Dancing with “Death”: P-Methoxyamphetamine Overdose and Its Acute Management

ARTICLE

David G. E. Caldicott B.Sc.(Hons), N.U.I., M.B.B.S., Emergency Department, Royal Adelaide Hospital, Adelaide, Australia

Nicholas A. Edwards M.B.B.S., F.R.A.C.P., F.F.I.C.A.N.Z.C.A., Intensive Care Unit, Royal Adelaide Hospital, Adelaide, Australia

Amanda Kruys University of Adelaide, Adelaide, Australia

K. Paul Kirkbride Ph.D., Forensic Science, Adelaide, Australia

D. Noel Sims B.Sc.(Hons) Forensic Science, Adelaide, Australia

Roger W. Byard M.B.B.S., B.Med.Sci., M.Med.Sci., M.D., C.C.F.P., M.A.C.L.M., F.C.A.P., F.R.C.Path., F.R.C.P.C., Forensic Science, Adelaide, Australia

Michael Prior Institute of Medical and Veterinary Science, Adelaide, Australia

Rod J. Irvine Ph.D. University of Adelaide, Adelaide, Australia

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Abstract

Para-methoxyamphetamine (PMA) is a substituted synthetic amphetamine used in the recreational drug scene. It is unusual because of the high incidence of significant morbidity and mortality in overdose. We report a case of PMA overdose in South Australia, and review our experience with the drug. We review the literature on PMA overdose and offer suggestions on the management of overdose with this dangerous drug.

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Dancing with “Death”: P-Methoxyamphetamine Overdose and Its Acute Management

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Dancing with “Death”: P-Methoxyamphetamine Overdose and Its Acute Management

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