Designer drugs 2015: assessment and management.

摘要: Recent designer drugs, also known as “legal highs,” include substituted cathinones (e.g., mephedrone, methylone, and methylenedioxypyrovalerone, often referred to “bath salts”); synthetic cannabinoids (SCs; e.g., Spice); hallucinogens (25I-NBOMe, or N-bomb). Compound availability has evolved rapidly evade legal regulation detection by routine drug testing. Young adults are the primary users, but trends changing rapidly; use become popular among members of military. Acute toxicity is common manifests with a constellation psychiatric medical effects, which may be severe anxiety, agitation, psychosis, tachycardia), multiple deaths have been reported each these types drugs. Clinicians should keep drugs in mind when evaluating substance young anyone presenting acute neuropsychiatric complaints. Treatment intoxication involves supportive care targeting manifesting signs symptoms. Long-term treatment disorder can challenging complicated lack evidence guide treatment.