A Report of Nausea and Vomiting with Discontinuation of Chronic Use ofSalvia divinorum

Autor: Karen F. Marlowe, G. A. Ray, C. R. Travis
Rok vydání: 2012
Předmět:
Zdroj: Case Reports in Medicine, Vol 2012 (2012)
Case Reports in Medicine
ISSN: 1687-9635
1687-9627
DOI: 10.1155/2012/543747
Popis: Introduction. This is the first reported case of gastrointestinal symptoms associated with withdrawal after chronic use of this substance.Case Presentation. A 51-year-old Caucasian woman was referred to a hospital with a 3-day history of nausea, vomiting, diarrhea, and abdominal discomfort. She reported no sick family members or contact with anyone who was ill. She did report smoking 3–5 cigarettes of the herb “Salvia” consistently for 3-4 months and quit approximately 48 hours before symptoms appeared. Her use of the herb had been consistent; she smoked several cigarettes each day. Laboratory results were essentially normal including the white blood cell count. She received symptomatic treatment and was released after one day.Discussion. Salvinorin A, a kappa-opioid receptor agonist, is the major active ingredient ofS. divinorum. The unique opioid properties of this herb may explain its ability to cause changes in intestinal transit time.Conclusion. A 51-year-old woman possibly developed gastrointestinal manifestations suggestive of withdrawal fromSalvia divinorumafter smoking the substance consistently for 3 to 4 months. The widespread use of this herb will make the potential for withdrawal syndromes more commonplace.
Databáze: OpenAIRE