One of the phenylpiperazines, 1-(3-chlorophenyl)piperazine (CPP; see Molecular structure 2), has been even more widespread than BZP. By 2006, it was estimated that almost 10 % of illicit tablets sold in the EU, as part of the illicit ecstasy market, contained CPP. At the end of 2008 and beginning of 2009, this percentage seems to have increased up to 50% in some Member States. However, because CPP is used as a starting material for the synthesis of several antidepressant drugs (e.g. trazodone), it could not be subjected to formal risk assessment under the terms of the Council Decision 2005/387/JHA of 2005 on the information exchange, risk assessment and control of new psychoactive substances. Apart from CPP, the next most commonly-found substituted piperazine was 1-(3-trifluoromethyl-phenyl)piperazine (TFMPP), although it was nearly always seen in combination with BZP. Other mixtures of piperazine derivatives became common during 2008, but most consisted of variations of BZP, TFMPP, CPP and DBZP, sometimes mixed with other substances such as amphetamine, cocaine, ketamine and MDMA.
BZP has been available from retail chemical suppliers and there have been no reports of illicit synthesis. It can be manufactured by reacting piperazine monohydrochloride with benzyl chloride. The latter precursor is readily available, and piperazine monohydrochloride is easily produced from the commercially-available . It is known that 1,4-dibenzylpiperazine (DBZP) can be formed as a side-product in this reaction.
Methamphetamine is most structurally similar to methcathinone and amphetamine. Synthesis is relatively simple, but entails risk with flammable and corrosive chemicals, particularly the solvents used in extraction and purification; therefore, illicit production is often discovered by fires and explosions caused by the improper handling of volatile or flammable solvents. The six major routes of production begin with either phenyl-2-propanone (P2P) or with one of the isomeric compounds pseudoephedrine and ephedrine.
Producing methamphetamine in this fashion can be extremely dangerous and has been linked to several fatalities. Because users frequently carry out the reaction in a two-liter bottle held close to their bodies, which can explode if the cap is removed too soon or if it accidentally perforates, the procedure has led to a large number of severe burns — for example, approximately 70 in Indiana during 2010 and 2011. As 90% of these cases in the United States lack health insurance, and the average cost for their treatment is $130,000 (60% more than the average), which is only partially compensated by Medicaid, this method of synthesis has been blamed for the closure of hospital burn units and a cost to taxpayers of tens or hundreds of millions of dollars.
Fentanyl is a narcotic analgesic with a potency at least 80 times that of morphine. Fentanyl and its derivatives (Alfentanil, Sufentanil, Remifentanil and Carfentanil) are used as anaesthetics and analgesics in both human and veterinary medicine (Carfentanil). They are subject to international control as are a range of highly potent non-pharmaceutical fentanyl (NPF) derivatives, such as 3-methylfentanyl, synthesised illicitly and sold as ‘synthetic heroin’, or mixed with heroin.