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ADB-FUBINACA is an originator drug identified in synthetic cannabis blends in Japan in 2013. In 2018, it was the third-most common synthetic cannabinoid identified in drugs seized by the Drug Enforcement Administration.

**About Synthetic Cannabinoids**
Synthetic cannabinoids have been found in herbal incense products for the last several years. We report the rapid passing of an individual that was certified as synthetic cannabinoid-associated.

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The cause of death was certified as coronary artery apoplexy in combination with synthetic cannabinoid use. Manner of death was accident.

**History of Synthetic Cannabinoids**
Synthetic cannabinoids are man-made substances that bind to the cannabinoid receptors 1 (CB1) and 2 (CB2) in the human body. CB1 receptors are primarily located in the central nervous system, while CB2 receptors are primarily found in the peripheral nervous system.

**Dosage of ADB FUBINACA**
There is no recommended dose since ADB-FUBINACA is not for human consumption but is sold only as a research chemical for research purposes.

**Effects of ADB FUBINACA**
The clinical effects of most new designer drugs like ADB-FUBINACA can be described as either hallucinogenic, stimulant, or opioid-like.

**Side Effects of ADB FUBINACA**
Like other designer drugs, the use of ADB-FUBINACA can cause strong side effects; the substance is not clinically tested nor licensed in any way as a product for human consumption.

**How to Store ADB FUBINACA**
Keep ADB-FUBINACA under 30 degrees Celsius. Store ADB-FUBINACA in the original package, protect from direct sunlight and moisture.