title: Top 10 Facts You Need to Know About Synthetic Cannabinoids: Not So Nice Spice.
abstract: In April and May 2015, the state of Mississippi experienced an unprecedented outbreak of severe reactions to the drug commonly referred to as "Spice." After numerous calls to the Poison Control Center, it became clear that health care providers were largely unfamiliar with the category of synthetic cannabinoids. This review article briefly highlights cannabinoid effects, chemical characteristics, and treatment for this often-dangerous category of drugs of abuse.
authors.affiliation: Department of Family Medicine, University of Mississippi Medical Center, Jackson; Department of Pharmacy Practice, School of Pharmacy, University of Mississippi Medical Center, Jackson.
authors.forename: Ann M
authors.initials: AM
authors.lastname: Kemp
authors.affiliation: Psychology Fellowship, Department of Family Medicine, University of Mississippi Medical Center, Jackson. Electronic address: mclark@umc.edu.
authors.forename: Molly S
authors.initials: MS
authors.lastname: Clark
authors.affiliation: Office of Epidemiology, Mississippi State Department of Health, Jackson.
authors.forename: Thomas
authors.initials: T
authors.lastname: Dobbs
authors.affiliation: Telemergency, University of Mississippi Medical Center, Jackson.
authors.forename: Robert
authors.initials: R
authors.lastname: Galli
authors.affiliation: Department of Pharmacy Practice, School of Pharmacy, University of Mississippi Medical Center, Jackson.
authors.forename: Justin
authors.initials: J
authors.lastname: Sherman
authors.affiliation: Medical Toxicology Service, Mississippi Poison Control Center, University of Mississippi Medical Center, Jackson.
authors.forename: Robert
authors.initials: R
authors.lastname: Cox
mesh_terms: D002186:Cannabinoids / Q000009:adverse effects* / Q000737:chemistry / Q000494:pharmacology; D015198:Designer Drugs / Q000009:adverse effects* / Q000737:chemistry / Q000494:pharmacology; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects* / Q000737:chemistry / Q000494:pharmacology; D007211:Indoles / Q000009:adverse effects / Q000737:chemistry / Q000494:pharmacology; D015394:Molecular Structure; D009281:Naphthalenes / Q000009:adverse effects / Q000737:chemistry / Q000494:pharmacology; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology
chemical_list: D002186:Cannabinoids; D015198:Designer Drugs; D013287:Illicit Drugs; D007211:Indoles; D009281:Naphthalenes; C552597:1-pentyl-3-(1-naphthoyl)indole
keywords: AB-CHMINACA; Excited delirium; MAB-CHIMINACA; Spice; Synthetic cannabinoids