nervous system depressants, risk of
- [Tadalafil (Cialis) and methandienone (Dianabol) detected in a pressed pill acquired as MDMA](https://theknow.org.au/alerts_warnings/tadalafil-cialis-and-methandienone-dianabol-detected-in-a-pressed-pill-acquired-as-mdma/) - No MDMA was detected. The sample is a square coated pill with DP on one side and a half score on both sides. What are these substances? Tadalafil is a medication used to treat erectile dysfunction under the brand name Cialis. Some people also use it as preworkout. In Australia, tadafinil is legally acquired through
- [Fentanyl found in heroin sample](https://theknow.org.au/alerts_warnings/fentanyl-found-in-heroin-sample/) - Two brown powder samples expected to contain heroin were found to contain fentanyl, phenacetin, paracetamol, heroin (6% in one sample, 10% in the other), and fluorofentanyl. The samples were sourced locally (ACT region). What does this mean? Fentanyl carries the risk of fatal, opioid-like overdose, estimated to be between 50 and 100 times stronger than
- [N-ethylhexedrone found in cocaine sample](https://theknow.org.au/alerts_warnings/n-ethylhexedrone-found-in-cocaine-sample/) - A white powder sample, expected to contain cocaine, was found to contain N-ethylhexedrone and no cocaine. What does this mean? N-ethylhexedrone is a synthetic cathinone and can produce stimulating effects including wakefulness, drive, talkativeness, euphoria, sensory enhancement, insomnia, cardiovascular strain, and anxiety. It can take effect quickly (within minutes if insufflated/snorted and up to an
- [N,N-dimethylpentylone found in MDMA pills](https://theknow.org.au/alerts_warnings/nn-dimethylpentylone-found-in-mdma-pills/) - Two blue 'Hello Kitty' press pills were brought to CanTEST for testing, expected to contain MDMA. One pill was found to contain N,N-dimethylpentylone and 117mg MDMA (17% free base purity). The second pill was found to contain N,N-dimethylpentylone and 243mg MDMA (37% free base purity). What does this mean? N,N-dimethylpentylone (DMP) is a synthetic cathinone.
- [Protonitazene found in heroin sample](https://theknow.org.au/alerts_warnings/protonitazene-found-in-heroin-sample/) - A white powder sample, expected to contain heroin, was found to contain protonitazene instead with a trace amount of heroin. The sample was sourced locally (ACT region). What does this mean? Protonitazene is a highly potent synthetic opioid, estimated to be more than 200 times stronger than morphine. All nitazenes carry a risk of fatal
- [Multiple opioid overdoses following use of cocaine](https://theknow.org.au/alerts_warnings/multiple-opioid-overdoses-following-use-of-cocaine-2/) - ​Six people recently presented to hospitals in Sydney and Western NSW with opioid overdoses after using what they thought was cocaine. ​Know the​​ risks Opioids such as heroin may be sold as or found in cocaine, methamphetamine and MDMA. Small amounts of opioids can cause life-threatening overdose. This risk is higher in people who have never or rarely
- [Ethylflualprazolam found in expected 'alprazolam' pills](https://theknow.org.au/alerts_warnings/ethylflualprazolam-found-in-expected-alprazolam-pills/) - Two 'alprazolam' bar pills were brought into CanTEST for testing, expected to contain alprazolam ('Xanax'). One pill was a yellow bar-press printed with RO39. The second pill was a white bar-press printed with 'XANAX' on the front and '02' on the reverse. Neither of these samples contained any alprazolam ('Xanax'). What does this mean? Benzos
- [High dose MDMA pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-8/) - A pink 'Anonymous/Guy Fawkes mask' press pill was brought to CanTEST for testing, expected to contain MDMA. The sample was found to have a mass of 469mg with 38% purity (178mg free base). What does this mean? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in this pill is significantly
- [Heroin found in sample expected to contain ketamine](https://theknow.org.au/alerts_warnings/heroin-found-in-sample-expected-to-contain-ketamine/) - The Victorian Pill Testing Service has detected heroin in a sample expected to contain ketamine. There were no other compounds detected in the sample. Using heroin when you are expecting ketamine could lead to life threatening overdose, especially in people who have never or rarely used opioids. Risks of overdose are significantly increased when mixed
- [Protonitazene found in crushed partial 'oxycodone' pill](https://theknow.org.au/alerts_warnings/protonitazene-found-in-crushed-partial-oxycodone-pill/) - A CRUSHED PARTIAL BLUE with an 'M' on one side and what the client reported as an '80' and break line on the rear - possibly a misread '30' - was expected to contain oxycodone but instead the potent synthetic opioid protonitazene was detected. No oxycodone was detected. The pill, which appeared poorly pressed, was
- [4'-Cl-deschloroalprazolam found in expected 'benzo' samples](https://theknow.org.au/alerts_warnings/4-cl-deschloroalprazolam-found-in-expected-benzo-samples/) - A BROKEN WHITE BAR PILL (Xanax press), (expected to contain alprazolam) AND TWO BROWN CAPSULES (expected to contain unknown benzos) were all found to contain 4'-Cl-deschloroalprazolam. The white bar pill (Xanax press) also contained flubromazepam, clobromazolam, and ethylbromazolam. What does this mean? 4'-Cl-deschloroalprazolam is a new benzo that's been found for the first time at
- [2'fluoro-2-oxo-PCE & N,N-dimethylpentylone sold as ketamine](https://theknow.org.au/alerts_warnings/2fluoro-2-oxo-pce-nn-dimethylpentylone-sold-as-ketamine/) - N,N-Dimethylpentylone (DMP), 2′-fluoro-2-oxo-PCE and MDMA found in white crystals sold as ketamine. This sample was purchased 6 months ago in Sydney and tested by Pill Testing Australia at DIGI Festival. White crystals may look the same or similar, but have entirely different contents. The only way to know what is in your drugs is to
- [Ketamine, MDMA & caffeine detected in sample expected to contain cocaine & MDMA](https://theknow.org.au/alerts_warnings/ketamine-mdma-caffeine-detected-in-sample-expected-to-contain-cocaine-mdma/) - A pink powder sample purchased as a mixture of coke and MDMA was found to contain a combination of ketamine (45%), MDMA (25%) and caffeine. This sample was acquired in Canberra and tested by Pill Testing Australia at DIGI Festival. Effects may vary, due to the contents being a combination of drugs. SIGNS OF OVERDOSE
- [MDA & MDMA found in MDMA pill](https://theknow.org.au/alerts_warnings/mda-mdma-found-in-mdma-pill/) - A yellow ‘skull’ press pill was brought to Pill Testing Australia at DIGI festival for testing, expected to contain MDMA. The sample was found to contain MDA as well as MDMA (5% free base purity, equivalent to 34mg freebase). WHAT DOES THIS MEAN? MDA is stimulant with hallucinogenic properties. Its properties are similar to MDMA,
- [Bromazolam and clonazolam detected in 'Mylan' pill](https://theknow.org.au/alerts_warnings/bromazolam-and-clonazolam-detected-in-mylan-pill/) - A white ‘Mylan’ pill expected to contain a benzodiazepine was found to contain bromazolam and clonazolam. This sample was acquired in Sydney but was tested by Pill Testing Australia at DIGI Festival (Canberra). WHAT DOES THIS MEAN? Clonazolam is a novel benzodiazepine, or ‘Benzo’. Benzos are typically used to sedate and treat anxiety. Clonazolam has
- [High dose MDMA pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-7/) - Half of a green ‘punisher’ press pill was tested in ACT, expected to contain MDMA, was found to have a mass of 451mg with 37% purity (153mg free base MDMA equivalent). WHAT DOES THIS MEAN? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in this pill is significantly more
- [Multiple high dose MDMA pills](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-pills-3/) - CanTEST have detected multiple high dose MDMA pills that were brought for testing. While the detected and expected contents were the same (MDMA), the purity of these was significantly more than a "common dose". It's a reminder that the amount of MDMA in every tablet and capsule may vary a lot, even if they are
- [Protonitazene found in 'oxycodone' pill](https://theknow.org.au/alerts_warnings/protonitazene-found-in-oxycodone-pill/) - Protonitazene found in 'oxycodone' pill. A red/pink bear press pill with a 'Y' on front and back that was expected to contain oxycodone, was instead found to contain the novel synthetic opioid, protonitazene. No oxycodone was detected Protonitazene is significantly stronger than fentanyl. The sample was acquired from the dark web (vendor name not disclosed).
- [Bromazolam and clobromazolam found in counterfeit 'Xanax' sample](https://theknow.org.au/alerts_warnings/bromazolam-and-clobromazolam-found-in-counterfeit-xanax-sample/) - A white pressed bar pill expected to contain alprazolam (Xanax) was found to contain alprazolam as well as the novel benzodiazepines bromazolam and clobromazolam. The pill has 3 break lines on each side to create quarters. The front press reads ‘XANAX’ and the back press has a larger ‘2’. The pill was reportedly acquired online
- [Multiple high dose MDMA pills](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-pills-4/) - Sample #1 Dark grey pill: Maserati press Total weight of pill 436mg MDMA purity 41% (176mg free base) Sample #2 Dark grey pill: Maserati press Total weight of pill 430mg MDMA purity 39% (170mg free base) What does this mean? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in
- [Clonazolam found in counterfeit 'Xanax' pill](https://theknow.org.au/alerts_warnings/clonazolam-found-in-counterfeit-xanax-pill/) - A white pressed pill ('Xanax' bar with XANAX press) expected to contain alprazolam. The pill was found to contain clonazolam instead. What is clonazolam? It's a novel benzodiazepine, or 'Benzo'. Benzos are typically used to sedate and treat anxiety. Clonazolam has a strong sedative effect, known for its high potency.Effects of benzos can include drowsiness,
- [Bromonordiazepam found in counterfeit 'Xanax' pill](https://theknow.org.au/alerts_warnings/bromonordiazepam-found-in-counterfeit-xanax-pill/) - A WHITE PRESSED PILL ('Xanax' bar with XANAX press and a 2 press on the back) expected to contain alprazolam. The pill was found to contain bromonordiazepam instead. What is bromonordiazepam? It's a novel benzodiazepine, or 'Benzo'. Benzos are drugs typically used to sedate and treat anxiety. They're classified as depressants and can have a
- [Tramadol found in expected alprazolam pill](https://theknow.org.au/alerts_warnings/tramadol-found-in-expected-alprazolam-pill/) - A white oval pressed pill with score lines and '2' on one side expected to contain alprazolam was found to contain paracetamol and tramadol instead. No alprazolam was detected. What does this mean? Benzos (expected) are drugs typically used to sedate and treat anxiety. Tramadol (detected) is an opioid with SNRI-like properties, commonly used for
- [Methamphetamine found in ketamine sample](https://theknow.org.au/alerts_warnings/methamphetamine-found-in-ketamine-sample/) - A white crystal sample expected to contain ketamine was found to contain both ketamine and methamphetamine. What does this mean? Ketamine is a dissociative anaesthetic, while methamphetamine is a stimulant. If you were expecting to consume only ketamine, the presence of methamphetamine means the effects could be different from what you anticipated. Stimulants can increase
- [High dose MDMA pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill/) - A pink pill depicting a ring with a star press on the front and a break line with the words 'POP SMOKE' and '300MG' on the back. The sample was found to have a mass of 600mg with 41% purity (246mg free base). What does this mean? A common dose of MDMA is between 80-120mg.
- [Liquid free base methamphetamine found in 'GHB' sample](https://theknow.org.au/alerts_warnings/liquid-free-base-methamphetamine-found-in-ghb-sample/) - A clear syrup-like liquid expected to contain GHB, was instead found to contain liquid free base methamphetamine. In this form, it isn't safe for any consumption method. The purity of the free base methamphetamine was 85%. What does this mean? Unlike crystal methamphetamine, free base methamphetamine isn't designed to be vaporised, smoked, swallowed, injected or
- [Pregabalin and bromonordiazepam found in 'alprazolam' pill](https://theknow.org.au/alerts_warnings/pregabalin-and-bromonordiazepam-found-in-alprazolam-pill/) - A broken section of a white pressed pill with a score mark expected to contain alprazolam was found to contain pregabalin and bromonordiazepam instead. What does this mean? Benzos are drugs typically used to sedate and treat anxiety. Pregabalin (brand name Lyrica) is not a benzo or an opioid, but a central nervous sytem depressant
- [Diazepam, clonazepam, tapentadol, donepezil and denatonium found in diazepam pill](https://theknow.org.au/alerts_warnings/diazepam-clonazepam-tapentadol-donepezil-and-denatonium-found-in-diazepam-pill/) - A white pressed pill expected to contain only diazepam was instead found to contain clonazepam, tapentadol, donepezil and denatonium as well as diazepam. What does this mean? Diazepam and clonazepam are both benzodiazepines. Benzos are drugs typically used to sedate and treat anxiety, with diazepam having a shorter duration than clonazepam, which is more potent.
- [Bromazolam and clobromazolam found in 'Xanax' pill](https://theknow.org.au/alerts_warnings/bromazolam-and-clobromazolam-found-in-xanax-pill/) - A partial/broken white bar pill (Xanax press) expected to contain only alprazolam (Xanax) was found to contain bromazolam and clobromazolam as well as alprazolam. These are benzodiazepines or 'benzos'. What does this mean? Benzos are drugs typically used to sedate and treat anxiety. Bromazolam and clobromazolam are new benzodiazepines that have strong sedative effects. There
- [Clonazepam and diazepam found in 'alprazolam' pill](https://theknow.org.au/alerts_warnings/clonazepam-and-diazepam-found-in-alprazolam-pill/) - A white pressed pill with a score mark expected to contain alprazolam was found to contain clonazepam and diazepam instead. These are benzodiazepines or 'benzos'. What does this mean? Benzos are a drugs typically used to sedate or treat anxiety. Although from the same family of drugs, benzos can vary greatly in potency, onset and effects.
- [Ethylbromazolam and bromonordiazepam found in 'alprazolam' pill](https://theknow.org.au/alerts_warnings/ethylbromazolam-and-bromonordiazepam-found-in-alprazolam-pill/) - A broken white pressed pill expected to contain alprazolam was found to contain ethylbromazolam and bromonordiazepam instead. These are benzodiazepines or 'benzos'. What does this mean? Benzos are a drugs typically used to sedate or treat anxiety. Ethylbromazolam and bromonordiazepam are both new benzodiazepines. Although from the same family of drugs, benzos can vary greatly
- [Protonitazene found in 'oxycodone' pill](https://theknow.org.au/alerts_warnings/protonitazene-found-in-oxycodone-pill-2/) - A BLUE PILL with an 'M' press on the front and a '30' with a score mark on the rear, expected to contain oxycodone, was instead found to contain the novel synthetic opioid protonitazene. No oxycodone was detected. What does this mean? Protonitazene is significantly stronger than fentanyl. This is the fifth nitazene-related community notice
- [AB-MDMSBA, 4F-MBZP and N-cyclohexyl pentylone found in crushed alprazolam pill](https://theknow.org.au/alerts_warnings/ab-mdmsba-4f-mbzp-and-n-cyclohexyl-pentylone-found-in-crushed-alprazolam-pill/) - An off-white powder expected to contain alprazolam (or Xanax) was also found to contain AB-MDMSBA, 4F-MBZP and N-cyclohexyl pentylone. What does this mean? AB-MDMSBA is structurally similar to some known synthetic cannabinoids, however not much is known about the subjective effects. The effects of synthetic cannabinoids can be very different from cannabis and are unknown.
- [Ethylbromazolam found in expected alprazolam pills](https://theknow.org.au/alerts_warnings/ethylbromazolam-found-in-expected-alprazolam-pills/) - A white bar pill (Xanax press) and a partial round white pressed pill (Mylan press) expected to contain alprazolam were both found to contain ethylbromazolam instead. What does this mean? Benzos are drugs typically used to sedate and treat anxiety. Ethylbromazolam is a new benzodiazepine. Although both alprazolam and ethylbromazolam are from the same family
- [Protonitazene, bromazolam, alprazolam and diazepam found in crushed partial 'Xanax' pill](https://theknow.org.au/alerts_warnings/protonitazene-bromazolam-alprazolam-and-diazepam-found-in-crushed-partial-xanax-pill/) - A crushed partial white pill (reported by the client to have been a 'Xanax' bar) was expected to contain alprazolam (the active ingredient in Xanax). However, testing identified a combination of alprazolam, bromazolam, diazepam and the potent synthetic opioid protonitazene. The pill was sourced locally (ACT region). What does this mean? Protonitazene is a highly
- [Zolpidem found in lorazepam pill](https://theknow.org.au/alerts_warnings/zolpidem-found-in-lorazepam-pill/) - A pressed yellow pill with a score mark expected to contain lorazepam was found to contain zolpidem ('Ambien' or 'Stilnox') also. What does this mean? Zolpidem is a 'Z-drug' which is a medication with benzodiazepine-like effects normally used to treat insomnia. This is the first time that zolpidem, or any other Z-drug, has been detected
- [Flubromazepam and bromazolam found in two different expected 'Xanax' and 'diazepam' samples](https://theknow.org.au/alerts_warnings/flubromazepam-and-bromazolam-found-in-two-different-expected-xanax-and-diazepam-samples/) - A white alprazolam (Xanax) bar expected to contain alprazolam was found to contain bromazolam and flubromazepam in addition to alprazolam. A brown capsule expected to contain diazepam was found to contain bromazolam and flubromazepam instead. What does this mean? Bromazolam is a new benzodiazepine that has strong sedative effects. There is limited information available about
- [Heroin found in cocaine sample](https://theknow.org.au/alerts_warnings/heroin-found-in-cocaine-sample/) - A white powder sample expected to contain cocaine was found to contain cocaine and a small percentage of heroin. What does this mean? There is a risk of unexpected opioid overdose and an increase of heart strain. In recent months, both NSW Health and VIC Health have released public drug warnings relating to heroin being
- [2-oxo-PCE found in 'ketamine' sample](https://theknow.org.au/alerts_warnings/2-oxo-pce-found-in-ketamine-sample/) - A WHITE POWDER SAMPLE expected to contain ketamine was found to contain 2-oxo-PCE (O-PCE, N-ethyldeschloroketamine) instead. What does this mean? 2-oxo-PCE is a psychoactive substance that has dissociative effects, similar to but more potent than ketamine. Effects of 2-oxo-PCE can include psychedelic experiences, which are described as more potent and stimulating and much longer-acting than
- [Tramadol sold as oxycodone](https://theknow.org.au/alerts_warnings/tramadol-sold-as-oxycodone/) - What is it? Tramadol is a synthetic opioid that also affects serotonin and noradrenaline and acts like SNRI and SSRI antidepressants.While tramadol and oxycodone are both depressants, they are very different substances.Combining tramadol with drugs that affect serotonin can cause serotonin toxicity, a serious medical emergency. These include:- MDMA- Methamphetamine- Cathinones like mephedrone- Antidepressants (SSRIs,
- [Updated 12/09: Protonitazene found in fake oxycodone tablet](https://theknow.org.au/alerts_warnings/nitazene-found-in-fake-oxycodone-tablet/) - The Victorian Pill Testing Service detected nitazene in a light blue, counterfeit, oxycodone pill.
- [New detection of a nitazene in blue fake oxycodone pill](https://theknow.org.au/alerts_warnings/new-detection-of-a-highly-potent-nitazene-this-time-n-desethyl-isotonitazene/) - The Victorian Pill Testing Service detected N-desethyl isotonitazene in a light blue pill. (Stamped ‘M30’) What are nitazenes? Nitazenes are a type of potent synthetic opioid (PSO). Strength varies, but some PSOs are more potent than fentanyl and up to 500x more potent than heroin. Risk of overdose from nitazenes is very high. A very small
- [Isotocyanozene found in 'opioid' capsule](https://theknow.org.au/alerts_warnings/isotocyanozene-found-in-opioid-capsule/) - A CAPSULE FILLED WITH WHITE POWDER expected to contain an unknown opioid was found to contain the novel nitazene isotocyanozene (5-cyano-isotodesnitazene). While nitazenes have been detected in several parts of Australia, including at CanTEST in Canberra, this is the first detection of isotocyanozene at a drug collection service in Australia. There is no readily available
- [Metonitazene and Protonitazene found in 'opioid' capsule](https://theknow.org.au/alerts_warnings/metononitazene-and-protonitazene-found-in-opioid-capsule/) - A CAPSULE FILLED WITH WHITE POWDER expected to contain an unknown opioid was found to contain the highly potent synthetic opioids metonitazene and protonitazene. While both metonitazene and protonitazene have each been detected separately at CanTEST, this is the first detection of a combination of these nitazenes in a single sample by drug checking service
- [Isotocyanozene found in 'benzo' sample](https://theknow.org.au/alerts_warnings/isotocyanozene-found-in-benzo-sample/) - A capsule filled with an off-white powder expected to contain an unknown benzo was found to contain the novel nitazene, isotocyanozene (5-cyano-isotodesnitazene). This is the second detection of isotocyanozene at a drug collection service in Australia, with the first being in late September 2025, also at CanTEST in Canberra. There is no readily available data
- [Methylmethaqualone and flurofentanyl found in 'opioid' capsule](https://theknow.org.au/alerts_warnings/methylmeth-aqualone-and-flurofentanyl-found-in-opioid-capsule/) - A capsule filled with an off-white powder expected to contain an unknown opioid was found to contain methylmethqualone and a fluorofentanyl. CanTEST has detected MMQ by itself previously (a Yellow Community Notice was issued in Nov 2024). Effects Methylmethqualone (MMQ) is an analogue of the more common methaqualone (MQ). It’s a quinazolone sedative hypnotic –
- [5-Hydroxytryptophan found in unknown powder](https://theknow.org.au/alerts_warnings/5-hydroxytryptophan-found-in-unknown-powder/) - A BAGGIE FILLED WITH WHITE POWDER was brought to CanTEST for testing. The expectations for its contents were unknown by the service user. Testing at CanTEST confirmed the substance is 5-hydroxytryptophan (5-HTP). 5-HTP is available in some other jurisdictions without a prescription (like NZ, UK, EU and USA), however it isn't on the TGA's Permissible
- [Rilmalzafone found in 'opioid' capsule](https://theknow.org.au/alerts_warnings/rilmalzafone-found-in-opioid-capsule/) - A capsule filled with off-white powder expected to contain an unknown opioid was found to contain Rilmazafone. Rilmazafone is a benzodiazepine prodrug, meaning the body converts the substance into a benzo after consumption (rilmazolam). Because of the conversion time in the body, the onset of effects can be delayed and may take 2-3 hours or
- [Tiletamine and N-Benzylcyclohexanamine missold as ‘M-CAT’ or 4-MMC](https://theknow.org.au/alerts_warnings/tiletamine-and-n-benzylcyclohexanamine-missold-as-m-cat-or-4-mmc/) - What is Tiletamine? Tiletamine is a ketamine analogue that is much more potent and longer lasting (up to 4-6hrs) than ketamine. As an anaesthetic, tiletamine has the potential to cause loss of coordination, motor control, or consciousness at high doses. The effects of taking tiletamine will not match those of 4-MMC. What is N-Benzylcyclohexanamine? N-Benzylcyclohexanamine
- [High Dose MDMA Pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-2/) - A grey 'Maserati' press pill was brought to CanTEST for testing, expected to contain MDMA. The sample was found to have a mass of 430mg with 45% purity (194mg free base). What does this mean? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in this pill is significantly more
- [MDA found in MDMA pills](https://theknow.org.au/alerts_warnings/mda-found-in-mdma-pills/) - Over one quarter of pills tested in recent months that were expected to be MDMA tablets actually contained MDA (3,4-Methylenedioxyamphetamine) What is it? MDA is a stimulant with hallucinogenic properties - similar to MDMA but: Slower onset (up to 90 minutes) Longer lasting (4-6 Hours) More intense psychedelic effects Important to note: MDA is not
- [High Dose MDMA Pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-3/) - A green 'punisher' press pill with a score mark on the rear was brought to CanTEST for testing, expected to contain MDMA.The sample was found to have a mass of 420mg, containing 38% MDMA (equiv. to 160mg MDMA free base). What does this mean? A common dose of MDMA is between 80-120mg. This means the
- [High dose MDMA pills](https://theknow.org.au/alerts_warnings/high-dose-mdma-pills/) - Four grey 'grim reaper' press pills with a score mark on the rear were brought to CanTEST for testing, expected to contain MDMA. The samples were found to contain: A) was found to have a mass of 359mg, containing 38% of MDMA (equivalent to 162mg of MDMA free base) B) was found to have a
- [Heroin sold as alprazolam (Xanax)](https://theknow.org.au/alerts_warnings/heroin-sold-as-alprazolam-xanax/) - The Victorian Pill Testing Service has identified a sample sold as alprazolam powder that in fact contained heroin, with no detectable benzodiazepines. This presents a high risk of unexpected sedation, respiratory depression, and overdose — especially for people who believe they are using a benzo. What is Heroin? Heroin is an opioid - a central
- [N,N-Dimethylpentylone found in MDMA pill](https://theknow.org.au/alerts_warnings/nn-dimethylpentylone-found-in-mdma-pill/) - Two orange spade press pills were brought to CanTEST for testing, expected to contain MDMA. The pills appeared to be poorly pressed (see photos). Both were found to contain N,N-dimethylpentylone and MDMA. What does this mean? N,N-dimethylpentylone (DMP) is a synthetic cathinone. Synthetic cathinones are stimulants that may have similar effects to MDMA. Cathinones can
- [N-ethylpentylone sold as liquid methylphenidate (ritalin)](https://theknow.org.au/alerts_warnings/n-ethylpentylone-sold-as-liquid-methylphenidate-ritalin/) - This was recently purchased from an Australian darknet retailer. What is N-ethylpentylone?N-ethylpentylone is a synthetic cathinone stimulant. While methylphenidate and N-ethylpentylone are both stimulants, they are very different substances. N-ethylpentylone can have unpredictable effects. Short lived euphoria creates risk of redosing and mixing with other stimulants which can increase risks significantly. Risks of N-ethylpentylone include:-
- [Ketamine, MDMA, methamphetamine and 2C-B found in pills expected to contain only 2C-B](https://theknow.org.au/alerts_warnings/ketamine-mdma-methamphetamine-and-2c-b-found-in-pills-expected-to-contain-only-2c-b/) - Three pills were separately tested, and all had distinct markings of 2C-B but were found to contain a mixture of other drugs in them. What is 2C-B? 2C-B (4-Bromo-2,5-dimethoxyphenethylamine) is a synthetic psychedelic drug that has bothpsychedelic and stimulant properties. Onset can take up to 2 hours The effects typically last from four to eighthours
- [4-CMC sold as 4-MMC (mephedrone)](https://theknow.org.au/alerts_warnings/4-cmc-sold-as-4-mmc-mephedrone/) - A sample expected to be 4-MMC (mephedrone) was found to be 4-CMC. What is 4-CMC? 4-Chloromethcathinone (4-CMC) is a cathinone stimulant, also known as clephedrone 4-CMC effects are different to the effects of 4-MMC (mephedrone) If you are expecting 4-MMC (mephedrone) but take 4-CMC, you may believe the substance isn’t working, and take more High
- [N,N-Dimethylpentylone sold as MDMA](https://theknow.org.au/alerts_warnings/nn-dimethylpentylone-sold-as-mdma/) - Two coral-coloured Kenzo tiger pills contained N,N-dimethylpentylone instead of MDMA. An unknown white powder that was also tested was found to contain N,N-dimethylpentylone. What is N,N-dimethylpentylone? N,N-Dimethylpentylone is a stimulant and synthetic cathinone with an increased risk of harm if taken in high doses or combined with MDMA or other stimulants. Risks: Can cause high
- [High Dose MDMA Pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-4/) - A yellow 'iron man' press pill was brought to CanTEST for testing, expected to contain MDMA. It was found to have a mass of 494mg with 33% purity (163mg free base). What does this mean? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in this pill is significantly more
- [High Dose MDMA Pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-5/) - An orange 'signal logo' press pill brought to CanTEST for testing, expected to contain MDMA, was found to have a mass of 578mg with 30% purity (173mg free base). What does this mean? A common dose of MDMA is between 80-120mg. This means the amount of MDMA in this pill is significantly more than the amount
- [High dose MDMA pills](https://theknow.org.au/alerts_warnings/high-dose-mdma-pills-2/) - [Tablets containing high dose (equal or greater than 2x standard dose) of MDMA] A Hello Kitty and a Pop Smoke MDMA pill were tested recently. Both pills contained MDMA, but the amount was 229 mg (Hello Kitty) and 230 mg (Pop Smoke). A common dose of MDMA is between 80-120 mg. This means the amount
- [Potent dissociative ‘O-PCE’(deschloro-N-ethyl-ketamine) found in ketamine](https://theknow.org.au/alerts_warnings/potent-dissociative-o-pcedeschloro-n-ethyl-ketamine-found-in-ketamine/) - Two separate samples expected to be ketamine were found to contain O-PCE. What is O-PCE? O-PCE (deschloro-N-ethyl-ketamine)-a ketamine analogue, is a dissociative and hallucinogen that is most commonly mis-sold as ketamine. Dissociatives are drugs that make you feel disconnected from your body or surroundings. Ketamine analogues copy ketamine’s chemical makeup but can produce different effects,
- [Tramadol sold as MDMA caps](https://theknow.org.au/alerts_warnings/tramadol-sold-as-mdma-caps/) - Yellow and green capsules that were acquired as ‘MDMA’ were tested and found to contain onlytramadol. What is tramadol? Tramadol is a synthetic opioid which is a central nervous system depressant/painkiller.It's a very different substance from MDMA, which is a stimulant/empathogen. Combining tramadol with drugs that affect serotonin can cause serotonin toxicity, a seriousmedical emergency.
- [Meth found in expected ketamine sample](https://theknow.org.au/alerts_warnings/meth-found-in-expected-ketamine-sample/) - A white powder sample was brought to CanTEST for testing, expected to contain ketamine was found to contain both methamphetamine (42% free base purity) and ketamine (31% free base purity). What does this mean? Ketamine is a dissociative anaesthetic, while methamphetamine is a stimulant. If you were expecting to consume only ketamine, the presence of
- [AB-MDMSBA (a synthetic cannabinoid) found in alprazolam (Xanax®)](https://theknow.org.au/alerts_warnings/ab-mdmsba-a-synthetic-cannabinoid-found-in-alprazolam-xanax/) - A white tablet expected to contain Alprazolam was found to contain a synthetic cannabinoid -AB-MDMSBA. What is AB- MDMSBA? AB-MDMSBA is a novel synthetic cannabinoid and is structurally similar to other known synthetic cannabinoids. Synthetic cannabinoids are not the same as natural cannabis. We know very little about its specific effects and it has no
- [Medetomidine found in crystal / powder expected to contain bromazolam](https://theknow.org.au/alerts_warnings/medetomidine-found-in-crystal-powder-expected-to-contain-bromazolam/) - What is it? Medetomidine is a non-opioid sedative used as a veterinary drug.It is very potent — consuming even a small amount can result in heavy sedation. The sample was acquired in Victoria in the last week. Important to note: Medetomidine is NOT an opioid — its effects will not be reversed by naloxone. If
- [N,N-Dimethylpentylone and MDMA detected in terracotta ‘Chupa Chup’ pill](https://theknow.org.au/alerts_warnings/nn-dimethylpentylone-and-mdma-detected-in-terracotta-chupa-chup-pill/) - What is N,N-dimethylpentylone? N,N-Dimethylpentylone (DMP) is a synthetic cathinone stiumlant. There’s limited information about this substance, but it's been associated with increased risks to the heart, and in higher doses, to serious neuropsychiatric effects. The risk of experiencing harm from N,N-dimethylpentylone is increased when mixed with MDMA or other stimulants. Risks Serotonin toxicity (especially when
- [High dose MDMA pill](https://theknow.org.au/alerts_warnings/high-dose-mdma-pill-6/) - A ‘Blue Moncler’ pill was tested and was found to contain *200mg of MDMA. *dose reported in MDMA HCl salt A common dose of MDMA is between 80-120mg. This means the amount of MDMA in these pills is significantly more than the amount a person may usually expect to take. The amount of MDMA in
- [Carisoprodol (Soma®) sold as diazepam](https://theknow.org.au/alerts_warnings/carisoprodol-soma-sold-as-diazepam/) - What is Carisoprodol (Soma®)? Carisoprodol is a muscle relaxant medication used to treat painful musculoskeletal conditions. It was marketed under the trade name Soma®. It is no longer commonly prescribed in Australia. Carisoprodol acts similarly to diazepam (Valium®) however it is metabolised into meprobamate, which acts more like a barbiturate by directly binding to GABAA
- [N-Isopropyl butylone found in a cocaine sample](https://theknow.org.au/alerts_warnings/n-isopropyl-butylone-found-in-a-cocaine-sample/) - A synthetic cathinone - N-isopropyl butylone - has been detected in a sample that also contained cocaine. There is very little information available about effects, risks, dose or duration. What is it? N-Isopropyl butylone is a relative of butylone - a synthetic cathinone stimulant. Its chemical structure indicates that it: May be potent May be
- [MDA Found in MDMA Pill](https://theknow.org.au/alerts_warnings/mda-found-in-mdma-pill/) - A purple 'trapstar' press pill was brought to CanTEST for testing, expected to contain MDMA. The sample was found to contain MDA (26% free base purity) as well as MDMA (2% free base purity). What does this mean? MDA is stimulant with hallucinogenic properties. Its properties are similar to MDMA, but it has a slower
- [Heroin sold as ketamine](https://theknow.org.au/alerts_warnings/heroin-sold-as-ketamine/) - A white powder sample expected to contain ketamine was found to contain heroin.This sample was tested in ACT but was purchased in Sydney. SIGNS AND SYMPTOMS OF OVERODSE Effects and signs of heroin (opioid) overdose – lowered/loss of consciousness, breathing slowly, tiny/pinpoint pupils, discoloured lips or nails, cold or clammy skin, choking/coughing/gurgling or snoring sounds.
- [Multiple tablets containing a high dose of MDMA (ecstasy) and multiple tablets containing a synthetic cathinone (dipentylone) in NSW](https://theknow.org.au/alerts_warnings/multiple-tablets-containing-a-high-dose-of-mdma-ecstasy-and-multiple-tablets-containing-a-synthetic-cathinone-dipentylone-in-nsw/) - [Issued 02 February, updated 04 February 2026] The risk of harm is increased when MDMA is taken in high doses or with other stimulants. Synthetic cathinones, such as dipentylone, are stimulants. The risk of serious harm is increased when taken with other stimulants. Know the risks You are at increased risk of harm if you:
- [Toxic ‘alkaloid’ poppies diverted from a regulated crop](https://theknow.org.au/alerts_warnings/toxic-alkaloid-poppies-diverted-from-a-regulated-crop/) - Alkaloid poppies produce unpredictable, potentially life-threatening effects. A significant quantity of alkaloid poppy plant ‘heads’ (pictured), grown for the pharmaceutical industry, was recently stolen from a property in Victoria. These poppies are very different from traditional opioid poppies and contain dangerously high concentrations of thebaine and oripavine, with risk of life-threatening toxicity. They contain only tiny (‘trace’) amounts of traditional opioids like morphine
- [Nitazenes found in counterfeit oxycodone tablets in NSW](https://theknow.org.au/alerts_warnings/nitazenes-found-in-counterfeit-oxycodone-tablets-in-nsw/) - ​Counterfeit (fake) oxycodone tablets have been found to contain N-desethyl isotonitazene This is the first detection of this substance in a drug sample in NSW. The tablets are green, round, marked 'OC' on the front and '80' on the reverse, and lack film coating. Legitimate Oxycontin is now marked 'ON' instead of 'OC' and has
- [High-dose MDMA capsules and pills are circulating in Victoria](https://theknow.org.au/alerts_warnings/high-dose-mdma-capsules-and-pills-are-circulating-in-victoria/) - Various products – containing up to 2-3 typical doses of MDMA – are being sold MDMA (‘ecstasy’) is an empathogen stimulant with effects including euphoria and increased sociability, but also increased body temperature, heart rate and blood pressure. Higher doses can lead to life-threatening hyperthermia. Recent testing of multiple products obtained in Victoria (pictured) showed
- [4-Fluoroamphetamine and 25C-NBOMe found in ‘2C-B’ sample](https://theknow.org.au/alerts_warnings/4-fluoroamphetamine-and-25c-nbome-found-in-2c-b-sample/) - A white powder sample presented as 2C-B found to contain 4-fluroramphetamine (4-FA) AND 25C-NBe What is a 4-FA/25C-NBOMe Combination? 4-FA is an amphetamine with some similar effects to MDMA, however the onset takes longer and lasts longer than MDMA and provides less of the desired MDMA effects. 25C-NBOMe is a potential hallucinogen. It belongs to
- [4-fluoroamphetamine & 25C-NBOME found in '2C-B' sample](https://theknow.org.au/alerts_warnings/4-fluoroamphetamine-25c-nbome-found-in-2c-b-sample/) - A white powder sample contained in a clear capsule presented as 2C-B found to contain 4-fluoroamphetamine (4-FA) and 25C-NBOMe. The sample was obtained by the service user in Melbourne and is the second time this combination has been detected at CanTEST. What is a 4-FA/25C-NBOMe combination? 4-FA is an amphetamine with some similar effects to
- [25C-NBOMe and 4-FA sold as '2C-B'](https://theknow.org.au/alerts_warnings/25c-nbome-and-4-fa-sold-as-2c-b/) - A white powder sold as ‘2C-B’ contains two synthetic drugs with a high risk of toxic effects. 25C-NBOMe and 4-FA are synthetic drugs with psychedelic + stimulant properties 25C-NBOMe is a highly potent synthetic drug. People who have intentionally used this substance report it has unpredictable, stimulating psychedelic effects. The substance has been associated with
- [Drug cocktail ‘TUSI’ found in ‘2C-B’ sample](https://theknow.org.au/alerts_warnings/drug-cocktail-tusi-found-in-2c-b-sample/) - A pink powder sample purchased as psychedelic 2C-B found to contain a combination of other stimulant and dissociative drugs, including ketamine, MDMA and cocaine. What is tusi or pink cocaine? Known as ‘tusbee’, ‘tusi’ or ‘pink cocaine’ and known for it’s distinctive colouring, it contains a combination of drugs, often stimulants, empathogens and dissociative but sometimes opioids.
- [White powder thought to be cocaine found to contain bromazolam and 2C-B](https://theknow.org.au/alerts_warnings/white-powder-thought-to-be-cocaine-found-to-contain-bromazolam-and-2c-b/) - 2 people were admitted to ICU and one person has died after use of white powder thought to be COCAINE. They experienced severe sedative effects and altered behaviour. The powder contained bromazolam, a novel benzodiazepine, and 2C-B a hallucinogen. This combination of drugs in a white powder has been found elsewhere in NSW recently. Know
- [Multiple high dose MDMA (ecstasy) tablets circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-circulating-in-nsw-4/) - ​​​Multiple high dose MDMA (ecstasy) tablets circulating in NSW. Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. Yellow square tablet with ‘facebook’ logo marking, 256mg MDMA. Blue ‘Hello Kitty’ tablet, up to 186mg MDMA. Yellow heart shaped tablet with ‘GOYA’ marking, 174mg MDMA. Green shield shaped
- [Multiple high dose MDMA (ecstasy) tablets circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-circulating-in-nsw-3/) - ​​Multiple high dose MDMA (ecstasy) tablets circulating in NSW. ​​​Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. Pink skull shaped tablet with 'MYBRAND' marking on reverse, 229 mg MDMA Pale orange 'Hello Kitty' tablet, 151 mg MDMA Know the risks​​​ You are at increased risk of
- [Multiple high dose MDMA (ecstasy) tablets circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-circulating-in-nsw-2/) - ​​​Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets or capsules take a higher-dose MDMA tablet or capsule use other stimulant drugs (e.g. amphetamines or cocaine) at the same time
- [Ketamine analogues recently detected in NSW](https://theknow.org.au/alerts_warnings/ketamine-analogues-recently-detected-in-nsw/) - ​Ketamine analogues copy ketamine’s chemical makeup but can produce different effects, including stronger dissociation or hallucinatory episodes. Recent detections in NSW include: 2'-fluoro-2-oxo-PCE in white powder and crystal that was expected to be ketamine only, or amphetamine. 2-oxo-PCE in a white powder that was expected to be ketamine only. Know the risks You are at increased risk of harm
- [Multiple opioid overdoses following use of cocaine](https://theknow.org.au/alerts_warnings/multiple-opioid-overdoses-following-use-of-cocaine/) - Ten people recently presented to hospitals in Sydney and northern NSW with severe opioid overdoses after using what they thought was cocaine. Know the risks Opioids such as heroin may be sold as or found in cocaine, methamphetamine and MDMA. Small amounts of opioids can cause life-threatening overdose in people who have never or rarely used opioids. You
- [First report of 5-cyano isotodesnitazene in Queensland](https://theknow.org.au/alerts_warnings/first-report-of-5-cyano-isotodesnitazene-in-queensland/) - 5-cyano-isotodesnitazene (isotocyanozene) has recently been found in toxicology and powder samples, in South-East Queensland. There is limited potency or toxicity data available on 5-cyano-isotodesnitazene globally as it a novel nitazene only recently detected for the first time in Australia. Nitazenes are very strong synthetic opioids that work like heroin or fentanyl and could produce life-threatening
- [Updated 08/10/25: Multiple high dose MDMA (ecstasy) tablets and capsules circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-and-capsules-circulating-in-nsw/) - [Issued 7 October 2025, updated 8 October 2025] Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. Multiple tablets of various appearances with >150mg MDMA (free base) found. K​n​​ow the risks You are at increased risk of harm if you: Take multiple MDMA (ecstasy) tablets or capsules Take a higher-dose
- [Confirmed detection of N-pyrrolidino protonitazene and protonitazene in Queensland](https://theknow.org.au/alerts_warnings/confirmed-detection-of-n-pyrrolidino-protonitazene-and-protonitazene-in-queensland/) - There has been a recent case of N-pyrrolidino protonitazene (also known as protonitazepyne) and protonitazene detected in toxicology and tablet samples, in South-East Queensland. N-pyrrolidino protonitazene and protonitazene are very strong synthetic opioids that work like heroin or fentanyl and can produce life-threatening toxicity in small amounts. The appearance of the sample is a pale
- [Blue ‘M30’ tablets containing extremely potent ‘nitazene’ opioids](https://theknow.org.au/alerts_warnings/blue-m30-tablets-containing-extremely-potent-nitazene-opioids/) - Nitazenes are novel synthetic opioids that can produce life-threatening toxic effects in very small amounts. Opioids are central nervous system depressants, typically producing a range of effects including pain relief, sedation, and respiratory depression (dangerously slow breathing). Respiratory depression often appears more quickly with novel synthetic opioids (NSOs), increasing the risk of life-threatening overdose. Nitazenes are extremely potent NSOs,
- [Confirmed detection of Carfentanil in Queensland](https://theknow.org.au/alerts_warnings/confirmed-detection-of-carfentanil-in-queensland/) - There has been a recent case of Carfentanil (also known as Carfentanyl) detected by Queensland Police Service on the Sunshine Coast in South-East Queensland. Carfentanil is a potent opioid and fentanyl analogue that is 10,000 times more potent than morphine and 100 times stronger than fentanyl, it can be more potent than nitazenes. Small exposures
- [Potent dissociative ‘O-PCE’ sold as methamphetamine or MDMA](https://theknow.org.au/alerts_warnings/potent-dissociative-o-pce-sold-as-methamphetamine-or-mdma/) - O-PCE is a potent and long-acting ‘dissociative’ O-PCE (deschloro-N-ethyl-ketamine) is a dissociative/hallucinogen that is most commonly mis-sold as “extra strong ketamine”. Dissociatives are drugs that make you feel disconnected from your body or surroundings. Compared with ketamine, O-PCE appears to be more potent and stimulating and is much longer-acting (3-6 hours compared with 30-60 minutes). People who have used O-PCE say the dissociation is deeper and
- [Dangerous drugs found in counterfeit ‘Xanax’ in Canberra](https://theknow.org.au/alerts_warnings/dangerous-drugs-found-in-counterfeit-xanax-in-canberra/) - Released 05/06/2025 Counterfeit (fake) ‘Xanax’ containing a novel benzodiazepine and a strong synthetic opioid has been found in the ACT. This mix of drugs could cause overdose or death. This drug combination has not previously been found in the ACT. Any use of illicit and counterfeit (fake) drugs carries a risk to health. What is
- [Multiple high dose MDMA (ecstasy) tablets circulating in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-circulating-in-nsw/) - Tablet appearance is not a reliable indicator of drug contents. Dose is reported as MDMA free base. K​n​​ow the risks ​You are at increased risk of harm if you: Take multiple MDMA (ecstasy) tablets or capsules Take a higher-dose MDMA tablet or capsule Use other stimulant drugs (e.g. amphetamines or cocaine) at the same time Take
- [White-brown powder containing metonitazene](https://theknow.org.au/alerts_warnings/white-brown-powder-containing-metonitazene/) - A white-brown powder containing the potent opioid ‘metonitazene’ may be sold as ketamine or heroin. Metonitazene is a potent synthetic opioid Opioids are central nervous system depressants that produce effects including pain relief, sedation and respiratory depression (where breathing slows or stops). Respiratory depression often appears more quickly with potent synthetic opioids (PSOs), increasing the risk of life-threatening
- [Nitazenes detected in tablets in the Northern Territory](https://theknow.org.au/alerts_warnings/nitazenes-detected-in-tablets-in-the-northern-territory/) - Drugs seized in the NT have been found to contain Nitazenes. This is the first detection of this substance in the NT. Know the risks Nitazenes are synthetic opioids that are stronger and may be longer acting than many other opioids. They are up to 500 times more potent than heroin. Nitazenes are dangerous and
- [Novel benzodiazepine found in counterfeit 'Xanax' pressed pill and off-white powder](https://theknow.org.au/alerts_warnings/novel-benzodiazepine-found-in-counterfeit-xanax-pressed-pill-and-off-white-powder/) - Two samples presented for checking at Cheqpoint’s Bowen Hills location, now closed, have been found to contain ethylbromazolam as the primary ingredient. Sample A: white brick-shaped 'Xanax' bar. Poor quality, crumbly press Sample B: off-white loose powder Little is known about the effects of this research chemical with the latest detection in this region being
- [Tablets sold as oxycodone containing a strong nitazene](https://theknow.org.au/alerts_warnings/tablets-sold-as-oxycodone-containing-a-strong-nitazene/) - A nitazene (either protonitazene or isotonitazene) has been detected in Queensland in a small round yellow tablet with a ‘high’ press (small in circumference and tall in height) by the CheQpoint drug checking service in Bowen Hills, Brisbane.The tablet was purchased as oxycodone from the darknet from an international retailer.Nitazenes are a group of very
- [Pressed pill sold as oxycodone containing a strong nitazene](https://theknow.org.au/alerts_warnings/pressed-pill-sold-as-oxycodone-containing-a-strong-nitazene/) - Protonitazene has been detected in Queensland in a green, bear shaped pressed pill marked ‘Y’ by the CheQpoint drug checking service in Bowen Hills, Brisbane. The pill was sold as oxycodone.Nitazenes are a group of very strong opioids that work like heroin or fentanyl and can produce life-threatening toxicity in small amounts. Toxic Effects The
- [Heroin sold as cocaine and methamphetamine in Melbourne](https://theknow.org.au/alerts_warnings/heroin-sold-as-cocaine-and-methamphetamine-in-melbourne/) - Heroin is an opioid that can produce life-threatening toxic effects – especially ifyou don’t usually use opioids. Two people have recently required emergency care because they experienced heroin overdose after using what they thought was cocaine or methamphetamine. Specialised blood tests showed evidence of heroin as well as the intended drugs. This means heroin may be mixed
- [4-CMC in white or off-white crystal form being sold as MDMA](https://theknow.org.au/alerts_warnings/4-cmc-in-white-or-off-white-crystal-form-being-sold-as-mdma/) - 4-CMC is a 'cathinone' that may produce unpredictable effects Recent testing of 3 separate samples in Victoria all believed to be MDMA, were found to contain 4-CMC. The samples were all in the form of crystals that were white, or off-white in colour. 4-Chloromethcathinone (4-CMC) is a type of stimulant called 'cathinone', also known as
- [High-dose ecstasy tablets in hot conditions](https://theknow.org.au/alerts_warnings/high-dose-ecstasy-tablets-in-hot-conditions/) - Tablets with unexpectedly high dosage of MDMA – including a yellow ‘SpongeBob’ pill – may be circulating in Victoria MDMA (‘ecstasy’) is an empathogen stimulant with effects including euphoria and increased sociability, but also increased body temperature, heart rate and blood pressure. Recent testing of a ‘SpongeBob’ pill (pictured) in Victoria found the pill contained
- [A white tablet containing a nitazene (protonitazene) has caused severe opioid overdose in Sydney](https://theknow.org.au/alerts_warnings/a-white-tablet-containing-a-nitazene-protonitazene-has-caused-severe-opioid-overdose-in-sydney/) - ​A severe opioid overdose has occurred after taking a white tablet. The tablet was described as containing LSD or magic mushroom. Blood tests detected protonitazene, a potent synthetic opioid. K​n​​ow the risks​​​ Nitazenes, such as protonitazene, are synthetic opioids that are stronger and may be longer acting than many other opioids. They are up to 500 times more
- [High dose "Punisher" MDMA tablets still in circulation in NSW](https://theknow.org.au/alerts_warnings/high-dose-punisher-mdma-tablets-still-in-circulation-in-nsw/) - NUAA is asking the community to stay alert for high dose MDMA (ecstasy) tablets These tablets contain nearly twice the average amount usually contained in MDMA pills circulating in NSW. The tablets have the "Punisher" logo stamped on the front and come in various colours. Purple tablets may contain 197mg. Blue tablets can contain 180mg
- [UPDATED: High dose MDMA (ecstasy) tablets have been found in NSW – 'Punisher' tablets in varying shapes and colours](https://theknow.org.au/alerts_warnings/updated-high-dose-mdma-ecstasy-tablets-have-been-found-in-nsw-punisher-tablets-in-varying-shapes-and-colours/) - The purple 'Punisher' skull design tablets contain 197mg of MDMA. The blue 'Punisher' skull design tablets contain 180mg of MDMA. Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets or capsules take a higher-dose MDMA (ecstasy) tablet or capsule use other stimulant drugs (e.g. amphetamines or cocaine) at the same
- [UPDATED: Nitazenes causing overdose in people who have taken fake oxycodone tablets](https://theknow.org.au/alerts_warnings/updated-nitazenes-causing-overdose-in-people-who-have-taken-fake-oxycodone-tablets/) - Two people have been hospitalised in NSW with severe opioid overdose caused by isotonitazepyne (also known as N-pyrrolidino isotonitazene). Multiple additional fake oxycodone tablets containing nitazenes have been recently found in NSW, ACT, Queensland and New Zealand. Yellow unmarked round tablets sold as 'OxyContin 40 mg' contained isotonitazepyne. Blue scored round tablets marked with 'M' on front and '30'
- [Synthetic cannabinoid AB-MDMSBA found in ‘benzodiazepine’ samples](https://theknow.org.au/alerts_warnings/synthetic-cannabinoid-ab-mdmsba-found-in-benzodiazepine-samples/) - Two light/tan powder samples presented to CanTEST expected to contain a novel benzodiazepine, were instead found to contain the novel synthetic cannabinoid, AB-MDSBA. No benzodiazepines were detected. The two samples were acquired separately from different sources. What is AB-MDMSBA? AB-MDMSBA is structurally similar to other known synthetic cannabinoids. There is little known about it. In
- [Nitazenes causing overdose in people who have taken fake oxycodone tablets](https://theknow.org.au/alerts_warnings/nitazenes-causing-overdose-in-people-who-have-taken-fake-oxycodone-tablets/) - Two people have been hospitalised in NSW with severe opioid overdose caused by isotonitazepyne (also known as N-pyrrolidino isotonitazene). Multiple additional fake oxycodone tablets containing nitazenes have been recently found in NSW, ACT, Queensland and New Zealand. Last Updated: 20 December 2024 Yellow unmarked round tablets sold as 'OxyContin 40 mg' contained isotonitazepyne. Blue scored round tablets marked with
- [Fake oxycodone tablets containing a strong nitazene opioid](https://theknow.org.au/alerts_warnings/fake-oxycodone-tablets-containing-a-strong-nitazene-opioid/) - CheQpoint, a state-funded drug checking service has detected a nitazene in counterfeit oxycodone tablets. The site where the detection was made is Bowen Hills, Brisbane. The counterfeit tablets are round, blue, and bear M 30 markings. Nitazenes are a group of very strong opioids that work like heroin or fentanyl and can produce life-threatening toxicity
- [Multiple high dose MDMA pills](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-pills-2/) - Detected 24 October 2024 Purple pill: pop smoke press Rear press ‘300mg’ Total weight of pill 436mg MDMA purity 47% (205mg free base) Detected 1 November 2024 Blue pill: minion wearing face mask press Total weight of pill 438mg MDMA purity 46.8% (205mg free base) Detected 1 November 2024 Blue pill: minion wearing face mask
- [Multiple heroin overdoses following use of cocaine](https://theknow.org.au/alerts_warnings/multiple-heroin-overdoses-following-use-of-cocaine/) - ​Five people were recently admitted to hospital with heroin overdose after using what they believed to be cocaine in Sydney Know the risks Opioids such as heroin may be sold as or found in cocaine, methamphetamine and MDMA. Small amounts of opioids can cause life-threatening overdose in people who have never or rarely used opioids.
- [Cocaine found in heroin sample](https://theknow.org.au/alerts_warnings/cocaine-found-in-heroin-sample/) - An off-white clumpy powder expected to be heroin was found to be a near-equal mix of heroin and cocaine. What does this mean? While the expectation was heroin, we note that NSW Health released a public drug warning on 13 Sep, 'Four heroin overdoses following use of cocaine', and this sample's packaging is (arguably) more
- [High dose MDMA (ecstasy) tablets recently found in NSW - also containing a synthetic cathinone](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-recently-found-in-nsw-also-containing-a-synthetic-cathinone/) - ​Skull shaped tablets with MYBRAND marking have been found containing high dose MDMA and a synthetic cathinone, dipentylone (also known as N,N-dimethylpentylone). The risk of harm is increased when MDMA is taken with other stimulants including synthetic cathinones, amphetamines or cocaine. ​Pink-orange: 182-185mg MDMA + dipentylone Blue: 162mg MDMA + dipentylone Yellow: 151 mg MDMA​
- [High dose MDMA (ecstasy) tablets have recently been found in NSW – purple shield-shaped tablets](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-have-recently-been-found-in-nsw-purple-shield-shaped-tablets/) - The purple shield-shaped tablets contain 150mg of MDMA. This is a higher dose than usually expected.​​​​ Please note: Tablet appearance is not a reliable indicator of drug contents Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets or capsules take a higher-dose MDMA (ecstasy) tablet or capsule
- [Fentanyl found in brown sample](https://theknow.org.au/alerts_warnings/fentanyl-found-in-brown-sample/) - A brown sample brought to CanTEST for testing was found to contain paracetamol, caffeine, heroin, 6-MAM, and the potent synthetic opioid fentanyl. This is the first time fentanyl has been detected at CanTEST Effects- Fentanyl carries the risk of fatal overdose. Fentanyl is known to cause an opioid-like overdose (lowered/loss of consciousness, person may seem
- [Four heroin overdoses following use of cocaine](https://theknow.org.au/alerts_warnings/four-heroin-overdoses-following-use-of-cocaine/) - Two people have died and another two admitted to hospital with heroin overdose after using what they believed to be cocaine in Sydney. Know the risks Heroin and other opioids may be sold as or found in cocaine, methamphetamine and MDMA. Small amounts of opioids can cause life-threatening overdose in people who have never or rarely
- [N-pyrrolidino isotonitazene found in counterfeit oxycodone pill](https://theknow.org.au/alerts_warnings/n-pyrrolidino-isotonitazene-found-in-counterfeit-oxycodone-pill/) - A round yellow counterfeit oxycodone pill brought to CanTEST for testing was found to be N-pyrrolidino isotonitazene, a type of nitazene. This is a potent new opioid that is 1000x stronger than morphine and 100x stronger than fentanyl. This sample was acquired from the dark web (vendor name not disclosed), but this is the third
- [High dose MDMA (ecstasy) tablets have recently been found in NSW – red irregular-shaped tablets with ‘anarchy’ symbol imprint](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-have-recently-been-found-in-nsw-red-irregular-shaped-tablets-with-anarchy-symbol-imprint/) - Warning The red irregular-shaped tablets have an imprint of the 'anarchy' symbol on each side.They contain 151mg of MDMA.This is a higher dose than usually expected. Please note: Tablet appearance is not a reliable indicator of drug contents Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets
- [High dose found in MDMA sample](https://theknow.org.au/alerts_warnings/high-dose-found-in-mdma-sample-5/) - A blue ‘punisher’ press pill weighing 471mg expected to contain MDMA (ecstasy), was found to contain 202mg free base MDMA. What does this mean? This amount of MDMA is approximately twice the amount that someone may usually expect to take, either recreationally or in a clinical setting. Effects and signs of MDMA overdose can include
- [Bromazolam found in 2 counterfeit diazepam samples](https://theknow.org.au/alerts_warnings/bromazolam-found-in-2-counterfeit-diazepam-samples/) - A round light yellow pressed pill and a small white capsule were both expected to contain diazepam. The light yellow pressed pill features a break-line and DZ 5 press on one side. Both of these samples were found to contain the novel benzodiazepine, bromazolam. What does this mean? There may be other counterfeits that vary
- [Protonitazene contaminated oxycodone](https://theknow.org.au/alerts_warnings/protonitazene-contaminated-oxycodone/) - The South Australian Toxicology and Toxinology Service and the Emerging Drug Network of Australia has notified SA Health of protonitazene overdose occurring in patients using illicitly sourced oxycodone tablets. There is concern that protonitazene is now present in illicit oxycodone tablets in the community. The risk of overdose and death is significant for the opiate
- [High dose found in MDMA sample](https://theknow.org.au/alerts_warnings/high-dose-found-in-mdma-sample-4/) - A light pink pressed pill weighing 454mg expected to contain MDMA (ecstasy), was found to contain 40% MDMA (182mg free base). What does this mean? This amount of MDMA is approximately twice the amount that someone may usually expect to take, either recreationally or in a clinical setting. Effects and signs of MDMA overdose can
- [Cocaine adulterated with protonitazene](https://theknow.org.au/alerts_warnings/cocaine-adulterated-with-protonitazene/) - A white powder sold in Melbourne as cocaine contains the potent opioid in 'protonitazene'. Protonitazene is a novel synthetic opioid that can produce life-threatening toxic effects in very small amounts Opioids are central nervous system depressants, typically producing a range of effects including pain relief, sedation and respiratory depression (dangerously slow breathing). Respiratory depression often
- [High dose MDMA (ecstasy) tablets have recently been found in NSW – grey irregular-shaped tablets with ‘LION’ text](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-have-recently-been-found-in-nsw-grey-irregular-shaped-tablets-with-lion-text/) - Warning The grey irregular-shaped tablets have an imprint of 'LION' text on one side. They contain 175mg of MDMAThis is around twice the amount commonly in MDMA tablets circulating in NSW Please note: Tablet appearance is not a reliable indicator of drug contents Know the risks You are at increased risk of harm if you:
- [Dimethylpentylone (DMP), 2'-fluoro-2-oxo-PCE and MDMA found in 'MDMA' sample](https://theknow.org.au/alerts_warnings/dimethylpentylone-dmp-2-fluoro-2-oxo-pce-and-mdma-found-in-mdma-sample/) - Dimethylpentylone (DMP), 2'-fluoro-2-oxo-PCE and MDMA found in 'MDMA' sample A blue pressed 'Red Bull' pill expected to contain MDMA (ecstasy), was found to contain dimethylpentylone (DMP), 2'-fluoro-2-oxo-PCE and MDMA. This is the first time this combination was detected in a single pill. Pills may look the same or similar, but have entirely different contents (on 29th
- [4-chloromethcathinone (4-CMC), N,N-dimethylpentylone (DMP) and MDMA found in 'MDMA' sample](https://theknow.org.au/alerts_warnings/4-chloromethcathinone-4-cmc-nn-dimethylpentylone-dmp-and-mdma-found-in-mdma-sample/) - A tan powder expected to contain MDMA (ecstasy), was found to contain 4-chloromethcathinone (4-CMC), N,N-dimethylpentylone (DMP) and MDMA. What is 4-CMC & DMP? 4-chloromethcathinone and N,N-dimethylpentylone are both synthetic cathinones. Effects and signs of overdose can be similar to those of other stimulants, like methamphetamine, MDMA and cocaine. Cathinones like 4-CMC & DMP carry the
- [Nitazenes causing severe opioid overdoses in NSW](https://theknow.org.au/alerts_warnings/nitazenes-causing-severe-opioid-overdoses-in-nsw/) - Four people have been hospitalised across Sydney with severe opioid overdose caused by nitazenes. People who thought they were taking etazene were taking a more potent nitazene (protonitazepyne*) and a potent novel benzodiazepine (bromazolam). Another potent nitazene (protonitazene) is suspected to have been present in either cocaine or ketamine. *also known as N-pyrrolidino protonitazene Know
- [N-pyrrolidino protonitazene found in brown powder sample](https://theknow.org.au/alerts_warnings/n-pyrrolidino-protonitazene-found-in-brown-powder-sample/) - A granular brown powder sample was found to contain N-pyrrolidino protonitazene (NPP), a nitazene and protonitazene analogue. This is a potent synthetic opioid that is stronger than other opioids including fentanyl. Effects. All nitazenes carry a high risk of fatal overdose and there is no safe level of use. The overdose effects can include lowered
- [Fake diazepam tablets found in NSW](https://theknow.org.au/alerts_warnings/fake-diazepam-tablets-found-in-nsw/) - ​Counterfeit (fake) diazepam from illicit sources has been found to contain other drugs (bromazolam, paracetamol and caffeine) ​ ​ Photos of some of the counterfeit diazepam found in NSW. These fake tablets look like the Australian registered diazepam brand 'Antenex', with off-white tablets marked “DM | 5" with “G" on the reverse. ​These fake
- [High dose MDMA (ecstasy) tablets have been found in NSW – purple-grey 'Punisher' tablets](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-have-been-found-in-nsw-purple-grey-punisher-tablets/) - Warning The purple -grey 'Punisher' skull design tablets contain 197mg of MDMA.This is around twice the average amount usually contained in MDMA tablets circulating in NSW. Please note: Tablet appearance is not a reliable indicator of drug contents Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets
- [Heroin may contain nitazenes (potent synthetic opioids)](https://theknow.org.au/alerts_warnings/heroin-may-contain-nitazenes-potent-synthetic-opioids/) - Nitazenes have been found in drug samples likely related to a large increase in opioid overdoses in the Penrith area in the past month. Know the risks Drugs thought to be heroin have been found to contain nitazenes in NSW. Some people have reported it appears as a yellowish powder. Nitazenes can be stronger than
- [High dose found in MDMA sample](https://theknow.org.au/alerts_warnings/high-dose-found-in-mdma-sample-3/) - An orange press ‘Donald Trump’ pill weighing 521mg expected to contain MDMA (ecstasy), was found to contain 35% MDMA (182mg free base, the equivalent to 217mg HCl salt) What does this mean? This amount of MDMA is approximately twice the amount that someone may usually expect to take, either recreationally or in a clinical setting.
- [Opioid overdose warning](https://theknow.org.au/alerts_warnings/opioid-overdose-warning/) - NUAA is warning the community to stay alert for opioid overdoses. Recent reports of heroin mis-sold as cocaine and fentanyl adulterated heroin is driving the concern.Unknowingly taking opioids can kill or cause dizziness, paleness, blurred vision, loss of consciousness, vomiting, difficulty breathing. Call 000 if something is wrong. You will not get in trouble for
- [Methamphetamine found in counterfeit diet pill](https://theknow.org.au/alerts_warnings/methamphetamine-found-in-counterfeit-diet-pill/) - An orange and grey gel capsule with 'DUROMINE 40' printed on each half, containing a white and brown powder expected to contain Duromine (phentermine). The capsule was obtained online by the service user and was found to contain methamphetamine and no phentermine or other active ingredients. What does this mean? Due to the close relationship between
- [Protonitazene sold as '3C-P'](https://theknow.org.au/alerts_warnings/protonitazene-sold-as-3c-p/) - A pink and white capsule sold as ‘3C-P’ in Melbourne contains the potent opioid protonitazene. Protonitazene is a novel synthetic opioid that can produce life-threatening toxic effects in very small amounts Opioids are central nervous system depressants, typically producing a range of effects including pain relief, sedation and respiratory depression (dangerously slow breathing). Respiratory depression often
- [Rise in opioid overdoses after use of cocaine or methamphetamine](https://theknow.org.au/alerts_warnings/rise-in-opioid-overdoses-after-use-of-cocaine-or-methamphetamine/) - Warning: 11 people have experienced severe opioid overdose after use of drugs thought to be COCAINE or METHAMPHETAMINE since December 2023. HEROIN was the opioid identified. Know the risks Heroin and other opioids may be sold as or found in cocaine, methamphetamine and MDMA. Small amounts of opioids can cause life-threatening overdose in people who
- [Fake Xanax pills and other illicit drugs in South Australia have been found to contain dangerous novel synthetic opioids and benzodiazepines (benzos)](https://theknow.org.au/alerts_warnings/fake-xanax-pills-and-other-illicit-drugs-in-south-australia-have-been-found-to-contain-dangerous-novel-synthetic-opioids-and-benzodiazepines-benzos/) - Alert: the pill or drug you are taking may not be what you think it is. Drugs have been found in Adelaide that contain very potent opioids, benzos and animal tranquilisers. These have a high chance of killing you – even if you are a regular user. EVEN TINY AMOUNTS OF THESE DRUGS CAN CAUSE
- [High dose found in MDMA sample](https://theknow.org.au/alerts_warnings/high-dose-found-in-mdma-sample-2/) - A blue square pressed pill printed with 'SP' notation expected to contain MDMA (ecstasy), was found to contain 168mg of MDMA free base, or 200mg of MDMA HCl. What does this mean? This amount of MDMA is significantly higher than the amount that someone may usually expect to take. A service user who consumed a
- [Multiple high dose MDMA (ecstasy) tablets found in NSW](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-ecstasy-tablets-found-in-nsw/) - Warning: Multiple high dose MDMA (ecstasy) tablets have recently been found in NSW. They contain about twice the average amount of MDMA usually found in tablets circulating in NSW. The skull shaped tablets are imprinted with 'MYBRAND' wording and logo on the reverse. Note: Tablet appearance is not a reliable indicator of drug contents. Know the risks
- [4-CMC Found in 'MDMA' sample](https://theknow.org.au/alerts_warnings/4-cmc-found-in-mdma-sample/) - A light green triangle pressed pill printed with a 'Tesla' notation expected to contain MDMA (ecstasy), was found to contain 4-chloromethcathinone (4-CMC). What is 4-CMC? 4-chloromethcathinone is a synthetic cathinone. Effects and signs of overdose can be similar to those of other stimulants, like methamphetamine, MDMA and cocaine. Cathinones like 4-CMC carry the risk of cardiac
- ['Red Bull' logo red/orange rectangular tablets sold as MDMA (ecstasy) found to contain a nitazene (potent opioid) and no MDMA](https://theknow.org.au/alerts_warnings/red-bull-logo-red-orange-rectangular-tablets-sold-as-mdma-ecstasy-found-to-contain-a-nitazene-potent-opioid-and-no-mdma/) - Warning: 'Red Bull' tablets sold as MDMA (ecstasy) caused multiple hospitalisations in Sydney last weekend. Analysis of one tablet identified a potent opioid (a nitazene) and no MDMA.​ Tablet appearance is not a reliable indicator of drug contents. K​n​​ow the risk Nitazenes can be as strong as, or stronger than fentanyl and cause slow breathing
- [MFPVP found in dipentylone sample](https://theknow.org.au/alerts_warnings/mfpvp-found-in-dipentylone-sample/) - A white powder sample expected to contain dipentylone was found to contain 4-fluro-3-methyl-alpha-PVP (MFPVP). What is MFPVP? 4-fluro-3-methyl-alpha-PVP is a cathinone that hasn't been detected at CanTEST before. It's related to alpha-PVP and MDPV and has the potential to produce strong stimulant effects at low-dose ranges. Effects and signs of overdose for MFPVP, and other cathinones,
- [MDMA and other stimulants in hot environments](https://theknow.org.au/alerts_warnings/mdma-and-other-stimulants-in-hot-environments/) - Nine people recently became unwell after using MDMA at a music event. Some were also exposed to PMMA, synthetic cathinones and/or methamphetamine MDMA (‘ecstasy’) is an empathogen/entactogen stimulant with effects including euphoria and increased sociability, but also increased body temperature, heart rate and blood pressure. Seven people who became unwell had specialised blood tests, all of
- [High purity heroin in circulation across Narrm/metro Melbourne, and possibly the Geelong area](https://theknow.org.au/alerts_warnings/high-purity-heroin-in-circulation-across-narrm-metro-melbourne-and-possibly-the-geelong-area/) - There have been multiple reports of very strong gear across all areas of Melbourne, and some from Geelong as well. Please be careful and look after each other while using! Please check on anyone that you come across who appear to be passed out (e.g. on the street, public transport). CALL 000 IMMEDIATELY if you
- [Heroin overdose after using cocaine](https://theknow.org.au/alerts_warnings/heroin-overdose-after-using-cocaine/) - Warning: One death and two hospitalisations have recently been associated with heroin overdose after use of substances thought to be cocaine across Sydney. Know the risks Heroin can cause life-threatening overdose, even in a single line of powder. People who have never or rarely used heroin or other opioids are at highest risk of overdose.
- [Contaminated MDMA powder and capsules](https://theknow.org.au/alerts_warnings/contaminated-mdma-powder-and-capsules/) - Cathinones, Ketamine and Ketamine Analogues found in MDMA capsule and powder supply in NSW Recent samples of MDMA have shown to be mixed with various synthetic cathinones, ketamine, and ketamine analogues. This could produce a completely different experience than taking MDMA alone. What are synthetic cathinones? Synthetic cathinones are classified as NPS (new psychoactive substance)
- [High dose found in MDMA sample](https://theknow.org.au/alerts_warnings/high-dose-found-in-mdma-sample/) - A green pressed pill printed with an 'A' (Anarchy press) expected to contain MDMA (ecstasy), was found to contain 146.6mg of MDMA free base, or 174.5mg of MDMA HCl. What does this mean? This amount of MDMA is approximately twice the amount that someone may usually expect to take, either recreationally or medicinally. Effects and signs
- [Multiple types of high dose MDMA (ecstasy) tablets found in NSW](https://theknow.org.au/alerts_warnings/multiple-types-of-high-dose-mdma-ecstasy-tablets-found-in-nsw/) - Warning Multiple types of high dose MDMA (ecstasy) tablets have recently been found in NSW. Blue diamond shaped tablet with 'punisher' logo contained 216 mg MDMA Blue skull shaped tablet with 'MYBRAND' logo and text contained 216 mg MDMA Yellow square tablet with 'SpongeBob' smiley face markings contained 160 mg MDMA These tablets contain up
- [Mescalin found in 'Ritalin' sample](https://theknow.org.au/alerts_warnings/mescalin-found-in-ritalin-sample/) - A white powder sample expected to contain 'ritalin', was actually found to contain 3,4,5-trimethoxyphenethylamine (commonly known as 'mescalin'). What is mescalin? It's a psychedelic that has a moderate risk of toxicity if it's combined with any other drug that interacts withserotonin receptors (like other psychedelics, some cathinones and other drugs like 2C-B). Effects of mescalin can
- [Potent synthetic opioids classed as ‘nitazenes’ have been seized in South Australia and could be present in illicit drugs](https://theknow.org.au/alerts_warnings/potent-synthetic-opioids-classed-as-nitazenes-have-been-seized-in-south-australia-and-could-be-present-in-illicit-drugs/) - Nitazenes may be mixed in with other substances, including methamphetamine or GHB. You cannot tell if nitazenes are present just by looking at your drugs. Even tiny amounts of nitazenes can cause overdose and death. Seized in Adelaide: South Australia Police (SAPOL) has announced the seizure of large quantities ofnitazenes in Adelaide. Nitazenes are strong
- [High dose MDMA (ecstasy) tablets – pink-orange square tablets, with a ‘GUCCI’ logo and wording](https://theknow.org.au/alerts_warnings/high-dose-mdma-ecstasy-tablets-pink-orange-square-tablets-with-a-gucci-logo-and-wording/) - Warning: A high dose MDMA (ecstasy) tablet has recently been found in NSW. The MDMA dose in the tablet was 414 mg. This is four times the average amount usually contained in MDMA tablets circulating in NSW. Note: Tablet appearance is not a reliable indicator of drug contents Know the risks You are at increased
- [Bromonordiazepam found in ‘Xanax’ sample](https://theknow.org.au/alerts_warnings/bromonordiazepam-found-in-xanax-sample/) - Benzodiazepines tested at CanTEST are often not what they were sold as. A white pill sample with ‘Mylan A4’ printed on one side and a cross printed on the other, purchased as Xanax (alprazolam), was actually found to contain bromonordiazepam. What is Bromonordiazepam? It’s a novel benzodiazepine or “benzo”. Benzos are drugs typically used to sedate
- [Metonitazene sold as cocaine](https://theknow.org.au/alerts_warnings/metonitazene-sold-as-cocaine/) - Note: White powder containing the potent opioid ‘metonitazene’ has been mis-sold as cocaine in Melbourne. Metonitazene is a novel synthetic opioid Opioids are central nervous system depressants. They typically produce a range of effects including sedation, short-term pain relief, and respiratory depression (where breathing slows or stops). Respiratory depression often appears more quickly with novel synthetic
- [The potent opioid ‘protonitazene’ has been detected in South Australia and could be present in methamphetamine or GHB](https://theknow.org.au/alerts_warnings/the-potent-opioid-protonitazene-has-been-detected-in-south-australia-and-could-be-present-in-methamphetamine-or-ghb/) - Looks like: White powder: Protonitazene could be mixed in with other substances. You cannot tell if protonitazene is present just by looking at your drugs. Detected in Adelaide: Protonitazene has caused recent serious hospitalisations in Adelaide, with two people who thought they were using GHB ending up in ICU. The white powder has been referred
- [Significant sedation/confusion after taking MDMA](https://theknow.org.au/alerts_warnings/significant-sedation-confusion-after-taking-mdma/) - NUAA has received reports from Newcastle of significant sedation and confusion after taking a single MDMA tablet. It’s likely they contained a combination of bromazolam and pentylone/ dimethylpentylone.Remember – start with a low dose – halve your dose to start with. Only take more if you’re getting the desired effect, if it’s not working, throw
- [Yellow powder containing potent synthetic opioid (isotonitazene) circulating on the NSW Central Coast](https://theknow.org.au/alerts_warnings/yellow-powder-containing-potent-synthetic-opioid-isotonitazene-circulating-on-the-nsw-central-coast/) - Warning: isotonitazene has been associated with serious harms in NSW. It is possibly related to recent deaths which remain under investigation. Know the risks Drug samples in NSW have been found to contain isotonitazene, a potent opioid of the nitazene class. Nitazenes can be as strong as, or stronger than fentanyl and cause slow breathing
- [Novel stimulants sold as MDMA, cocaine or speed](https://theknow.org.au/alerts_warnings/novel-stimulants-sold-as-mdma-cocaine-or-speed/) - Synthetic cathinones and PMMA are circulating in a range of forms in Victoria A light orange ‘Kenzo’ pill with a tiger on one side and the ‘KENZO’ logo on the other may be sold as MDMA (ecstasy) or methamphetamine (speed) but contains dipentylone and pentylone (cathinones). A black crystalline powder that turns grey when crushed contains PMMA
- [High and variable dose MDMA (ecstasy) tablets - orange spade-shaped, often with an 'Ace of Spades' logo](https://theknow.org.au/alerts_warnings/high-and-variable-dose-mdma-ecstasy-tablets-orange-spade-shaped-often-with-an-ace-of-spades-logo/) - Warning: high dose MDMA tablets have been found in NSW. The MDMA dose in these tablets averaged 146 mg, but some tablets contained up to 168 mg. This is double the amount usually contained in MDMA tablets circulating in NSW. Please note: images are representative only and tablets may vary in colour or logo Know
- [3-HO-PCP found in ketamine sample](https://theknow.org.au/alerts_warnings/3-ho-pcp-found-in-ketamine-sample/) - A white powder sample presented as ketamine found to contain 3-HO-PCP (aka 3-hydroxphencyclidine) What is 3-HO-PCP? A dissociative analgesic from the arylcyclohexylamine family with effects reported to be similar to phencyclidine (PCP or “angel dust”). Little is known about 3-HO-PCP’s pharmacology and toxicity for humans, but animal studies have shown it can affect opioid receptors
- [Pentylone in orange 'Nike tick' pills](https://theknow.org.au/alerts_warnings/pentylone-orange-nike-tick-pills/) - Note: The pills contain both pentylone and MDMA and are described as orange-coloured, brick-shaped tablets with a ‘Nike tick’ design. Pentylone is also circulating in other forms. Pentylone is a ‘synthetic cathinone’ that’s potent and unpredictable Pentylone is a type of stimulant called a ‘synthetic cathinone’. Synthetic cathinones can produce similar effects to more common stimulants like
- [Dangerous Drug warning for Canberrans](https://theknow.org.au/alerts_warnings/dangerous-drug-warning-for-canberrans/) - ACT Health is warning Canberrans to be aware of a strong opioid detected in tablets being sold as “oxycodone”. Metonitazene, a potent synthetic opioid, has been detected in a tablet tested at the CanTEST Health and Drug Checking Service. The synthetic opioid has been detected in tablets that were sold as “oxycodone”. The tablets were
- [3-Hydroxy-PCP sold as ketamine](https://theknow.org.au/alerts_warnings/3-hydroxy-pcp-sold-as-ketamine/) - Note: White powder containing ‘3-Hydroxy-PCP’ is being sold as ketamine in Victoria. 3-HO-PCP is a “dissociative” drug that takes longer to have an effect than ketamine, but is more potent and unpredictable A dissociative increases feelings of ‘distance from reality’, but also has other effects. Not much is known about 3-HO-PCP, but its effects appear
- [2-FLUORO-2-OXO-PCE found in ketamine samples](https://theknow.org.au/alerts_warnings/2-fluoro-2-oxo-pce-found-in-ketamine-samples/) - Yellowish white powder mixed with crystalline chunks repeatedly presented as ketamine and found to contain the new psychoactive substance 2-FLUORO-2-OXO-PCE instead. What is 2-FLUORO-2-OXO-PCE? A new synthetic ketamine derivative that has not been studied yet so information can’t be provided on short or long term effects or safety – we don’t know about duration, harmful
- [Update on harmful drugs in fake alprazolam](https://theknow.org.au/alerts_warnings/update-on-harmful-drugs-in-fake-alprazolam/) - Warning: Counterfeit alprazolam in NSW rarely contains alprazolam. These products contain other drugs (mostly unregistered benzodiazepines) in variable combinations and dosages. Know the risks Taking non-prescribed 'alprazolam' can cause serious harm. The risk of harm is higher if you: Take a counterfeit product Take a higher dose Mix different sedative drugs. Alcohol, benzos and opioids
- [Protonitazene sold as ketamine](https://theknow.org.au/alerts_warnings/protonitazene-sold-as-ketamine/) - Note: yellow powder containing the potent opioid ‘protonitazene’ has been mis-sold as ketamine in Melbourne. Protonitazene is a novel synthetic opioid Opioids are central nervous system depressants. They typically produce a range of effects including sedation, short-term pain relief, and respiratory depression (breathing difficulty). Respiratory depression often appears more quickly with novel synthetic opioids (NSOs),
- ['Heroin' found to contain a potent opioid ('nitazene')](https://theknow.org.au/alerts_warnings/heroin-found-to-contain-a-potent-opioid-nitazene/) - Warning: Increased hospitalisations and ICU admissions following use of 'heroin' have occurred across the Central Coast region. Testing of the 'heroin' found it contained a potent opioid ('nitazene'). Use of this 'heroin' can be life-threatening. Know the risks Testing of 'heroin' has found it to contain a potent synthetic opioid of the nitazene class. Nitazenes
- [Dimethylpentylone found in MDMA sample](https://theknow.org.au/alerts_warnings/dimethylpentylone-found-in-mdma-sample/) - One off-white crystalline sample presented as MDMA contained Dimethylpentylone (a cathinone) and low purity MDMA as a secondary component. What is Dimethylpentylone? A synthetic cathinone that was first detected in Sweden in 2014. It's a powerful stimulant additive, or substitute for MDMA. Increasingly found within drugs sold as ecstasy in the USA. When users are expecting MDMA,
- [High potency benzodiazepine tablets](https://theknow.org.au/alerts_warnings/high-potency-benzodiazepine-tablets/) - Note: Round, white, unmarked tablets – likely sold as ‘Mylan’ or ‘Xanax’ – are circulating in Victoria. They contain five novel benzodiazepines. Novel benzodiazepines (benzos) produce some similar effects to prescription benzos but are often more potent and unpredictable. Five different novel benzos have been detected in these tablets: bromazolam, clonazolam, etizolam, flualprazolam and flubromazepam.
- [Hospitalisations after consuming Uncle Frog's Mushroom Gummies](https://theknow.org.au/alerts_warnings/hospitalisations-after-consuming-uncle-frogs-mushroom-gummies/) - Public Warning Statement Section 12 A of the Public Health ActI Kerry Chant, Chief Health Officer, being of the view that there is a risk to the health or safety of the public or a sector of the public, make the following public statement identifying and giving warnings or information about the risk. Since April
- [Opioid overdoses following stimulant use](https://theknow.org.au/alerts_warnings/opioid-overdoses-following-stimulant-use/) - NUAA IS URGING THE COMMUNITY TO STAY ALERT FOR SIGNS OF AN OPIOID OVERDOSE WHEN USING STIMULANTS. Recent incidents, including an opioid overdose from heroin mis-sold as cocaine and multiple opioid overdoses following methamphetamine use, are driving the concern. Unknowingly taking opioids can kill or cause dizziness, paleness, blurred vision, loss of consciousness, vomiting, difficulty
- [Heroin found in methamphetamine in NSW](https://theknow.org.au/alerts_warnings/heroin-found-in-methamphetamine-in-nsw/) - Heroin has been found in methamphetamine in Newcastle and Orange areas NSW Health is warning of potential dangers from heroin found present in methamphetamine currently in circulation around Newcastle and Orange following two hospitalisations.⁠ Only a small amount of ‘methamphetamine’ powder containing opioids (such as heroin) can kill or cause dizziness, paleness, blurred vision, loss of
- [Methylmethaqualone found in ‘methaqualone’ sample](https://theknow.org.au/alerts_warnings/methylmethaqualone-found-in-methaqualone-sample/) - A clear capsule containing white powder expected to contain methaqualone (MQ), was found to contain methylmethaqualone (MMQ). What does this mean? MQ and MMQ are both quinazolone sedative hypnotics. MMQ is an analogue of the more common MQ. There are no legitimate pharmaceutical products in the Australian market that contain either MQ or MMQ, and
- [Severe negative reactions from commercially available poppy seeds](https://theknow.org.au/alerts_warnings/severe-negative-reactions-from-commercially-available-poppy-seeds/) - SEVERE NEGATIVE REACTIONS FROM COMMERCIALLY AVAILABLE POPPY SEEDS A number of anecdotal reports of severe negative reactions including hospitalisation have been reported from across Australia from people drinking poppy tea made from supermarket poppy seeds. Please use extreme caution even if you are an experienced user. More information will be supplied as soon as possible.
- [High dose MDMA and dimethylpentylone found in 'MDMA' sample](https://theknow.org.au/alerts_warnings/high-dose-mdma-and-dimethylpentylone-found-in-mdma-sample/) - A red pressed skull pill weighing 602mg expected to contain MDMA (ecstasy), was found to contain 26% MDMA base (157mg) and the synthetic cathinone dimethylpentylone This amount of MDMA may be more than the amount that someone may usually expect to take, either recreationally or in a clinical setting. Similar MDMA and dimethylpentylone mixtures have
- [Multiple high dose MDMA pills](https://theknow.org.au/alerts_warnings/multiple-high-dose-mdma-pills/) - Detected 20 September 2024 Pink pill: pioneer compact disk jockey press Rear press ‘180mg’ Total weight of pill 806mg MDMA purity 27% (217.8mg free base) Detected 27 September 2024 Grey pill: Rick (of Rick & Morty) press Total weight of pill 615mg MDMA purity 36% (221 mg free base) Detected 20 September 2024 Blue pill:
- [High dose MDMA tablets - pink irregular shape with Audi logo](https://theknow.org.au/alerts_warnings/high-dose-mdma-tablets-pink-irregular-shape-with-audi-logo/) - Warning: High dose MDMA tablets have been found in NSW, average dose 196mg. Know the risks You are at increased risk of harm if you: take multiple MDMA (ecstasy) tablets or capsules take a higher-dose MDMA (ecstasy) tablet or capsule use other stimulant drugs (e.g. methamphetamine, cocaine or caffeine) at the same time use alcohol,
- [Fake Kalma alprazolam tablets found to contain strong opioids](https://theknow.org.au/alerts_warnings/fake-kalma-alprazolam-tablets-found-to-contain-strong-opioids/) - Warning: Strong opioids have recently been found in some fake Kalma tablets in NSW. They are white, rectangular tablets marked AL on one side, G2 on reverse. Know the risks Testing of fake (counterfeit) 'Kalma' tablets found they contain a strong opioid, namely etodesnitazene. 'Nitazenes' can be as strong or stronger than fentanyl. Another synthetic

## Support Services

- [Needle Syringe Program (NSP) Directory](https://theknow.org.au/support_services/needle-syringe-program-nsp-directory/)
- [Take Home Naloxone Program](https://theknow.org.au/support_services/take-home-naloxone-program/) - The Australian Government is investing in a program to make naloxone available free to people who may experience, or witness, an opioid overdose.
- [National Alcohol and Other Drug Hotline](https://theknow.org.au/support_services/national-alcohol-and-other-drug-hotline/) - You can call the Alcohol Drug Information Service (ADIS) 24 hours a day, 7 days a week on 1800 250 015.
- [QuIHN](https://theknow.org.au/support_services/quihn/) - Health services for people who use drugs and alcohol throughout Queensland.
- [Peer Based Harm Reduction WA](https://theknow.org.au/support_services/peer-based-harm-reduction-wa/) - Non-judgmental, friendly peer based support, information and education, advocacy and harm reduction services and services
- [Green Book Search for Alcohol and Other Drugs Service Providers](https://theknow.org.au/support_services/green-book-search-for-alcohol-and-other-drugs-service-providers/) - A directory of drug and alcohol services in Western Australia.
- [Harm Reduction Victoria](https://theknow.org.au/support_services/harm-reduction-victoria/) - A not-for-profit community organisation for people who use drugs.
- [Directline](https://theknow.org.au/support_services/directline/) - Confidential alcohol and drug counselling and referral in Victoria.
- [Hepatitis South Australia's Clean Needle Program Peers](https://theknow.org.au/support_services/hepatitis-south-australias-clean-needle-program-peers/) - Hepatitis SA's Clean Needle Program, including rostered sessions with peers.
- [Know Your Options: Service Directory](https://theknow.org.au/support_services/know-your-options-service-directory/) - A directory of drug and alcohol services in South Australia
- [Queensland Injectors Voice for Advocacy and Action (QuIVAA)](https://theknow.org.au/support_services/queensland-injectors-voice-for-advocacy-and-action-quivaa/) - Peak peer body which represents the interests of people who use drugs in Queensland.
- [Alcohol Drug Information Service (ADIS) Queensland](https://theknow.org.au/support_services/alcohol-drug-information-service-adis-queensland/) - Call 1800 177 833 for 24/7 support for people in Queensland with alcohol and other drug concerns.
- [Northern Territory AIDS and Hepatitis Council (NTAHC)](https://theknow.org.au/support_services/northern-territory-aids-and-hepatitis-council-ntahc/) - Information on harm reduction and where to access injecting equipment in the Northern Territory.
- [Service Directory (Association of Alcohol and other Drug Agencies Northern Territory)](https://theknow.org.au/support_services/service-directory-association-of-alcohol-and-other-drug-agencies-northern-territory/) - A directory of drug and alcohol services in the Northern Territory.
- [NSW Users and AIDS Association (NUAA)](https://theknow.org.au/support_services/nsw-users-and-aids-association-nuaa/) - The peer-based organisation for people who use drugs in New South Wales.
- [Your Room](https://theknow.org.au/support_services/your-room/) - A directory of free or low cost alcohol and other drug services in New South Wales.
- [Canberra Alliance for Harm Minimisation and Advocacy (CAHMA)](https://theknow.org.au/support_services/canberra-alliance-for-harm-minimisation-and-advocacy-cahma/) - The drug user organisation for the Australian Capital Territory, offering services & programs to people who use drugs.
- [Alcohol, Tobacco and Other Drugs Services Online Directory ](https://theknow.org.au/support_services/alcohol-tobacco-and-other-drugs-services-online-directory/) - A directory of drug and alcohol programmes in the Australian Capital Territory.
- [Family Drug Support](https://theknow.org.au/support_services/family-drug-support/) - Call 1300 368 186 for phone support for the families of people who use alcohol and other drugs.
- [Poisons Information Line](https://theknow.org.au/support_services/poisons-information-line/)
- [Path2Help](https://theknow.org.au/support_services/path2help/)
- [Australian Injecting and Illicit Drug Users League (AIVL)](https://theknow.org.au/support_services/australian-injecting-and-illicit-drug-users-league-aivl/)
- [Counselling Online](https://theknow.org.au/support_services/counselling-online/)
- [Alcohol and Other Drug (AOD) Hotline](https://theknow.org.au/support_services/alcohol-and-other-drug-aod-hotline/)

## Categories

- [Uncategorized](https://theknow.org.au/category/uncategorized/)
- [External link](https://theknow.org.au/category/external-link/)

## Drug Types

- [Benzodiazepines](https://theknow.org.au/drug_taxonomy/benzodiazepines/) - Benzodiazepines are depressant drugs. Which means they slow down the messages travelling between the brain and the body
- [Dissociatives](https://theknow.org.au/drug_taxonomy/ketamine/) - Dissociatives cause detachment from reality and include drugs like ketamine and nitrous oxide. They often distort sensory perception and create feelings of disconnection from the environment.
- [GHB](https://theknow.org.au/drug_taxonomy/ghb/) - GHB (gamma hydroxybutyrate) is a depressant drug, which means it slows down messages travelling between the brain and body.
- [Empathogens](https://theknow.org.au/drug_taxonomy/mdma/) - Empathogens like MDMA increase feelings of emotional connection, empathy, and energy but also have risks like dehydration and mood swings.
- [Opioids](https://theknow.org.au/drug_taxonomy/opioids/) - Opioids are pain-relieving substances that can cause significant euphoria but have a high potential for addiction and overdose, including heroin, fentanyl, nitazenes and prescription opioids.
- [Psychedelics](https://theknow.org.au/drug_taxonomy/psychedelics/) - Psychedelics alter perception, mood, and thought, and include substances like LSD, psilocybin (magic mushrooms), and DMT.
- [Cocaine](https://theknow.org.au/drug_taxonomy/cocaine/)
- [Amphetamines](https://theknow.org.au/drug_taxonomy/amphetamines/) - Amphetamines are stimulant drugs, which means they speed up the messages travelling between the brain and the body.
- [Cannabinoids](https://theknow.org.au/drug_taxonomy/cannabinoids/) - Cannabinoids include both natural (like THC) and synthetic forms, which interact with cannabinoid receptors in the brain and can cause altered states of mood and perception.
- [Stimulants](https://theknow.org.au/drug_taxonomy/stimulants/) - Amphetamines includes substances like amphetamines, methamphetamine, speed and cocaine that speed up brain and body messages, causing increased energy and alertness.
- [Unspecified](https://theknow.org.au/drug_taxonomy/unspecified/)
- [Depressants](https://theknow.org.au/drug_taxonomy/depressants/) - Depresssants slow down the central nervous system and can cause relaxation, drowsiness, or sedation. Includes alcohol, benzodiazepines, and GHB/GBL.
- [Cathinones](https://theknow.org.au/drug_taxonomy/cathinones/)
- [Nitazenes](https://theknow.org.au/drug_taxonomy/nitazenes/) - Nitazenes are strong synthetic opioids. Opioids include any drug that acts on opioid receptors in the brain, and any natural or synthetic drugs that are derived from, or related to, the opium poppy.
- [Heroin](https://theknow.org.au/drug_taxonomy/heroin/) - Heroin is an opioid. Opioids include any drug that acts on opioid receptors in the brain, and any natural or synthetic drugs that are derived from, or related to, the opium poppy. Opiates are a subset of opioids, which are naturally derived from the opium poppy plant, rather than synthetic substances.
- [Fentanyl](https://theknow.org.au/drug_taxonomy/fentanyl/)
- [Oxycodone](https://theknow.org.au/drug_taxonomy/oxycodone/)
- [MDMA/Ecstasy](https://theknow.org.au/drug_taxonomy/mdma-ecstasy/)
- [Ketamine](https://theknow.org.au/drug_taxonomy/ketamine-mdma/)
- [LSD](https://theknow.org.au/drug_taxonomy/lsd/)
- [Carfentanil](https://theknow.org.au/drug_taxonomy/carfentanil/)
- [MDA](https://theknow.org.au/drug_taxonomy/mda/)
- [Medetomodine](https://theknow.org.au/drug_taxonomy/medetomodine/)
- [Ketamine analogues](https://theknow.org.au/drug_taxonomy/k-analog/)
- [2C-B](https://theknow.org.au/drug_taxonomy/2c-b/)
- [NBOMe](https://theknow.org.au/drug_taxonomy/nbome/)
- [PIEDs](https://theknow.org.au/drug_taxonomy/pieds/)
- [Etomidate](https://theknow.org.au/drug_taxonomy/etomidate/)
- [DOI](https://theknow.org.au/drug_taxonomy/doi/)

## Alert Types

- [Alert](https://theknow.org.au/alert_taxonomy/alert/)
- [Community notice](https://theknow.org.au/alert_taxonomy/community-notice/)
- [Public drug warning](https://theknow.org.au/alert_taxonomy/public-drug-warning/)
- [Drug alert](https://theknow.org.au/alert_taxonomy/drug-alert/)
- [Public warning statement](https://theknow.org.au/alert_taxonomy/public-warning-statement/)
- [Public health alert](https://theknow.org.au/alert_taxonomy/public-health-alert/)
- [Community drug caution](https://theknow.org.au/alert_taxonomy/community-drug-caution/)
- [Drug advisory](https://theknow.org.au/alert_taxonomy/drug-advisory/)
- [Drug warning](https://theknow.org.au/alert_taxonomy/drug-warning/)
- [Drug notification](https://theknow.org.au/alert_taxonomy/drug-notification/)
- [General](https://theknow.org.au/alert_taxonomy/gen-drug-notifcation/)
- [URGENT](https://theknow.org.au/alert_taxonomy/urg/)
- [Yellow](https://theknow.org.au/alert_taxonomy/yellow-community-notice/)
- [RED](https://theknow.org.au/alert_taxonomy/red-community-notice/)
- [RED](https://theknow.org.au/alert_taxonomy/red-drug-alert/)
- [Yellow](https://theknow.org.au/alert_taxonomy/yellow-drug-alert/)

## Location

- [VIC](https://theknow.org.au/location_taxonomy/vic/)
- [WA](https://theknow.org.au/location_taxonomy/wa/)
- [QLD](https://theknow.org.au/location_taxonomy/qld/)
- [TAS](https://theknow.org.au/location_taxonomy/tas/)
- [NT](https://theknow.org.au/location_taxonomy/nt/)
- [NSW](https://theknow.org.au/location_taxonomy/nsw/)
- [SA](https://theknow.org.au/location_taxonomy/sa/)
- [ACT](https://theknow.org.au/location_taxonomy/act/)
- [National](https://theknow.org.au/location_taxonomy/national/)

## Alert Source

- [Drug checking service](https://theknow.org.au/source_taxonomy/peer-report/) - This report has been sourced from a peer or community based organisation
- [Government organisation](https://theknow.org.au/source_taxonomy/government-report/) - This report has been sourced from a State or Federal Government organisation.