Herbal Marijuana Alternatives and Bath Salts—“Barely Legal” Toxic Highs

Recreational drug use patterns change constantly, making it imperative that clinicians continuously update their knowledge about current trends of use and abuse. Particularly challenging are substances that have been described as nontraditional, emerging, and Web based, which have increased signific...

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Bibliographic Details
Published inClinical pediatric emergency medicine Vol. 13; no. 4; pp. 283 - 291
Main Authors Lindsay, Laura, MD, White, Marjorie Lee, MD, MPPM, MEd
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2012
Subjects
bath salts
cannabinoids
cathinones
designer drugs
drugs of abuse
Emergency
herbal marijuana
spice
sympathomimetic
cathinones
drugs of abuse
spice
cannabinoids
bath salts
herbal marijuana
designer drugs
sympathomimetic
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Summary:Recreational drug use patterns change constantly, making it imperative that clinicians continuously update their knowledge about current trends of use and abuse. Particularly challenging are substances that have been described as nontraditional, emerging, and Web based, which have increased significantly in the last 2 years. This report reviews the epidemiology, pharmacology, clinical presentation, and toxicity as well as recommended management for 2 classes of emerging substances of abuse: herbal marijuana alternatives (eg, synthetic cannabinoids) and “bath salts” (eg, substituted cathinones). A brief review of the development of the regulation of these substances highlights the challenges associated with surveillance and subsequent enforcement of laws for emerging nontraditional substances of abuse.
ISSN:1522-8401
1558-2310
DOI:10.1016/j.cpem.2012.09.001