[Designer drug induced psychosis].
3,4-methylene-dioxy-pyrovalerone (MDPV) is a popular designer drug in Hungary, known as MP4. We present a case of a 34-year-old man, whose first psychotic episode was observed in the presence of MP4 use. The paranoid ideas of reference and the dereistic thinking could be the consequence of drug-induced psychosis. Within 24 hours after the intoxication was over delirium set in. The patient's history included only the use of MP4, use of other kinds of drugs was negated. The drug tests were negative, amphetamine derivates were not detectable in the urine sample. It is most likely that the MP4 pill contained an amount of MDPV less than detectable. In conclusion we suggest that the clinical picture could be the consequence of regular MDPV use.
Szent Imre Kórház, Pszichiátriai Osztály, Budapest, Hungary. fullmate@gmail.com
Mate
M
Fullajtar
Csaba
C
Ferencz
D000328:Adult; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use; D052117:Benzodioxoles / Q000008:administration & dosage / Q000633:toxicity*; D002998:Clonazepam / Q000627:therapeutic use; D015198:Designer Drugs / Q000008:administration & dosage / Q000633:toxicity*; D004359:Drug Therapy, Combination; D006801:Humans; D006814:Hungary; D008297:Male; D000077152:Olanzapine; D011605:Psychoses, Substance-Induced / Q000175:diagnosis* / Q000209:etiology; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000633:toxicity*; D011759:Pyrrolidines / Q000008:administration & dosage / Q000633:toxicity*; D018967:Risperidone / Q000627:therapeutic use; D015813:Substance Abuse Detection / Q000379:methods; D000094982:Synthetic Cathinone
D014150:Antipsychotic Agents; D052117:Benzodioxoles; D015198:Designer Drugs; D011619:Psychotropic Drugs; D011759:Pyrrolidines; D001569:Benzodiazepines; D002998:Clonazepam; D018967:Risperidone; D000077152:Olanzapine; D000094982:Synthetic Cathinone