Toxicity of Synthetic Cannabinoids in K2/Spice: A Systematic Review

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLIVEIRA, Mariana Campello de
dc.contributor.authorVIDES, Mariana Capelo
dc.contributor.authorLASSI, Dangela Layne Silva
dc.contributor.authorTORALES, Julio
dc.contributor.authorVENTRIGLIO, Antonio
dc.contributor.authorBOMBANA, Henrique Silva
dc.contributor.authorLEYTON, Vilma
dc.contributor.authorPERICO, Cintia de Azevedo-Marques
dc.contributor.authorNEGRAO, Andre Brooking
dc.contributor.authorMALBERGIER, Andre
dc.contributor.authorCASTALDELLI-MAIA, Joao Mauricio
dc.date.accessioned2023-08-16T17:50:01Z
dc.date.available2023-08-16T17:50:01Z
dc.date.issued2023
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.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationBRAIN SCIENCES, v.13, n.7, article ID 990, 17p, 2023
dc.identifier.doi10.3390/brainsci13070990
dc.identifier.eissn2076-3425
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/54709
dc.language.isoeng
dc.publisherMDPIeng
dc.relation.ispartofBrain Sciences
dc.rightsopenAccesseng
dc.rights.holderCopyright MDPIeng
dc.subjectsynthetic cannabinoideng
dc.subjectSpiceeng
dc.subjectK2eng
dc.subjectJWHeng
dc.subjectAMeng
dc.subjectRCSeng
dc.subjectHUeng
dc.subjectAB-PINACAeng
dc.subjectAPICAeng
dc.subjectMAMeng
dc.subjectCHMICAeng
dc.subjectUReng
dc.subjectXLReng
dc.subjectAKBeng
dc.subjectAB-FUBINACAeng
dc.subjectADBeng
dc.subjectEAMeng
dc.subjectWINeng
dc.subjectPBeng
dc.subjectMDMBeng
dc.subject.otherfatal intoxicationeng
dc.subject.otherab-fubinacaeng
dc.subject.otherreceptor agonistseng
dc.subject.otherischemic-strokeeng
dc.subject.otheradb-fubinacaeng
dc.subject.othermdmb-chmicaeng
dc.subject.otherconsumptioneng
dc.subject.otherchminacaeng
dc.subject.otherspiceeng
dc.subject.otherdeatheng
dc.subject.wosNeuroscienceseng
dc.titleToxicity of Synthetic Cannabinoids in K2/Spice: A Systematic Revieweng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryParaguai
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryisopy
hcfmusp.affiliation.countryisoit
hcfmusp.author.externalTORALES, Julio:Natl Univ Asuncion, Sch Med Sci, Dept Psychol Med, San Lorenzo 111421, Paraguay
hcfmusp.author.externalVENTRIGLIO, Antonio:Univ Foggia, Med Sch, Dept Expt Med, I-71122 Foggia, Italy
hcfmusp.author.externalPERICO, Cintia de Azevedo-Marques:FMABC Univ Ctr, Med Sch, Dept Neurosci, BR-09060870 Santo Andre, SP, Brazil
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcMARIANA CAMPELLO DE OLIVEIRA
hcfmusp.contributor.author-fmusphcMARIANA CAPELO VIDES
hcfmusp.contributor.author-fmusphcDANGELA LAYNE SILVA LASSI
hcfmusp.contributor.author-fmusphcHENRIQUE SILVA BOMBANA
hcfmusp.contributor.author-fmusphcVILMA LEYTON
hcfmusp.contributor.author-fmusphcANDRE BROOKING NEGRAO
hcfmusp.contributor.author-fmusphcANDRE MALBERGIER
hcfmusp.contributor.author-fmusphcJOAO MAURICIO CASTALDELLI MAIA
hcfmusp.description.articlenumber990
hcfmusp.description.issue7
hcfmusp.description.volume13
hcfmusp.origemWOS
hcfmusp.origem.pubmed37508922
hcfmusp.origem.scopus2-s2.0-85166398755
hcfmusp.origem.wosWOS:001035184700001
hcfmusp.publisher.cityBASELeng
hcfmusp.publisher.countrySWITZERLANDeng
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