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Special Report: Coming Soon to an ED Near You: Bromo-Dragonfly (Not an Insect), K2 (Not a Mountain), and Venus (Not the Planet)

Leon Gussow

Emergency Medicine News July 1, 2010 DOI: 10.1097/01.eem.0000383965.81184.10 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Commentary Peer reviewed
Citations 6
Key points The author argues that the drugs of abuse landscape has shifted from a stable set of long-known substances—opiates, cocaine, and PCP—that were well characterized in the medical literature, to a rapidly changing scene that makes it harder for clinicians to stay informed. Salvia divinorum is presented as an example of this newer challenge.

Abstract

Salvia divinorumA quarter of a century ago, it was relatively easy to stay current on drugs of abuse. Things rarely changed. When I started practicing in 1985, the major drugs available on the street had been the same for many years: Opiates, cocaine, and phencyclidine (PCP) being the mainstays. These had all been around for decades if not centuries, and they had all been used in medical practice. Extensive scientific literature — clinical and experimental — described their kinetics and toxicologic effects. Now all that has changed.

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