Salvia toxicity: Difference between revisions
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*Few reports of psychosis and suicide associated with use | *Few reports of psychosis and suicide associated with use | ||
== | ==Differential Diagnosis== | ||
==Management== | |||
*Supportive | *Supportive | ||
*Benzodiazepines as needed | *[[Benzodiazepines]] as needed | ||
*Most patients will have symptoms resolve prior to ED | *Most patients will have symptoms resolve prior to ED arrival given short duration of action | ||
==See Also== | |||
*Hallucinogen | |||
== | ==References== | ||
[[Category:Tox]] | [[Category:Tox]] | ||
Revision as of 22:27, 8 June 2015
Background
- Historically used by shamans in rituals
- Active ingredient: Salvinorin A
- Kappa opiod receptor agonist and D2 agonist
- Hallucinogen
- Dissociative effects similar to ketamine
- Tea: 10 min onset, duration 30-90 min
- Smoked: 1-2 minute onset, tapers over 10-20 min
- Does not appear on typical tox screens
Clinical Features
- Uncontrollable laughter
- Intense hallucinations
- Diaphoresis
- Sensations of motion, lights, visions, overlapping realities
- Low toxicity, little hangover, low abuse potential
- Few reports of psychosis and suicide associated with use
Differential Diagnosis
Management
- Supportive
- Benzodiazepines as needed
- Most patients will have symptoms resolve prior to ED arrival given short duration of action
See Also
- Hallucinogen