Citation

Mackay K, Taylor M, Bajaj N. Psychiatrist 2011; 35(6): 203-205.

Copyright

(Copyright © 2011)

DOI

10.1192/pb.bp.110.032433

PMID

unavailable

Abstract

Aims and method: Mephedrone is a cathinone with amphetamine-like stimulant effects, and is a commonly used recreational drug. The adverse effects of mephedrone use have not been extensively studied. All individuals who self-presented between January and June 2010 to the emergency departments and acute mental health services in Edinburgh and Falkirk with adverse effects of self-reported mephedrone use were identified.

RESULTS: Twenty cases were identified and analysed. Severe agitation was the most common presenting problem (70%), with 40% of individuals developing psychotic symptoms and a further 20% reporting low mood and suicidality. One person died by suicide. Clinical implications: Mephedrone can produce amphetamine-like adverse psychological intoxication effects, particularly in those with a history of mental illness. Clinicians should consider advising patients on the adverse effects of mephedrone, where relevant. Declaration of interest: None.

Language: en

Keywords

adult; human; suicide; female; male; aggression; drug use; mood disorder; case study; article; retrospective study; distress syndrome; clinical article; drug intoxication; self report; mental health service; emergency ward; agitation; adverse outcome; 4' methylmethcathinone