Psilocybin toxicity

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Psilocybin

A compound found in over 200 mushrooms that has mind altering properties similar to LSD. Commonly known as "magic mushrooms" or "shrooms". The mushroom are often taken recreationally for the euphoric and hallucinogenic effects. Typically grown in the Pacific Northwest and southern regions of the United States. For a typical dose (1mg) symptoms will last 1-3 hours.

Signs/Symptoms

  • Euphoria
  • Visual hallucinations
  • Lethargy
  • Depression
  • Synesthesia

Physical Effects

  • Pupil Dilation
  • Tachycardia
  • Hypertension
  • Hypotension
  • Nausea

Adverse Effects

  • Anxiety
  • Confusion
  • Disorientation
  • Agitation
  • Accidents

Toxicity

  • Low
  • 280mg/kg
  • Therapeutic index of 641

Intoxication Treatment

  • Supportive Care
  • Pt's placed in a calm, quiet environment
  • Monitor Vitals
  • If worsening vitals or agitation treat with Benzodiazepines
  • Can be discharged if symptoms abate and vitals normalize