目標:探討1998年至2003年臺灣地區查獲MDMA和ketamine毒品之件數、劑量及使用趨勢。方法:收集臺灣地區司法、檢警、衛生相關檢驗實驗室之MDMA和ketamine毒品檢驗案件數及檢體劑量數資料,分析濫用趨勢,並探討緝獲檢體之外觀特性、所含成分及不純物。結果:1998年至2003年期間臺灣地區緝獲檢出MDMA及ketamine相關檢體案件數計有12,941件,其中於2000至2001年開始明顯增加,2001年的MDMA案件數696件,沒收212,820件檢體。2002年MDMA和ketamine毒品濫用檢體件數急速攀昇。以緝獲MDMA和Ketamine檢體案件數比較,緝獲件數由2001年的936件,遽增至2002年的7,311件。緝獲錠劑除有特殊文字、圖案外,併用其他成分,如caffeine、methamphetamine、cannabis、tramadol、FM2、phenobarbital等,亦有增加之趨勢。另亦測到MDMA錠劑內含不純物如DMMDA、MDP和N-methyl-1-(3,4-methylenedioxy) benzylamine,而MDEA或MBDB則未測到。結論:臺灣地區在1998年至2003年期間所緝獲檢出MDMA及ketamine相關毒品案件數,2002年達濫用最高點,雖MDMA毒品在2003年有輕微下降,但ketamine毒品確仍維持持續上揚,整體的濫用毒品均為上昇趨勢。
Objectives: Confer the seizures, doses and use trends of seized MDMA and similar ketamine in Taiwan from 1998 to 2003. Methods: MDMA and ketamine drugs seized by the judicial, police and health sectors of Taiwan analyzed in government laboratories. The number of cases, appearance characteristics, and analysis of content and impurity data were used to characterize the abuse trend. Results: The number of arrest cases involving MDMA and ketamine in Taiwan was 12,941 in the period from 1998 to 2003. The number of arrested cases had clearly grown in the period from 2000 to 2001. In 2001, the number of arrested MDMA cases was at least 696 and the total number of forfeited samples was 212,820. In 2002, the number of sampled cases of the abuse of MDMA and ketamine drugs had rapidly grew. Compared with the arrested MDMA and ketamine sample cases, the arrested number had rapidly grown from 936 in 2001 to 7,311 in 2002. The seized tablets had particular words and pattern. Besides, the number of tablets which were mixed with other components such as caffeine, methamphetamine, cannabis, tramadol, FM2, phenobarbital and etc had grown. Furthermore, we had also detected that tablets of MDMA contained impure components such as DMMDA, MDP and N-methyl-1-(3,4-methylenedioxy) benzylamine. However, we did not detect any MDEA and MBDB component in confiscated samples. Conclusions: The number of MDMA and ketamine drugs from the drug seizures has risen since 1998, indicating that the trend of drug abuse is on the increase, although the amount of MDMA detected declined in 2003.