在留尼翁岛的精神活性尾酒消费:一个案例报告
Joris Guyon1, Adrien Maillot2, Sophie Bastard3
1CHU de Bordeaux, Service de Pharmacologie Médicale, Laboratoire de Pharmacologie et Toxicologie, Bordeaux F-33000, France.
Journal of analytical toxicology
|February 15, 2025
概括
一名16岁的青少年在使用大麻与转移的处方药混合后经历了严重的中毒,包括抗抑郁药和三基. 分析证实了异常的药物组合,突出了娱乐性多种药物使用的风险.
科学领域:
- 法医毒理学 法医毒理学
- 药理学 药理学是指药理学的学科.
- 临床毒理学 临床毒理学
背景情况:
- 与法国大陆相比,里昂岛呈现出独特的毒品使用模式.
- 转移的处方药,如三基,被滥用.
- 粉碎药物混合物的娱乐性使用对公众健康构成风险.
研究的目的:
- 报告青少年非典型中毒的情况.
- 为了确定中毒中涉及的物质.
- 调查混合处方药的娱乐使用潜力.
主要方法:
- 高分辨率质谱仪 (HRMS) 是一种高分辨率的质谱仪.
- 液体染色学-质谱学 (LC-MS). 液体染色学-质谱学.
- 分析患者的生物样本 (血,尿液) 和扣押的粉末混合物.
主要成果:
- 患者在食用大麻和粉末后表现出混乱,幻觉和鼻高心率.
- 在患者的样本和粉末中,HRMS和LC-MS确定了citalopram/escitalopram,paroxetine,sertraline,venlafaxine和trihexyphenidyl.
- 确定的药物组合是非典型的,并且在临床上没有一起开处方.
结论:
- 这一案例凸显了将转移的处方药与娱乐目的相结合的危险.
- 对粉末混合物的分析对于了解中毒至关重要.
- 需要提高对非医疗用途粉碎药物混合物的循环和使用的认识.
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