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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


VARGAS TORRES, Edgar Andrés. Medical-legal relationship of MDMA drug addiction: case report. Med. leg. Costa Rica [online]. 2022, vol.39, n.1, pp.37-75. ISSN 2215-5287.

The analysis for drug addiction represents a common process requested by the Judicial Authority to determine if a user presents findings compatible with the use of a drug at a clinical level, histological, pathological and toxicological components that may generate its use. It is necessary to highlight the limitations of the clinical environment where multiple findings can be generated, and of forensic toxicology where despite the specificity to which it is associated; it is also limited by the capacity of its technological equipment.

Quantitative hydrogen nuclear magnetic resonance represents great advantages when demonstrating the presence of an illegal drug, as well as the possibility of reducing costs and labor time. The use of MDMA as a treatment with a recent approval for a phase III study by the FDA, also requires that the reason for its use be assessed, therefore, in order to carry out a legal medical analysis, various elements of judgment were considered in order to satisfy evaluation of MDMA drug addiction in a user who presented with white powder-like granular tissue in the distal section of the nasal septum and denied the use of methamphetamine.

Keywords : MDMA; N-Methyl-3,4-methylenedioxyamphetamine; Legal medicine (Forensic Medicine); Central Nervous System Stimulants; Substance-Related Disorders; Designer Drugs.

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