Are "Bath Salts" the next generation of stimulant abuse?

被引:36
作者
Winder, Gerald Scott [1 ]
Stern, Nathan [2 ]
Hosanagar, Avinash [1 ,3 ]
机构
[1] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Med, Ann Arbor, MI 48109 USA
[3] VA Ann Arbor Hlth Syst, Ann Arbor, MI 48105 USA
关键词
MDPV; Mephedrone; Bath salts; Plant fertilizer; Stimulant; Generation; Addiction; Treatment; DESIGNER DRUG; TOXICOLOGY; ANALOGS;
D O I
10.1016/j.jsat.2012.02.003
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
"Bath salts" are stimulants with high abuse potential that are known to contain agents such as 3,4-methylenedioxypyrovalerone and 4-methylmethcathinone (mephedrone). They are marketed locally and through online retailers as legitimate products in order to evade legal control and facilitate widespread distribution. They have been present in Europe since 2007 but are now becoming a burgeoning presence in American hospitals. Though preliminary efforts are underway in the United States to restrict their usage and distribution, there remains a general unawareness on the part of physicians regarding the drugs' physiological effects. While they mimic the effects of other known stimulants, they are not detected on standard urine screens. We present a clinical case that illustrates a typical pattern of usage along with a description of their basic chemistry, appearance, methods of delivery, withdrawal and intoxication characteristics, treatment recommendations, and areas for further research. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:42 / 45
页数:4
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