Common drugs of abuse
- Heroin (diacetylmorphine) is made by acetylating morphine with acetic anhydride; street heroin is often cut with caffeine and paracetamol.
- Cannabis: charas is resin, bhang is leaves and ganja is flowering tops; THC is the main psychoactive constituent.
- Methamphetamine ('ice') is made from ephedrine, pseudoephedrine or P2P; its misuse has risen in Pakistan.
- Cocaine comes from Erythroxylum coca; crack is the smokable freebase.
- Prescription drugs misused include tramadol, codeine syrups, benzodiazepines and pregabalin.
- New psychoactive substances include synthetic cannabinoids and cathinones, often missed by routine screens.