University of Virginia School of Medicine, Charlottesville, VA, USA.
J Addict Med. 2013 May-Jun;7(3):163-8. doi: 10.1097/ADM.0b013e31829084d5.
In this report, we describe a case of intranasal "bath salts"-associated psychosis. Symptoms developed during a 3-week binge and were potentially exacerbated by oral diphenhydramine taken for insomnia. The clinical case conference includes expert discussion from 3 disciplines: emergency medicine toxicology, behavioral pharmacology, and addiction medicine. It is hoped that the discussion will provide insight into the clinical aspects and challenges of addressing acute substituted cathinone toxicity, including acute psychosis, a major adverse effect of bath salts consumption.
在本报告中，我们描述了一例鼻内“浴盐”相关精神病病例。症状在 3 周的狂欢期间出现，并且可能因失眠而服用的口服苯海拉明而加重。临床病例会议包括来自三个学科的专家讨论：急诊医学毒理学、行为药理学和成瘾医学。希望这次讨论将为处理急性取代卡西酮中毒的临床方面和挑战提供一些见解，包括急性精神病，这是浴盐使用的主要不良反应。
