12/9/2023 0 Comments Bunk blotter acidThey initially experienced what later was described as typical LSD effects before the patient suddenly fell to the floor with a tonic spastic seizure with occasional shallow breaths followed by oral frothing, retching, vomiting, aspiration and cyanosis. At a gathering, he and several of his friends each consumed a blotter from a presumed identical batch of what was believed to be LSD. In particular, there were no epileptic fits, other types of seizures or cardiac arrhythmias in the patient’s or in his family history. The patient was a man in his late teens with no history of illicit drug use and an unremarkable medical history. Herein, we report a tragic outcome in a previously healthy young man exposed to what was assumed to be a safe dose of LSD in a recreational setting. They discussed what they call the unfortunate misidentification of lethal LSD toxicity in five cases which, in their opinion, most likely were due to massive overdoses, the restraining of agitated subjects or-in one case-hyperthermia most likely caused by a drug other than LSD. In a recent review article, Nichols and Grob ( 2) advocated that LSD is nontoxic and medically safe when administered in standard doses (50–200 µg). The propensity of LSD to cause adverse events is a matter of controversy. LSD seizures by Norwegian police accounted for 1% of all drug seizures in 2019 and amounted to ∼13,000 user doses ( 1). LSD is most frequently encountered as an illicit drug of abuse. Since the discovery of the mind-altering properties of lysergic acid diethylamide-25 (LSD) in 1943, the drug has at various times been evaluated as a model compound for inducing psychosis as a therapeutic option in psychological, psychiatric and other ailments and for recreational use.
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