K2, Spice, Bath Salts
Parents and Doctors Beware and Be Prepared!
Over the past several years, there has been increased concern about kids using “synthetic” drugs – substances that are developed in a laboratory and intended to mimic more “familiar” drugs such as marijuana and amphetamines. Two factors make these compounds particularly frightening: 1) They are packaged as “legal” substances in order to avoid DEA scrutiny, and 2) They are quite difficult to test for using routine drug screens.
A synthetic form of marijuana known as “K2” or “Spice” which is usually marketed legally as plant food or incense and is obtainable at head shops, gas stations and via the internet, has been a matter of serious concern in recent years. Emergency rooms nationwide have reported an increase in the number of kids presenting with an array of bizarre symptoms and negative drug screens. Symptoms usually consist of agitation, hallucinations, panic-like reactions, suicidal ideation, seizures and strange behavior. Now technically illegal in The United States (http://www.deadiversion.usdoj.gov/fed_regs/rules/2011/fr0301.htm), these compounds are still relatively easy to get a hold of, especially via the internet. Certain labs can test for the presence of these synthetic cannabinoids, but routine testing will not detect them. Brand names of these compounds include: Spice, K2, Chill Zone, Sensation, Chaos, Aztec Thunder, Red Merkury, and Zen.
“Bath Salts” are another example of synthetic substances that mimic more familiar drugs of abuse. The compounds, which are marketed as bath products, mimic amphetamines, which are powerful stimulants. As with synthetic marijuana, “Bath Salts” are very hard to detect with routine drug testing, and increasing numbers of cases of kids in emergency rooms are popping up. Kids high on these drugs often have increased blood pressure, rapid heart-beat and even hallucinations and other psychotic symptoms. Street names for these compounds include: drone, bubbles, meow-meow, MCAT, Ivory Wave, Vanilla Sky, Cloud 9, Red Dove, and White Rush.
It is important for clinicians and parents to be both aware of and educated about these new types of substances that are becoming widely abused by kids. The DEA is beginning to crack down on these dangerous products, but as one substance becomes illegal, another one is likely to take it’s place.
Scott Bienenfeld, M.D.
Alpine Psych Solutions