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Journal Article

Citation

Mas-Morey P, Visser MH, Winkelmolen L, Touw DJ. J. Pharm. Pract. 2013; 26(4): 353-357.

Affiliation

Pharmacy Department, Hospital Son Llàtzer, Palma de Mallorca, Illes Balears, Spain.

Copyright

(Copyright © 2013, SAGE Publishing)

DOI

10.1177/0897190012465949

PMID

23178412

Abstract

Synthetic cathinones are synthetic derivatives of the natural cathinone, one of the psychoactive compounds present in Catha edulis (khat). There are at least 12 different types of synthetic cathinones, with mephedrone and 3,4-methylendioxypyrovalerone (MDPV) being the most commonly used by the purchasers. The legal control of these substances is especially difficult because when a specific compound is banned, a new slightly modified chemical variant is introduced into the market. It has been described that patients after taking synthetic cathinones may show signs and symptoms of the sympathicomimetic toxidrome, including agitation, psychosis, tachycardia, hypertension, and seizures. Furthermore, some cases of deaths related to their consumption have also been reported. Nowadays, there is no established treatment protocol for the clinical management of these intoxications. Because of this, we have developed some recommendations that may be useful to determine the treatment of these patients.


Language: en

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