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Introduction: Nitazenes are a group of potent synthetic opioids that have had increasing prominence as novel psychoactive drugs in the last 5 years. We describe emergency department nitazene-related presentations.

Methods: This is a prospective series of patients with analytically confirmed nitazene presentations identified by the Emerging Drugs Network of Australia and Emerging Drugs Network of Australia Victoria.

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Acute zinc sulfate overdose: clinical presentation and management.

BMJ Case Rep

January 2025

Emergency Medicine Department, King Abdulaziz Medical City in Riyadh, Riyadh, Saudi Arabia.

A woman in her 40s with a history of depression, diabetes, zinc deficiency and gastric bypass surgery presented to the emergency department following the intentional ingestion of ninety 50 mg tablets of zinc sulfate. She exhibited gastrointestinal distress without systemic toxicity. Imaging revealed radiopaque tablets in the abdomen, and her management was primarily supportive, focusing on symptom control and hydration.

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Trends in poisonings involving ketamine in the United States, 2019-2023.

Drug Alcohol Depend

January 2025

Rocky Mountain Poison & Drug Safety (RMPDS), A Division of Denver Health, Denver, CO, USA.

Background: Off-label prescribing of ketamine to treat psychiatric disorders has been increasing, as has recreational use and availability of illicit ketamine. It is important to examine trends in ketamine-related poisonings to inform public health efforts.

Methods: We examined data from poisonings (exposures) involving ketamine reported to Poison Centers in the US between 2019 and 2023 (n = 1519).

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Rare cases of nitrite poisoning by accidental ingestion: Clinical and medico-legal aspects.

Leg Med (Tokyo)

January 2025

Department of Forensic Medicine, Faculty of Medicine, Jagiellonian University Medical College, Grzegórzecka 16 31-531 Kraków, Poland. Electronic address:

This paper reports three rare cases of accidental sodium nitrite poisoning, including one fatality, caused by the consumption of aspic purchased from a private vendor. Clinical symptoms included cyanosis, hypotension, and respiratory distress, with methemoglobin (MetHb) levels ranging from 5 % to 41.7 %.

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