New psychoactive substances of natural origin, mainly alkaloids from Asian and South American plants, typically have stimulant or hallucinogenic effects, with a few having sedative properties. Information on analytical identification of these substances in plant material is scarce, and there is little data on their characterization and quantification in biological matrices from intoxication or fatality cases. Their metabolism is not fully investigated, making identification infrequent and metabolites often unknown.
Recreational drug use among holidaymakers in Ibiza often involves multiple substances, both traditional and novel, leading to acute psychiatric emergencies. The pattern of poly-substance use is linked to a range of psychopathological consequences. Better understanding of the specific effects of individual drugs, clearer diagnostic signs and symptoms, and long-term follow-up studies are needed.