Evidence map›Paper›PMID 40879310›Full record

ArticleDrug testing and analysis2025

Post-Mortem Identification and Toxicological Findings of Fluetonitazepyne and Isotonitazepyne.

Pirkko Kriikku, Anna Pelander, Antti Jylhä, Ilkka Ojanperä

Abstract read
In one paragraph

Article in Drug testing and analysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Pirkko KriikkuForensic Toxicology Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID https://orcid.org/0000-0002-5721-2827
Anna PelanderForensic Toxicology Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Antti JylhäForensic Toxicology Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Ilkka OjanperäForensic Toxicology Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nitazepyne-type substances, such as fluetonitazepyne and isotonitazepyne, are among the latest additions to the group of nitazenes-highly potent and dangerous opioids that have emerged on the illicit drug market in recent years. In early 2025, five death cases in Finland tested positive for fluetonitazepyne and one for isotonitazepyne in urine drug screening. The median (range) concentration of fluetonitazepyne in post-mortem femoral blood was 1.7 (0.4-9.5) μg/L, and the concentration of isotonitazepyne was 1.4 μg/L. Other psychoactive substances were detected in all cases. A peak corresponding to O-dealkylated fluetonitazepyne, the 4-OH-nitazepyne metabolite, was present in all fluetonitazepyne-positive urine samples and was later used in the identification of isotonitazepyne in one fatal case. This metabolite proved useful as a marker compound for nitazepyne-type benzimidazole opioids in a urine screening.

Indexed as

Analgesics, OpioidIllicit DrugsSubstance Abuse DetectionAdultAutopsyFemaleFinlandHumansMaleMiddle AgedAnalgesics, OpioidIllicit Drugsdrug deathnitazeneNPSoverdosepostmortem toxicology

Identifiers

PMID40879310
PMCPMC12580158

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.