Toxicity of Synthetic Cannabinoids in K2/Spice: A Systematic Review
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | OLIVEIRA, Mariana Campello de | |
dc.contributor.author | VIDES, Mariana Capelo | |
dc.contributor.author | LASSI, Dangela Layne Silva | |
dc.contributor.author | TORALES, Julio | |
dc.contributor.author | VENTRIGLIO, Antonio | |
dc.contributor.author | BOMBANA, Henrique Silva | |
dc.contributor.author | LEYTON, Vilma | |
dc.contributor.author | PERICO, Cintia de Azevedo-Marques | |
dc.contributor.author | NEGRAO, Andre Brooking | |
dc.contributor.author | MALBERGIER, Andre | |
dc.contributor.author | CASTALDELLI-MAIA, Joao Mauricio | |
dc.date.accessioned | 2023-08-16T17:50:01Z | |
dc.date.available | 2023-08-16T17:50:01Z | |
dc.date.issued | 2023 | |
dc.description.abstract | (1) Background: Synthetic cannabinoids (SCs) are emerging drugs of abuse sold as 'K2', 'K9' or 'Spice'. Evidence shows that using SCs products leads to greater health risks than cannabis. They have been associated with greater toxicity and higher addiction potential unrelated to the primary psychoactive component of marijuana, & UDelta;9-tetrahydrocannabinol (& UDelta;9-THC). Moreover, early cases of intoxication and death related to SCs highlight the inherent danger that may accompany the use of these substances. However, there is limited knowledge of the toxicology of Spice ingredients. This systematic review intends to analyze the toxicity of SCs compounds in Spice/K2 drugs. (2) Methods: Studies analyzing synthetic cannabinoid toxicity and dependence were included in the present review. We searched the PubMed database of the US National Library of Medicine, Google Scholar, CompTox Chemicals, and Web of Science up to May 2022. (3) Results: Sixty-four articles reporting the effects of synthetic cannabinoids in humans were included in our review. Ten original papers and fifty-four case studies were also included. Fourteen studies reported death associated with synthetic cannabinoid use, with AB-CHMINACA and MDMB-CHMICA being the main reported SCs. Tachycardia and seizures were the most common toxicity symptoms. The prevalence of neuropsychiatric symptoms was higher in third-generation SCs. (4) Conclusion: SCs may exhibit higher toxicity than THC and longer-lasting effects. Their use may be harmful, especially in people with epilepsy and schizophrenia, because of the increased risk of the precipitation of psychiatric and neurologic disorders. Compared to other drugs, SCs have a higher potential to trigger a convulsive crisis, a decline in consciousness, and hemodynamic changes. Therefore, it is crucial to clarify their potential harms and increase the availability of toxicology data in both clinical and research settings. | eng |
dc.description.index | PubMed | |
dc.description.index | WoS | |
dc.description.index | Scopus | |
dc.identifier.citation | BRAIN SCIENCES, v.13, n.7, article ID 990, 17p, 2023 | |
dc.identifier.doi | 10.3390/brainsci13070990 | |
dc.identifier.eissn | 2076-3425 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/54709 | |
dc.language.iso | eng | |
dc.publisher | MDPI | eng |
dc.relation.ispartof | Brain Sciences | |
dc.rights | openAccess | eng |
dc.rights.holder | Copyright MDPI | eng |
dc.subject | synthetic cannabinoid | eng |
dc.subject | Spice | eng |
dc.subject | K2 | eng |
dc.subject | JWH | eng |
dc.subject | AM | eng |
dc.subject | RCS | eng |
dc.subject | HU | eng |
dc.subject | AB-PINACA | eng |
dc.subject | APICA | eng |
dc.subject | MAM | eng |
dc.subject | CHMICA | eng |
dc.subject | UR | eng |
dc.subject | XLR | eng |
dc.subject | AKB | eng |
dc.subject | AB-FUBINACA | eng |
dc.subject | ADB | eng |
dc.subject | EAM | eng |
dc.subject | WIN | eng |
dc.subject | PB | eng |
dc.subject | MDMB | eng |
dc.subject.other | fatal intoxication | eng |
dc.subject.other | ab-fubinaca | eng |
dc.subject.other | receptor agonists | eng |
dc.subject.other | ischemic-stroke | eng |
dc.subject.other | adb-fubinaca | eng |
dc.subject.other | mdmb-chmica | eng |
dc.subject.other | consumption | eng |
dc.subject.other | chminaca | eng |
dc.subject.other | spice | eng |
dc.subject.other | death | eng |
dc.subject.wos | Neurosciences | eng |
dc.title | Toxicity of Synthetic Cannabinoids in K2/Spice: A Systematic Review | eng |
dc.type | article | eng |
dc.type.category | review | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Paraguai | |
hcfmusp.affiliation.country | Itália | |
hcfmusp.affiliation.countryiso | py | |
hcfmusp.affiliation.countryiso | it | |
hcfmusp.author.external | TORALES, Julio:Natl Univ Asuncion, Sch Med Sci, Dept Psychol Med, San Lorenzo 111421, Paraguay | |
hcfmusp.author.external | VENTRIGLIO, Antonio:Univ Foggia, Med Sch, Dept Expt Med, I-71122 Foggia, Italy | |
hcfmusp.author.external | PERICO, Cintia de Azevedo-Marques:FMABC Univ Ctr, Med Sch, Dept Neurosci, BR-09060870 Santo Andre, SP, Brazil | |
hcfmusp.citation.scopus | 4 | |
hcfmusp.contributor.author-fmusphc | MARIANA CAMPELLO DE OLIVEIRA | |
hcfmusp.contributor.author-fmusphc | MARIANA CAPELO VIDES | |
hcfmusp.contributor.author-fmusphc | DANGELA LAYNE SILVA LASSI | |
hcfmusp.contributor.author-fmusphc | HENRIQUE SILVA BOMBANA | |
hcfmusp.contributor.author-fmusphc | VILMA LEYTON | |
hcfmusp.contributor.author-fmusphc | ANDRE BROOKING NEGRAO | |
hcfmusp.contributor.author-fmusphc | ANDRE MALBERGIER | |
hcfmusp.contributor.author-fmusphc | JOAO MAURICIO CASTALDELLI MAIA | |
hcfmusp.description.articlenumber | 990 | |
hcfmusp.description.issue | 7 | |
hcfmusp.description.volume | 13 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 37508922 | |
hcfmusp.origem.scopus | 2-s2.0-85166398755 | |
hcfmusp.origem.wos | WOS:001035184700001 | |
hcfmusp.publisher.city | BASEL | eng |
hcfmusp.publisher.country | SWITZERLAND | eng |
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