Comprehensive review of bath salts
April 25, 2012, 11:12 pm
Bath Salts: The Ivory Wave of Trouble. Olives TD et al. West J Emerg Med 2012 Feb;13:58-62.
This review the synthetic cathinones mephedrone and MDPV — with 47 references — is available via open access and is well-worth downloading a reading. It is reasonably comprehensive, given the paucity of good clinical or experimental data. The authors describe the presentation of “bath salt” toxicity, which is essentially consistent with a sympathomimetic toxidrome including tachycardia, hypertension, hyperthermia, agitation and delirium.
The authors stress that although the exact agent involved may not be known on presentation, the management is similar to that for toxicity from any of the better known sympathomimetic agents such as cocaine, amphetamine, or ecstasy.
To read my Emergency Medicine News column on bath salts, click here.