Background And Objective: Recreational use of salvia divinorum (salvia), a potent, naturally occurring hallucinogen, is on the rise internationally. Despite the paucity of information about its long-term health effects, salvia is readily available and generally portrayed as a safe non-addictive substance.
Methods And Results: We report on two patients who presented with an enduring and pervasive pattern of salvia use.
Discussion And Conclusions: Evaluating patients for salvia use during clinical assessment is strongly encouraged, especially among young polysubstance users.
Scientific Significance: Clinicians should be mindful of the multifaceted psychiatric effects of salvia, including the potential for a use disorder. (Am J Addict 2018;27:163-165).
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