Severe Psychosis, Drug Dependence, and Hepatitis C Related to Slamming Mephedrone

Autor: Jorge Gómez-Arnau, Daniel Sánchez-Mateos, Helen Dolengevich-Segal, Beatriz Rodríguez-Salgado
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Case Reports in Psychiatry
Case Reports in Psychiatry, Vol 2016 (2016)
Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid
Consejería de Sanidad de la Comunidad de Madrid
ISSN: 2090-6838
2090-682X
Popis: Background. Synthetic cathinones (SCs), also known as “bath salts,” areβ-ketone amphetamine compounds derived from cathinone, a psychoactive substance found inCatha edulis. Mephedrone is the most representative SC.Slammingis the term used for the intravenous injection of these substances in the context ofchemsexparties, in order to enhance sex experiences. Using IV mephedrone may lead to diverse medical and psychiatric complications like psychosis, aggressive behavior, and suicide ideation.Case. We report the case of a 25-year-old man admitted into a psychiatric unit, presenting with psychotic symptoms afterslammingmephedrone almost every weekend for the last 4 months. He presents paranoid delusions, intense anxiety, and visual and kinesthetic hallucinations. He also shows intense craving, compulsive drug use, general malaise, and weakness. After four weeks of admission and antipsychotic treatment, delusions completely disappear. The patient is reinfected with hepatitis C.Discussion. Psychiatric and medical conditions related tochemsexandslamminghave been reported in several European cities, but not in Spain. Psychotic symptoms have been associated with mephedrone and other SCs’ consumption, with the IV route being prone to produce more severe symptomatology and addictive conducts. In the case we report, paranoid psychosis, addiction, and medical complications are described.
Databáze: OpenAIRE