Case series: toxicity from 25B-NBOMe--a cluster of N-bomb cases.
Clinical toxicology (Philadelphia, Pa.) January 1, 2016 Paul Gee, Leo J. Schep, Berit P Jensen et al.
A series of 10 patients who suffered adverse effects from the hallucinogen 25B-NBOMe showed hallucinations and violent agitation, along with serotonergic and stimulant signs such as dilated pupils, rapid heart rate, high blood pressure, and elevated body temperature. Most patients (7 out of 10) required sedation with benzodiazepines. Peak plasma levels of the drug ranged from 0.7 to 10.1 ng/ml. Management should be supportive, focusing on preventing self-harm, with high doses of benzodiazepines possibly needed to control agitation and active management for significant hyperthermia.