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1Département des urgences CHCVs, Hôpital de Sion, Sion. florence.joye@chuv.ch
Revue Medicale Suisse
|September 13, 2013
Summary
Designer drug use, including bath salts and spice, has increased, leading to severe health issues and medical emergencies. Identifying specific toxidromes is crucial for pinpointing the causative psychoactive substances.
Area of Science:
- Toxicology
- Pharmacology
- Emergency Medicine
Background:
- Psychoactive substance use has steadily increased since 1990.
- Emergence of novel designer drugs like bath salts and spice with unknown pharmacological effects.
- Initial euphoria from substance use can escalate to acute medical emergencies and chronic diseases.
Purpose of the Study:
- To highlight the evolving landscape of designer drug use.
- To underscore the potential for severe adverse effects and medical emergencies.
- To emphasize the importance of toxidrome identification in managing substance-related emergencies.
Main Methods:
- Review of emergency department cases involving designer drug consumption.
- Analysis of reported side effects and clinical presentations.
- Correlation of symptoms with specific designer drugs and adulterants.
Main Results:
- Designer drugs like Krokodil and Spice can cause severe adverse effects, including necrotizing gangrene and dystonic reactions.
- Adulterants in designer drugs significantly increase their dangerosity.
- Toxidrome identification aids in determining the specific incriminated substance.
Conclusions:
- The increasing prevalence and unknown effects of designer drugs pose significant public health challenges.
- Prompt recognition of toxidromes is essential for effective clinical management and treatment of novel psychoactive substance intoxication.
- Further research is needed to understand the pharmacology and toxicology of emerging designer drugs.
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