Va calc spice bath salts 2011 04-14 finalPresentation Transcript
Synthetic Drugs of Abuse: ‘Spice,’ ‘K2’ and ‘Bath Salts’ Erik Gunderson, MD Assistant Professor Department of Psychiatry and Neurobehavioral Sciences and Department of Medicine Director, Clinical Pharmacological Research Unit University of Virginia April 14, 2011
Bombing (swallowing powder wrapped in cigarette paper)
Rectally (either plugging or enema)
IV (use 1/2 to 1/3 dose)
Effects of Mephedrone
Mephedrone Side Effects
Loss of appetite
Increase in body temperature, sweating, hot flushes
Tense jaw, bruxism, stiff neck, muscle clenching
HR/BP elevation, chest pains
Painful nasal drip/ulcers in mouth (after insufflation)
Insomnia, paranoia, anxiety, dysphoria, psychosis
Mephedrone’s Legal Status
2008-2010: Banned in many European counties
December 2010: Illegal throughout the EU
Mephedrone is not specifically banned in the United States
However, some states have banned mephedrone
DEA: may be controlled by the Federal Analogue Act as an analogue of methcathinone
Current and Future Epidemiology?
No data on prevalence of use
American Association of Poison Control Centers:
2010: 292 calls
2011: 469 calls (2/14/11), a projected14-fold increase
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Wehrman J. U.S. Poison Centers Raise Alarm about Toxic Substance Marketed as Bath Salts; States Begin Taking Action. AAPCC. February 14, 2011. Available at: http://www.aapcc.org/dnn/Portals/0/prrel/FEB14BATHSALTSUSE.pdf
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Acknowledgement Laura Willing, BS Contact Information Erik Gunderson, MD 434-924-8013 office [email_address]