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Chapter 14. Hallucinogens and Club Drugs

Michael F. Weaver, M.D.; Sidney H. Schnoll, M.D., Ph.D.
DOI: 10.1176/appi.books.9781585623440.347400

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Drugs considered hallucinogens are a diverse group of compounds (Table 14–1) including lysergic acid diethylamide (LSD), designer drugs, and many others that produce perceptual distortions (rarely complete hallucinations). Phencyclidine (PCP) and ketamine are dissociative anesthetics that produce perceptual distortions similar to hallucinogens, resulting in their being classified as hallucinogens. Designer drugs are synthetic compounds that are chemically related to stimulants, often with additions to the phenyl ring of amphetamine that cause them to have hallucinogen properties. These ring substitutions, such as are found in methylenedioxymethamphetamine (MDMA; "ecstasy"), can produce perceptual distortions.

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Sample questions:
1.
Drugs considered to be hallucinogens are a diverse group of compounds that have a variety of street names. What is the chemical name for the hallucinogen that goes by the street name "angel dust?"
2.
The National Institute on Drug Abuse has identified six drugs as club drugs. What is the street name for methylenedioxymethamphetamine?
3.
You are called to evaluate a patient in the emergency room for possible hallucinogen intoxication. Which of the following acute physiological effects would usually not be seen in hallucinogen intoxication?
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