Clenbuterol-contaminated heroin: cardiovascular and metabolic effects. A case series and review.
We report a series of six cases, admitted over a single weekend, following nasal inhalation of street drugs and exhibiting markedly atypical presentations. Clenbuterol, a beta2 adrenoceptor agonist, was identified as a contaminant. Increased awareness of the effects of specific adulterants is essential to the adequate management of these patients.
St Vincent's Medical Center, Bridgeport, USA.
Gabriel
G
Werder
Gaurav
G
Arora
Anna
A
Frisch
Sharique
S
Aslam
Farzin
F
Imani
Jose
J
Missri
D000318:Adrenergic beta-Agonists / Q000009:adverse effects*; D000328:Adult; D002319:Cardiovascular System / Q000187:drug effects*; D002976:Clenbuterol / Q000009:adverse effects*; D004340:Drug Contamination; D003932:Heroin / Q000009:adverse effects*; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects*; D008297:Male; D009294:Narcotics / Q000009:adverse effects*
D000318:Adrenergic beta-Agonists; D013287:Illicit Drugs; D009294:Narcotics; D003932:Heroin; D002976:Clenbuterol