Smoking Crushed-Boiled Hyoscine Butylbromide Tablets as Drug Abuse

Abstract

AimHyoscine-N-butylbromide is a quaternary amonium compound with anticholinergic properties. It acts through nicotinic and muscarinic receptors. In this case report, we aimed to describe the patient who boiled hyoscine-n butyl bromide and used it as an inhaler in order to benefit from the hallucinogenic effect of hyosine butylbromide tablets.CaseA 47-year-old male patient was admitted to the emergency department with agitation, hallucinations and blurred vision. He was not oriental and cooperative. GCS: 13 and was prone to sleep. During the follow-up of the emergency department, vital signs, liver and kidney function tests and electrolytes were normal. There was no evidence of hemorrhage or infarct on Computer Tomography (CT). About 6 hours after admission, the patient's general condition improved. In his physical examination, GCS was 15 and he did not complain of blurred vision. In his story, he stated that hyoscine-N-butylbromide tablets were powdered and heated in a metal container and inhaled the smoke, taking advantage of the hallucinogenic effect.ConclusionHyoscine-N-butylbromide tablets should be evaluated for their nicotinic, muscarinic and hallucinogenic effects. It should be remembered that it can be prepared as an inhaler and abused by drug addicts. It should be considered that there may be different forms of tablets with narcotic effect. In addition to case presentations, extensive research is needed.

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