Synthetic cannabinoids: Difference between revisions

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*Generally smoked, but can be drank as a tea
*Generally smoked, but can be drank as a tea


==Clinical Features=
==Clinical Features==
*Similar effect to marijuana at low doses, but may be more intense and cause an acute '''agitated delerium'''
*Similar effect to marijuana at low doses, but may be more intense and cause an acute '''agitated delerium'''
*Typical effects 10-30 min and taper over 1-2 hours  
*Typical effects 10-30 min and taper over 1-2 hours  

Revision as of 15:20, 25 September 2012

Background

  • Common names: spice, K2, Moon Rocks, Blue Lotus, many others
  • Active ingredients: cannabicyclohexano, JWH-018, JWH-073, HU-210, others
  • Far more potent than THC (100-800x)
  • Cannabinoid receptor agonists (CB1 or CB2)
  • Do not show up as marijuana on routine tox testing
  • Generally smoked, but can be drank as a tea

Clinical Features

  • Similar effect to marijuana at low doses, but may be more intense and cause an acute agitated delerium
  • Typical effects 10-30 min and taper over 1-2 hours
  • Tachycardia and hypertension common (distinguishing it from MJ use)
  • Adverse effects: nausea, vomiting, diaphoresis, anxiety, paranoia, hallucinations, agitation, deli

Treatment

  • Supportive
  • Benzodiazepines
  • Zofran

Source

David Burbulys, MD lecture 9/2012