Aportaciones de los profesionales del centro de desintoxicacions CITA en el Congreso de Patología Dual de Barcelona 2015 organizado por SEPD
PERSISTENT PSYCHOTIC SYMPTOMS AFTER LONG-TERM HEAVY USE OF MEPHEDRONE: A TWO CASE SERIES
P.Barrio, S. Vilardell, J.M. Fàbregas. (CITA: Centro de Investigación y Tratamiento de las Adicciones)
Educational Objectives: To recognize the use and consequences of long-term use of mephedrone, and to acquire some preliminary knowledge about its treatment.
Purpose: To describe 2 cases of long-term heavy use of mephedrone and its psychopathological consequences.
Methods: Narrative description of the two cases seen in a Therapeutic Community.
Results: Both cases shared a lack of previous psychiatry history and the appearance of psychotic symptoms after long-term heavy use of mephedrone (both delusions and hallucinations). One patient abused other substances before, the other had no other drug consumption records. Also shared was the good insight displayed regarding these symptoms
and the lack of deterioration seen in other psychotic illnesses. Both patients were treated with antipsychotics at different dosages, with good tolerance and progressive improvement of the symptoms.
Conclusions: Mephedrone, a synthetic stimulant drug of the amphetamine and cathinone classes, may result in persistent psychotic symptoms after long-term heavy use. It seems like treatment with atypical antipsychotics might be a reasonable option to treat these symptoms, hand in hand with the necessary resources to achieve and maintain abstinence. Given the increasing rate of mephedrone consumption in Europe, this preliminary knowledge might serve as starting point for future research.
Literature Reference: “Europol–EMCDDA Joint Report on a new psychoactive substance: 4-methylmethcathinone (mephedrone)”. European Monitoring Centre for Drugs and Drug Addiction. 27 May 2010. Retrieved 011-01-29.
SY/ PATTERNS OF CANNABIS USE THROUGH THE LIFESPAN IN DUALLY AND NON-DUALLY DIAGNOSED PATIENTS
Nieves Martínez-Luna, Javier Goti Elejalde, Giovanni Martinotti, Begoña Gonzalvo Cirac.
Topic: Each author will talk about patterns of cannabis use in different stages of life (youngers, adults and olders), and the differences between dual and no dual diagnosis patients in all of these groups.
Purpose: Describe if there are differences between youngers, adults and older people patterns of cannabis use and the presence of dual diagnosis.
Methods: Analysis of database and Literature review related to cannabis use in various life stages.
Results: We expect that there are differences between patterns of cannabis use in dual and no dual diagnosis patients, and that there is a chronic heavy patterns of cannabis use in those with dual diagnosis.
Conclusions: Dual diagnosis predicts more heavy and chronic patterns of cannabis use throughout life in patients with cannabis use, abuse or dependence disorder.
Literature Reference: Perkonigg , A; Goodwin, RD, et al. THE NATURAL COURSE OF CANNABIS USE, ABUSE AND DEPENDENCE DURING THE FIRST DECADES OF LIFE. Addiction, 2008 Mar; 103(3): 439-449.
- Javier Goti Elejalde (Therapeutic Team): Psychiatrist in Child and Adolescent Department of Psychiatry in Clinic Hospital. Barcelona Spain.
- Giovanni Martinotti (proposed author): Senior Researcher in Psychiatry and Academic Lead of the Research Unit on Addiction at the Department of Neuroscience and Imaging, University “G.d’Annunzio” of Chieti-Pescara, Italy.
- Begoña Gonzalvo Cirac: Physician in a Addiction Center (CAS) of Sant Boi de Llobregat Mental Health Hospital “Benito Menni”, Barcelona Spain.