Synthetic cannaboids are relatively new recreational drugs that can not be picked up on routine drug testing; also known as “spice”, they have resulted in almost 2,000 poison control reports in only 9 months. Of those reported, most patients were young (median age 20), and clinical symptoms included tachycardia (40%) agitation (23%) vomiting (15%), lethargy-confusion-hallucinations-delusions (9-14%) and seizures (4%). Most completely resolved within 24 hours with supportive treatment. The use of “spice” should be inquired in patients presenting with such symptoms (abstract)
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