Abstract
Background: The use of 4fluoroamphetamine (4FA) has shown a marked increase, especially because users perceive its effects to be relatively mild. 4FA is also known as ecstacylight, but is probably not as light as its name suggests. From April 2017 its use has therefore been forbidden in the Netherlands. Case description: In a short time, we saw three patients at our emergency department who had signs of a severe intoxication with 4FA. A 21yearold male developed a tonicclonic seizure, bruxism, mydriasis, and rhabdomyolysis. A 19yearold female was confused and was longing for death. A 22yearold male needed to be admitted to intensive care to be intubated, sedated and cooled due to tachycardia, hypertension and hyperthermia. Conclusion: Because of its relatively mild effects, 4FA is gaining in popularity in the Netherlands. However, the use of this designer drug can lead to severe problems such as severe confusion, hyperthermia and tonicclonic seizures.
Translated title of the contribution | 'Ecstasy-light' - Not as light as its name suggests: Toxic effects of 4-fluoroamphetamine |
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Original language | Dutch |
Article number | d1356 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 161 |
Issue number | 27 |
Publication status | Published - 1 Jan 2017 |