A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]

Introduction:  The use of novel recreational drugs is becoming of public interest, especially after recent international alerts about their cardiovascular and neurological toxicity. Additionally, little is known about the psychiatric consequences of the long-term use of these compounds. Case present...

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Main Authors: Filippo Dragogna, Lucio Oldani, Massimiliano Buoli, A. Carlo Altamura
Format: Article
Language:English
Published: F1000 Research Ltd 2014-01-01
Series:F1000Research
Subjects:
Online Access:http://f1000research.com/articles/3-21/v1
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author Filippo Dragogna
Lucio Oldani
Massimiliano Buoli
A. Carlo Altamura
author_facet Filippo Dragogna
Lucio Oldani
Massimiliano Buoli
A. Carlo Altamura
author_sort Filippo Dragogna
collection DOAJ
description Introduction:  The use of novel recreational drugs is becoming of public interest, especially after recent international alerts about their cardiovascular and neurological toxicity. Additionally, little is known about the psychiatric consequences of the long-term use of these compounds. Case presentation: We describe a case of severe psychotic episode likely induced by chronic use of a combination of new recreational drugs (methylenedioxypyrovalerone, mephedrone, butylone and alpha-pyrrolidinopentiophenone). The patient had no psychiatric history and showed poor response to conventional antipsychotic treatment (haloperidol). Conclusions: This case illustrates the potential negative effects of recreational drugs that cannot be limited to an acute psychotic episode but might determine a condition of prolonged paranoid psychosis. Although the use of these compounds is currently increasing, such molecules might often pass undetected in patients accessing the emergency room, leading to misdiagnosis (e.g. schizophrenic episode) and lack of appropriate treatment.
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spelling doaj.art-f2646e1cc6364eff9ab1658f07c2fae12022-12-22T00:45:07ZengF1000 Research LtdF1000Research2046-14022014-01-01310.12688/f1000research.3-21.v13458A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]Filippo Dragogna0Lucio Oldani1Massimiliano Buoli2A. Carlo Altamura3Department of Psychiatry, University of Milan, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Psychiatry, University of Milan, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Psychiatry, University of Milan, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, ItalyDepartment of Psychiatry, University of Milan, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, ItalyIntroduction:  The use of novel recreational drugs is becoming of public interest, especially after recent international alerts about their cardiovascular and neurological toxicity. Additionally, little is known about the psychiatric consequences of the long-term use of these compounds. Case presentation: We describe a case of severe psychotic episode likely induced by chronic use of a combination of new recreational drugs (methylenedioxypyrovalerone, mephedrone, butylone and alpha-pyrrolidinopentiophenone). The patient had no psychiatric history and showed poor response to conventional antipsychotic treatment (haloperidol). Conclusions: This case illustrates the potential negative effects of recreational drugs that cannot be limited to an acute psychotic episode but might determine a condition of prolonged paranoid psychosis. Although the use of these compounds is currently increasing, such molecules might often pass undetected in patients accessing the emergency room, leading to misdiagnosis (e.g. schizophrenic episode) and lack of appropriate treatment.http://f1000research.com/articles/3-21/v1Schizophrenia & Other PsychosesSubstance Abuse
spellingShingle Filippo Dragogna
Lucio Oldani
Massimiliano Buoli
A. Carlo Altamura
A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
F1000Research
Schizophrenia & Other Psychoses
Substance Abuse
title A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
title_full A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
title_fullStr A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
title_full_unstemmed A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
title_short A case of severe psychosis induced by novel recreational drugs [v1; ref status: indexed, http://f1000r.es/2o2]
title_sort case of severe psychosis induced by novel recreational drugs v1 ref status indexed http f1000r es 2o2
topic Schizophrenia & Other Psychoses
Substance Abuse
url http://f1000research.com/articles/3-21/v1
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