title: [Dangerous drugs: products containing synthetic chemicals].
abstract: When the patients poisoned with "dangerous drugs", that is, products containing synthetic chemicals such as synthetic cannabinoids and cathinones, are transferred to the emergency facilities, the chemicals really consumed cannot be determined there. So, supportive care may be the most important strategy for treating them. For example, those with serious consciousness disturbance should be supported with ventilator after intubation. Those with remarkable excitatory CNS or sympathetic symptoms, benzodiazepines such as diazepam and midazolam, should be administered. Those with hallucination or delusion, antipsychotics such as haloperidol or risperidone should be administered. Those with rhabdomyolysis, hypermyoglobinemia and acute kidney injury, intravenous fluids and hemodialysis should be introduced.
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Kamijo
mesh_terms: D000470:Alkaloids; D014150:Antipsychotic Agents / Q000627:therapeutic use; D002186:Cannabinoids; D002493:Central Nervous System Diseases / Q000139:chemically induced / Q000628:therapy; D003244:Consciousness Disorders / Q000139:chemically induced / Q000628:therapy; D003702:Delusions / Q000139:chemically induced / Q000628:therapy; D003975:Diazepam / Q000627:therapeutic use; D005440:Fluid Therapy; D006212:Hallucinations / Q000139:chemically induced / Q000628:therapy; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D013287:Illicit Drugs / Q000737:chemistry / Q000506:poisoning*; D008874:Midazolam / Q000627:therapeutic use; D011379:Prognosis; D006435:Renal Dialysis; D012121:Respiration, Artificial; D012206:Rhabdomyolysis / Q000139:chemically induced / Q000628:therapy; D018967:Risperidone / Q000627:therapeutic use
chemical_list: D000470:Alkaloids; D014150:Antipsychotic Agents; D002186:Cannabinoids; D013287:Illicit Drugs; C023665:cathinone; D006220:Haloperidol; D018967:Risperidone; D003975:Diazepam; D008874:Midazolam