Absinthe

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Background

  • bitter, green liqueur derived form Wormwood tree extract
  • active ingredient: thujone, which antagonizes GABA-A receptors (now thujone concentrations are thought to be too small to pose any danger to patient)
  • illegal in most countries

Clinical Features

  • confusion
  • delirium
  • euphoria
  • auditory and visual hallucinations
  • can cause generalized tonic-clonic seizures

Management

  • Supportive