Dancing with "death": p-methoxyamphetamine overdose and its acute management.
Para-methoxyamphetamine (PMA) is a substituted synthetic amphetamine used in the recreational drug scene. It is unusual because of the high incidence of significant morbidity and mortality in overdose. We report a case of PMA overdose in South Australia, and review our experience with the drug. We review the literature on PMA overdose and offer suggestions on the management of overdose with this dangerous drug.
Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide, Australia. dcaldico@mail.rah.sa.gov.au
David G E
DG
Caldicott
Nicholas A
NA
Edwards
Amanda
A
Kruys
K Paul
KP
Kirkbride
D Noel
DN
Sims
Roger W
RW
Byard
Michael
M
Prior
Rod J
RJ
Irvine
D000208:Acute Disease; D000328:Adult; D000662:Amphetamines / Q000506:poisoning* / Q000652:urine; D002849:Chromatography, Gas; D062787:Drug Overdose; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use / Q000652:urine; D008297:Male; D008874:Midazolam / Q000627:therapeutic use / Q000652:urine; D011041:Poisoning / Q000188:drug therapy / Q000628:therapy*; D013021:South Australia / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000652:urine
D000662:Amphetamines; D006993:Hypnotics and Sedatives; C100230:4-methoxyamphetamine; D008874:Midazolam