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Pyrethroid as a substance of abuse
Pravesh Sharma1, Stephen Manning1, Regina Baronia1
1Texas Tech University Health Sciences Center, 3601 4th Street, Stop 8103, Lubbock, TX 79430, USA.
Abstract:
This is a case of a 22-year-old Hispanic male with a history of bipolar disorder and methamphetamine dependence who was admitted after presenting with suicidal ideations by slashing his throat with a machete. The patient had been smoking and inhaling "processed" pyrethroid for about eight weeks as an inexpensive methamphetamine substitute. He reported experiencing a "rush" similar to methamphetamine after using pyrethroid from liquid insecticide that had been heated (electrocuted) or sprayed on hot metal sheets until it crystallized. The patient presented with no significant physical markings or findings but claimed to have his suicidal ideations precipitated by concerns of ill effects of pyrethroid on his health. He also had positive urine drug screen for methamphetamine, which he admitted to using on the day of admission. We conclude that it is important for physicians to maintain a high level of suspicion for alternate and uncommon substances of abuse as well as risks for suicidal tendencies in these patients.
Insights
A young man used processed pyrethroid insecticide as a methamphetamine substitute, leading to suicidal ideation. This case highlights the need to consider uncommon drug abuse and suicide risks in patients.
Area of Science:
- Toxicology
- Psychiatry
- Emergency Medicine
Background:
- Substance abuse is a significant public health concern.
- Identifying novel and uncommon substances of abuse is crucial for effective treatment.
- Mental health conditions, such as bipolar disorder, increase the risk of substance abuse and suicidal behavior.
Purpose of the Study:
- To report a case of pyrethroid insecticide abuse as a methamphetamine substitute.
- To describe the clinical presentation and potential health effects of pyrethroid abuse.
- To emphasize the importance of considering uncommon substances of abuse in patients with suicidal ideations.
Main Methods:
- Case report of a 22-year-old male with bipolar disorder and methamphetamine dependence.
- Detailed patient history including substance use, specifically pyrethroid insecticide.
- Clinical examination and urine drug screening.
Main Results:
- The patient presented with suicidal ideations after using processed pyrethroid insecticide for eight weeks.
- He reported a "rush" similar to methamphetamine from inhaling heated or crystallized pyrethroid.
- Urine drug screen was positive for methamphetamine; the patient admitted to recent use.
Conclusions:
- Physicians must maintain a high suspicion for alternate and uncommon substances of abuse.
- Concerns regarding the health effects of pyrethroid abuse may precipitate suicidal tendencies.
- Integrated care addressing both substance abuse and mental health is vital for patient safety.