N,N-Dimethyltryptamine
Background
- Also known as DMT
- Serotonergic hallucinogen
- Naturally occurring in several plant species
- Usually smoked, less frequently combined with MAOI and ingested orally
- Produces rapid onset, short, but extremely intense trip
Clinical Features
- Onset within 2m, effects last ~20-60m
- Notorious for producing intense, intricate psychedelic experiences
- Dissociation, sensory enhancement/distortions, visual hallucinations
- Paranoia, fear/anxiety
- Adrenergic stimulation: mydriasis, mild tachycardia, mild hypertension, hyperthermia
- Nausea/vomiting
- Seizure (rare)
Differential Diagnosis
Dissociative drugs
- Dextromethorphan
- Ketamine
- Nitrous oxide
- Phencyclidine (PCP)
- Alcohol Withdrawal
- Anticholinergic Toxicity
- Tricyclic (TCA) Toxicity
- Ertapenem Toxicity
- Encephalitis
- Hypocalcemia/Hypercalcemia
- Schizophrenia, schizo-affective Disorder
- Dementia
- Delirium
- Migraine
- Seizure
- Parkinson's Disease
Evaluation
- Not detected on drug screens
- Evaluate for other organic causes of hallucinations or hyperadrenergic symptoms
- Evaluate for co-ingestions
Management
- Supportive care
Disposition
See Also
External Links
References
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