NBOMe — it’s not your father’s LSD

August 27, 2013, 12:41 pm

NBOMe

NBOMe

★★★☆☆
NBOMe — a very different kettle of fish . . . Caldicott DGE et al. Med J Aust 2013 Sep 2;199:1

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This short letter notes that, paradoxically, media coverage of a Sydney teenager who jumped to his death after allegedly taking 25B- or 25I-NBOMe might lead to increased use of those hallucinogenic stimulants, and even more patients seen in emergency departments with NBOMe toxicity. The authors make the following points:

  • NBOMe is cheap, selling in Australia for as little as $1.50 per tab
  • Single tablets may contain up to 6 effective doses
  • NBOMe is often sold under the pretense that it is LSD
  • Because NBOMe has strong 5-HT2A and 5-HT2C properties, it is a powerful hallucinogen
  • Unlike LSD, NBOMe also has very potent sympathomimetic effects
  • Significant adverse effects of NBOMe may include hyperthermia, cardiovascular toxicity, seizures, metabolic acidosis, and death

Related posts:

Case series: 7 patients with confirmed exposure to hallucinogenic stimulant 25I-NBOMe (“N-Bomb”)

Case report: toxicity from designer drug 25I

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