Designer Drugs: Clinical Features

24 year old male is brought to the hospital emergency room by police officer for aggressive behaviors and worsening paranoia. Patient reports using excessive amounts of unknown designer drugs. 

Vitals: Heart rate: 134, BP: 162/98; Temp: 102 F.

On Exam: Patient is diaphoretic with evident muscle spasms. Dentition is poor with perforated nasal septum. No conjunctival injections noted. 
Lab work revealed rhabdomyolysis. 

Which of the following designer drug is likely responsible for this presentation?

Bath Salts

Spice

Solaris

Smiles

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Designer drugs are synthetic analogs of controlled substances. This post will focus and compare various clinical features for following three classes of designer drugs:

1. Synthetic Stimulants: Bath Salts, Sextacy, M-Cat etc.

2. Synthetic Cannabinoids: Spice, K2, K9 etc.

3. Synthetic Hallucinogens: N-bomb, Solaris, Smiles etc.

Source: Weaver MF. Addict Sci Clin Pract. 2015 Mar 25;10:8.(pdf)

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Dr. Harvinder Singh, M.D. (Admin)

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