Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas 78261, USA.
Subst Abus. 2012;33(2):191-4. doi: 10.1080/08897077.2011.637610.
Spice is an herbal mixture smoked for euphoria and mixed with synthetic cannabinoids that are undetected on urine drug screens. Spice use has increased in the military because it is considered legal and is not detected on urine drug screen. The authors describe 3 cases of Spice use in military members. Case 1: 19-year-old male presented with paranoia, agitation, and visual hallucinations after smoking the "Space" brand of Spice. Urine thin-layer chromatography (TLC) and gas chromatography-mass spectrometry (GC-MS) were negative. Case 2: 19-year-old female presented with sedation, amnesia, and agitation. She smoked the "Space" brand. She was alert within 3 hours of arrival. Urine GC-MS detected levorphanol. Case 3: 23-year-old male presented with delusions and paranoia. He complained of "monsters on his back." His symptoms improved in the emergency department (ED). His urine TLC and GC-MS were negative. All cases were admitted and evaluated by a toxicologist; all 3 had their history corroborated by family or friends, or with drug paraphernalia. Spice is a new herbal mixture that is increasingly used in the military. Expected effects are similar to cannabis, but may include more paranoia and hallucinations, and may differ for each brand.
香料是一种草药混合物，吸食后会产生欣快感，并与合成大麻素混合，尿液药物筛查无法检测到这些物质。由于被认为是合法的，而且尿液药物筛查无法检测到，因此在军队中，香料的使用有所增加。作者描述了 3 例军队中使用香料的病例。病例 1：19 岁男性，吸食“Space”牌香料后出现妄想、激动和视幻觉。尿液薄层色谱（TLC）和气相色谱-质谱（GC-MS）检测均为阴性。病例 2：19 岁女性，出现镇静、健忘和激动。她吸食了“Space”牌香料。她在到达后 3 小时内恢复了意识。尿液 GC-MS 检测到左啡烷。病例 3：23 岁男性，出现妄想和偏执。他抱怨“背上有怪物”。他的症状在急诊科（ED）得到缓解。他的尿液 TLC 和 GC-MS 检测均为阴性。所有病例均由毒理学家收治和评估；所有 3 例均由家人或朋友或毒品用具证实了其病史。香料是一种新的草药混合物，在军队中越来越多地被使用。预期的效果类似于大麻，但可能包括更多的偏执和幻觉，而且每个品牌的效果可能不同。
