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Journal of Toxicology: Clinical Toxicology Volume 38, 2000 - Issue 6
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Research Article

A Descriptive Study of an Epidemic of Poisoning Caused by Heroin Adulterated with Scopolamine

Richard J. Hamilton MCP-Hahnemann School of Medicine, Delaware Valley Poison Center, Philadelphia, Pennsylvania
,
Dr. Richard Hamilton Department of Emergency Medicine, Medical College of Pennsylvania Hospital, 3300 Henry Avenue, Philadelphia, PA, 19129, U.S.A.
,
Jeanmarie Perrone University of Pennsylvania School of Medicine, Delaware Valley Poison Center, Philadelphia, Pennsylvania
,
Robert Hoffman New York University School of Medicine, New York City Poison Center, New York, New York, U.S.A.
,
Fred M. Henretig University of Pennsylvania School of Medicine, Delaware Valley Poison Center, Philadelphia, Pennsylvania
,
Eb H. Karkevandian New Jersey Poison Information Center, Newark, New Jersey, U.S.A.
,
Steven Marcus New Jersey Poison Information Center, Newark, New Jersey, U.S.A.
,
Richard D. Shih New Jersey Poison Information Center, Newark, New Jersey, U.S.A.
,
Barbara Blok Johns Hopkins University School of Medicine, Maryland Poison Center, Baltimore, Maryland
&
Karen Nordenholz Johns Hopkins University School of Medicine, Maryland Poison Center, Baltimore, Maryland
 show all
Pages 597-608 | Published online: 20 Nov 2000

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Zeina Merabi, Wadih J. Naja, Michel Soufia, Jean Claude Yazbek, Wissam Rabeh, Bilal A. Salem & Ramzi Haddad. (2017) Intranasal heroin use – an emerging trend in Lebanon: A single institution study presenting sociodemographic profiles of intranasal versus intravenous users. Journal of Substance Use 22:4, pages 391-396.
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Farzad Jalali, Reza Afshari & Ali Babaei. (2014) Smoking Crushed Hyoscine/Scopolamine Tablets as Drug Abuse. Substance Use & Misuse 49:7, pages 793-797.
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Odd Martin Vallersnes, Cathrine Lund, Anne Kathrine Duns, Hallstein Netland & Inge-André Rasmussen. (2009) Epidemic of poisoning caused by scopolamine disguised as Rohypnol™ tablets. Clinical Toxicology 47:9, pages 889-893.
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Reinhard B Dettmeyer, Johanna Preuß, Heike Wollersen & Burkhard Madea. (2005) Heroin-associated nephropathy. Expert Opinion on Drug Safety 4:1, pages 19-28.
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Articles from other publishers (31)

Hayri Ramadan. (2023) Hyoscine N-butylbromide inhalation: they know, how about you?. World Journal of Emergency Medicine 14:1, pages 81.
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Necati Serkut Bulut & Zeynep Beyza Arpacıoğlu. (2022) Acute onset psychosis with complex neurobehavioural symptomatology following the intramuscular injection of hyoscine butylbromide: a case report with an overview of the literature. European Journal of Hospital Pharmacy 29:5, pages 294-297.
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Nicholas T. Lappas & Courtney M. Lappas. 2022. Forensic Toxicology. Forensic Toxicology 413 426 .
L Dufayet, C Gorgiard, F Vayssette, JP Barbet, G Hoizey & B Ludes. (2020) Death of an apprentice bodybuilder following 2,4-dinitrophenol and clenbuterol intake. International Journal of Legal Medicine 134:3, pages 1003-1006.
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Muhammed Ershad, Maricel Dela Cruz, Ahmed Mostafa, Muhammad Khalid, Ryan Arnold & Richard Hamilton. (2020) Heroin Adulterated with the Novel Synthetic Cannabinoid, 5F-MDMB-PINACA: A Case Series. Clinical Practice and Cases in Emergency Medicine 4:2, pages 121-125.
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Amitava Dasgupta. 2020. Fighting the Opioid Epidemic. Fighting the Opioid Epidemic 1 15 .
Laurène Dufayet, Elizabeth Alcaraz, Jack Dorol, Caroline Rey-Salmon & Jean-Claude Alvarez. (2019) Attempt of scopolamine-facilitated robbery: an original case of poisoning by inhalation confirmed by LC–MS/MS and review of the literature. Forensic Toxicology 38:1, pages 264-268.
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Reinhard B. DettmeyerReinhard B. Dettmeyer. 2018. Forensic Histopathology. Forensic Histopathology 85 121 .
Mary Mallappallil, Jacob Sabu, Eli Friedman & Moro Salifu. (2017) What Do We Know about Opioids and the Kidney?. International Journal of Molecular Sciences 18:1, pages 223.
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Nezihat Rana DISEL, Mustafa YILMAZ, Zeynep KEKEC & Meryem KARANLIK. (2015) Poisoned after Dinner: Dolma with Datura Stramonium. Turkish Journal of Emergency Medicine 15:1, pages 51-55.
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Charles MCKay & Elizabeth J. Scharman. (2015) Intentional and Inadvertent Chemical Contamination of Food, Water, and Medication. Emergency Medicine Clinics of North America 33:1, pages 153-177.
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Zeynep Türkmen. (2014) Yasa Dışı Madde Kullanımında Güncel Sorunlar Katkı Maddeleri. The Bulletin of Legal Medicine 17:2, pages 19-25.
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Victor Kuete. 2014. Toxicological Survey of African Medicinal Plants. Toxicological Survey of African Medicinal Plants 611 633 .
Karran A. Phillips, Glenn A. Hirsch, David H. Epstein & Kenzie L. Preston. (2012) Cardiac Complications of Unwitting Co-injection of Quinine/Quinidine with Heroin in an Intravenous Drug User. Journal of General Internal Medicine 27:12, pages 1722-1725.
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Donald G. Barceloux. 2012. Medical Toxicology of Drug Abuse. Medical Toxicology of Drug Abuse 546 578 .
Claire Cole, Lisa Jones, Jim McVeigh, Andrew Kicman, Qutub Syed & Mark Bellis. (2011) Adulterants in illicit drugs: a review of empirical evidence. Drug Testing and Analysis 3:2, pages 89-96.
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Reinhard B. DettmeyerReinhard B. Dettmeyer. 2011. Forensic Histopathology. Forensic Histopathology 67 94 .
Larissa I. Velez & Sing-Yi Feng. 2010. Rosen's Emergency Medicine – Concepts and Clinical Practice. Rosen's Emergency Medicine – Concepts and Clinical Practice 1959 1963 .
Sadik Toprak & Ilhan Cetin. (2009) Heroin Overdose Deaths and Heroin Purity Between 1990 and 2000 in Istanbul, Turkey. Journal of Forensic Sciences 54:5, pages 1185-1188.
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Alexander R. Allan & Ian S.D. Roberts. (2009) Post-mortem toxicology of commonly-abused drugs. Diagnostic Histopathology 15:1, pages 33-41.
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Robert S. Hoffman, Barbara M. Kirrane & Steven M. Marcus. (2008) A Descriptive Study of an Outbreak of Clenbuterol-Containing Heroin. Annals of Emergency Medicine 52:5, pages 548-553.
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J. Scott Denton, Edmund R. Donoghue, Jennifer McReynolds & Mitra B. Kalelkar. (2008) An Epidemic of Illicit Fentanyl Deaths in Cook County, Illinois: September 2005 through April 2007. Journal of Forensic Sciences 53:2, pages 452-454.
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Stella C. Wong, John A. Curtis & William E. Wingert. (2008) Concurrent Detection of Heroin, Fentanyl, and Xylazine in Seven Drug-related Deaths Reported from the Philadelphia Medical Examiner’s Office. Journal of Forensic Sciences 53:2, pages 495-498.
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Edward M. Gardner, Mary Kestler, Alison Beieler & Robert W. Belknap. (2008) Clostridium butyricum sepsis in an injection drug user with an indwelling central venous catheter. Journal of Medical Microbiology 57:2, pages 236-239.
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John C.M. Brust. 2007. Aspects neurologiques de l'addiction. Aspects neurologiques de l'addiction 375 383 .
John C.M. Brust. 2007. Aspects neurologiques de l'addiction. Aspects neurologiques de l'addiction 53 127 .
LUKE YIP, BRUNO MÉGARBANE & STEPHEN W. BORRON. 2007. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose 635 658 .
John C.M. Brust. 2004. Neurological Aspects of Substance Abuse. Neurological Aspects of Substance Abuse 309 315 .
John C.M. Brust. 2004. Neurological Aspects of Substance Abuse. Neurological Aspects of Substance Abuse 43 103 .
M Bogusz. 2003. Separation Techniques in Clinical Chemistry. Separation Techniques in Clinical Chemistry.
Stephan A. Schug, William Robert Garrett & Gail Gillespie. (2003) Opioid and non-opioid analgesics. Best Practice & Research Clinical Anaesthesiology 17:1, pages 91-110.
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