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Whack induced psychosis: A case series.
Emam El-Higaya1, Mohamed Ahmed2, Brian Hallahan3
1Department of Psychiatry,University College Hospital,Galway,Ireland.
Irish Journal of Psychological Medicine
|September 12, 2018
Summary
A new psychoactive substance, Whack, containing 4-fluorotropacocaine and desoxypipradrol, was linked to acute psychotic states in two individuals. Both patients responded well to atypical antipsychotic treatment.
Area of Science:
- Toxicology
- Psychiatry
- Pharmacology
Background:
- Emerging novel psychoactive substances (NPS) pose challenges to public health.
- Head shops have historically distributed substances like Whack.
- The constituents of Whack include 4-fluorotropacocaine and desoxypipradrol.
Purpose of the Study:
- To report on the clinical effects of the novel psychoactive substance Whack.
- To describe the psychiatric outcomes and treatment response in individuals using Whack.
Main Methods:
- Case series presentation of two individuals with acute psychotic states.
- Clinical assessment of psychiatric and affective symptoms.
- Monitoring of treatment response to atypical antipsychotics.
Main Results:
- Both subjects developed acute psychotic states with affective and anxiety symptoms after Whack use.
- Inpatient treatment was required for both cases.
- A good treatment response was observed with atypical antipsychotic agents.
Conclusions:
- Whack, containing 4-fluorotropacocaine and desoxypipradrol, can induce acute psychotic states.
- Atypical antipsychotics appear effective in managing Whack-induced psychosis.
- This is the first published case series on the psychoactive substance Whack.
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