[Case report: the psychotic-mystical effects related to an unaware use of Salvia divinorum.].
Recenti progressi in medicina – October 01, 2022
Source: PubMed
Summary
New psychoactive substances can trigger unexpected psychiatric conditions. One individual developed psychosis after unknowingly using *Salvia divinorum*. After initial treatments failed, brexiprazole successfully resolved the symptoms, leading to a full recovery without adverse effects, demonstrating a positive outcome for complex substance-related presentations.
Abstract
It's well known that exotoxicosis can originate various psychiatric clinical pictures. The psychic impact of "classic" substances of abuse is well known and easily detectable with the usual methods of examination. In the last years new psychoactive substances (NPS) are spreading worldwide, determining not easily recognizable situations, with a significant clinical and organizational impact on psychiatry. In this case report, we present a clinical picture treated in hospital and outpatient settings in Vigevano (Pavia - Italy) and characterized by a psychotic onset secondary to an unaware use of Salvia divinorum. After the failure of two psychopharmacological treatment, the patient showed an excellent response to brexiprazole, with substantial restitutio ad integrum in the absence of significant side effects.