Journal of Addiction Medicine

Skip Navigation LinksHome > May/June 2013 - Volume 7 - Issue 3 > Intranasal Substituted Cathinone “Bath Salts” Psychosis Pote...
Journal of Addiction Medicine:
doi: 10.1097/ADM.0b013e31829084d5
Clinical Case Conference

Intranasal Substituted Cathinone “Bath Salts” Psychosis Potentially Exacerbated by Diphenhydramine

Gunderson, Erik W. MD, FASAM; Kirkpatrick, Matthew G. PhD; Willing, Laura M. BS; Holstege, Christopher P. MD

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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.

© 2013 American Society of Addiction Medicine

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