View source for Mescaline toxicity

==Background==
[[File:Peyote.jpg|thumb|Peyote]]
*Psychedelic phenethylamine , naturally occurring in the peyote cactus (''Lophophora williamsii'') and other cacti 
*Similar to, but chemically distinct from and less potent than [[LSD]]
*Thought to be a serotonin agonist
*Sold as dried cactus parts or "buttons"
*Used in religious ceremonies by some indigenous Central and South american peoples.

==Clinical Features==
*Onset 30-60 minutes, lasts 5-12 hours (though wide individual variability)
*Euphoria, energy, esoteric/spiritual experiences
*Altered sensorium, altered sense of time, extreme focus or distractibility, hallucinations
*[[Nausea/vomiting]], [[abdominal pain]]
*Adrenergic stimulation: mydriasis, mild tachycardia, mild hypertension, hyperthermia
*Dizziness, headache

==Differential Diagnosis==
{{Hallucinogen types}}
{{Dissociative drugs types}}
*[[Alcohol Withdrawal]]
*[[Anticholinergic Toxicity]]
*[[Tricyclic (TCA) Toxicity]]
*[[Ertapenem]] Toxicity
*[[Encephalitis]]
*[[Hypocalcemia]]/[[Hypercalcemia]]
*Schizophrenia, schizo-affective Disorder
*[[Dementia]]
*[[Delirium]]
*[[Migraine]]
*[[Seizure]]
*[[Parkinson's Disease]]

==Evaluation==
*Not detected on routine drug screens
*Evaluate for other organic causes of hallucinations or hyperadrenergic symptoms
*Evaluate for co-ingestions

==Management==
*Supportive care
*Not usually associated with significant morbidity/mortality

==Disposition==

==See Also==
*[[Hallucinogens]]

==External Links==

==References==
<references/>
*Tintinalli’s
*https://erowid.org/chemicals/mescaline/mescaline.shtml

[[Category:Toxicology]]