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Acute Mescaline Intoxication Followed by Catatonia

Din Duraković, Ante Silić, Vjekoslav Peitl, Darko Vlahović, Daniela Vojnović, Dalibor Karlović

Archives of Psychiatry Research October 20, 2022 DOI: 10.20471/dec.2022.58.02.12 via OpenAlex

Summary

AI-generated from the abstract

A 41-year-old man seeking the meaning of life drank a tea and paste made from the San Pedro cactus during a shamanic ritual. Hallucinations began after 9.5 hours, presenting as a psychotic reaction with catatonia. He was admitted to a psychiatry department and given a second-generation antipsychotic. The clinical symptoms resolved about 60 hours after mescaline ingestion, attributed to the antipsychotic's antagonistic effect on serotoninergic 5-HT2A receptors.

Study at a glance

Characteristics Case report Peer reviewed
Sample size 1
Population 41-year-old man
Intervention second-generation antipsychotic
Topics Mescaline Serotonin
Keywords Catatonia Presentation obstetrics Ingestion
Citations 1
Key finding A psychotic reaction with catatonia from mescaline ingestion resolved about 60 hours after administration of a second-generation antipsychotic.

Abstract

The paper deals with a case report of a 41-year-old man who in search of the meaning of life in a so-called “shamanic ritual” drank tea made from the San Pedro cactus as well as paste made of the same plant. The hallucinations were post poned and started after 9.5 hours caracterised by a psychotic reaction with symptoms of catatonia. He was admitted to our Department of Psychiatry where he was administered a second generation antipsychotic. The clinical presentation disappeared about 60 hours after the ingestion of mescaline mainly because of the antagonistic effect the antipsychotic has on the serotoninergic 5-HT2A receptors.

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