Presentation
Most patients presenting to the ED with PCP intoxication do well and can be discharged home after a period of observation. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
Fever, tachycardia and hypertension were frequent findings among the 25 patients with rhabdomyolysis and all had leukocytosis. The data show that rhabdomyolysis with and without acute renal failure is not infrequent among abusers of PCP. [ncbi.nlm.nih.gov]
Fever, tachycardia and hypertension were frequent findings among the 25 patients with rhabdomyolysis and all had leukocytosis. The data show that rhabdomyolysis with and without acute renal failure is not infrequent among abusers of PCP. © 1981 S. [karger.com]
Misuse can cause blurred vision, body itching, rash, sweating, fever, hypertension, shallow respiration, diarrhea, toxic psychosis, coma, and an increase in heart rate, blood pressure, and body temperature. [www1.nyc.gov]
Fever, tachycardia, and high blood pressure are frequent.[23] 3.2 Dose–effect relationship The 3-MeO-PCP doses and administration routes are not usually reported in the literature. [journals.lww.com]
Many people find it unpleasantly reminiscent of fever dreams. [erowid.org]
Jaw & Teeth
- Hypersalivation
Profuse diaphoresis, hypersalivation, bronchospasm, and urinary retention occurred in less than 5%. A small percentage had severe disturbances in vital signs, including three cases (0.3%) of cardiac arrest and 28 cases (2.8%) of apnea. [ncbi.nlm.nih.gov]
Cardiovascular
- Hypertension
Antihypertensive agents are not usually needed, but diazoxide and hydralazine hydrochloride have been used to treat hypertensive crises. Diazepam and phenytoin have been used to treat seizures. [experts.umn.edu]
Hypertension or tachycardia. Numbness or diminished responsiveness to pain. Ataxia. Dysarthria. Muscle rigidity. Seizures or coma. Hyperacusis. D. [dsm.wikia.com]
The prevalent clinical signs and symptoms were the following: retrograde amnesia, nystagmus, hypertension, and psychomotor agitation. Co-use of other substances was the norm. [ncbi.nlm.nih.gov]
Mild hypertension is seen in all patients with PCP intoxication. With increasing PCP dose, the panoply of sympathomimetic responses is seen; hypertensive crisis is common in association with high doses and may lead to cerebral hemorrhage. [aibolita.com]
- Tachycardia
Hypertension or tachycardia. Numbness or diminished responsiveness to pain. Ataxia. Dysarthria. Muscle rigidity. Seizures or coma. Hyperacusis. D. [dsm.wikia.com]
Fever, tachycardia and hypertension were frequent findings among the 25 patients with rhabdomyolysis and all had leukocytosis. The data show that rhabdomyolysis with and without acute renal failure is not infrequent among abusers of PCP. [ncbi.nlm.nih.gov]
Electrocardiography revealed sinus tachycardia. Chest radiography revealed no acute pulmonary findings. Results of a urine toxicology screen were positive for phencyclidine (PCP) and marijuana. [consultant360.com]
Within an hour (less when smoked, "snorted," or used intravenously), two (or more) of the following signs: (1) vertical or horizontal nystagmus (2) hypertension or tachycardia (3) numbness or diminished responsiveness to pain (4) ataxia (5) dysarthria [behavenet.com]
Musculoskeletal
- Muscle Twitch
Caffeine Mechanism adenosine antagonist → decreased GABA activity (wakefulness) Intoxication presentation restlessness, insomnia diuresis muscle twitching cardiac arrhythmias treatment no specific treatment symptomatic treatment only Withdrawal presentation [medbullets.com]
twitches.[19] Our patient did not report hallucinations or delusions but he was not specifically questioned about the presence or absence of these symptoms. [journals.lww.com]
Much less common are physical symptoms such as gastrointestinal distress, diaphoresis, chills, nausea, shakiness, muscle twitches, and increased blood pressure ( 102 ). [basicmedicalkey.com]
Eyes
- Miosis
Other findings less frequent but still suspect are opisthotonos, hypertension, tachypnea or hyperpnea, miosis, hyperreflexia, hypertonia, and rigidity. Once suspected, the diagnosis is most easily made by finding PCP in the urine. [journals.sagepub.com]
Psychiatrical
- Euphoria
Within one hour, at least two of the following psychological symptoms: euphoria psychomotor agitation marked anxiety emotional lability grandiosity sensation of slowed time synesthesias D. [dsm.wikia.com]
Symptoms and Signs Intoxication, characterized by a giddy euphoria, occurs with lower doses; euphoria is often followed by bursts of anxiety or mood lability. [merckmanuals.com]
Minor patterns included lethargy or stupor (38 cases; 3.8%), and combinations of bizarre behavior, violence, agitation, and euphoria in patients who were alert and oriented (325 cases; 32.5%). [ncbi.nlm.nih.gov]
Signs of intoxication typically begin with enlarged pupils, euphoria, agitation, and increased heart rate and blood pressure. [usmleforum.com]
- Fear
NOTHING – other than the fear of "taking a stand" – prevented these authors from offering a CONCLUSION strong enough to help to make a difference and save some lives. [charlydmiller.com]
Here are some of the behavioral signs of PCP intoxication: “Poor perception of time and distance” Confusion Agitation Terror Panic Randomness in thought and action Severe anxiety and fear Mood swings Hostile and violent behavior PCP is increased in its [phencyclidine.org]
Shelby told investigators that Crutcher refused repeated requests to stop and get on his knees and that she feared for her life, believing Crutcher was going to kill her, according to an affidavit filed with the manslaughter charge. [cbsnews.com]
Shelby has said she fired her weapon because she feared for her life. Under Oklahoma law, first-degree manslaughter carries a minimum sentence of four years. She is scheduled to appear in court for a preliminary hearing on Nov. 29. [reuters.com]
Such a NDE often results loss of the fear of death and a renewed interest in life. Production of artificial NDE's by ketamine has similarly been found effective to decrease an unatural fear of death. [lycaeum.org]
- Aggressive Behavior
Symptoms in 11 patients suspected of phencyclidine intoxication included violent, aggressive behavior with delusions, hallucinations, agitation, and other signs of toxic psychosis. [ncbi.nlm.nih.gov]
The most important approach to management of agitated behavior is the implementation of safe physical restraints and chemical sedation. Benzodiazepines are usually effective in managing aggressive behavior. [emedicine.medscape.com]
Hallucinations, euphoria, and suicidal impulses are also reported, as well as occasional aggressive behavior. [wiki.tripsit.me]
Aggressive behaviors may occur with alcohol intoxication, but hallucinations are not seen (Galanter & Kleber, 2014). [theravive.com]
Neurologic
- Agitation
Within one hour, at least two of the following psychological symptoms: euphoria psychomotor agitation marked anxiety emotional lability grandiosity sensation of slowed time synesthesias D. [dsm.wikia.com]
The prevalent clinical signs and symptoms were the following: retrograde amnesia, nystagmus, hypertension, and psychomotor agitation. Co-use of other substances was the norm. [ncbi.nlm.nih.gov]
- Seizure
Diazepam and phenytoin have been used to treat seizures. Ion-trapping by continuous gastric suctioning and by urine acidification with ammonium chloride may increase clearance of PCP. [experts.umn.edu]
Higher doses produce amnesia and coma, with analgesia sufficient for surgery, and seizures with respiratory depression occur at the highest doses. [dsm.wikia.com]
Motor signs included grand mal seizures, generalized rigidity, localized dystonias, catalepsy, and athetosis. Profuse diaphoresis, hypersalivation, bronchospasm, and urinary retention occurred in less than 5%. [ncbi.nlm.nih.gov]
- Nystagmus
Clinical findings were the following: retrograde amnesia in 46 (25 %), horizontal nystagmus in 118 (64.1 %), vertical nystagmus in 90 (48.9 %), hypertension in 87 (47.3 %), and agitation in 71 (38.6 %). [ncbi.nlm.nih.gov]
Nystagmus and bizarre and violent behavior may distinguish intoxication due to phencyclidine from that due to other substances. [dsm.wikia.com]
Rotary nystagmus may also be seen during ketamine intoxication but is less common. The absence of nystagmus therefore cannot be used to exclude a diagnosis of ketamine intoxication. BEHAVIORAL MANIFESTATIONS. [aibolita.com]
- Confusion
Someone high on PCP may show signs of confusion and poor perception. PCP is a “bitter-tasting, white crystalline powder that is easy to dissolve in water or alcohol” ( NDIC ). [phencyclidine.org]
Signs of Phencyclidine Intoxication These are some of the common signs and symptoms of phencyclidine (PCP) intoxication: Desire to undress Belligerent behavior Hallucinations Confusion, amnesia Besides the obvious dangers of the above symptoms of being [gomentor.com]
- disorientation, confusion without hallucinations, hallucinations or delusions, a catatonic-like syndrome, and/or coma) that develops during, or shortly after ingestion.[1] Epidemiology Prognosis Risk Factors Criterion A Recent use of phencyclidine [psychdb.com]
With higher doses, symptoms can progress to sweating, tremors, confusion, hyperactivity, seizures, stroke, cardiac arrhythmias, and sudden death. At high doses of PCP, there is a drop in blood pressure, pulse rate, and respiration. [usmleforum.com]
Bäckberg et al[10] observed confusion, disorientation, dissociation, and/or hallucinations in 4 of their patients. [journals.lww.com]
- Ataxia
Lower doses of phencyclidine produce vertigo, ataxia, nystagmus, mild hypertension, abnormal involuntary movements, slurred speech, nausea, weakness, slowed reaction times, euphoria or affective dulling, loquacity, and lack of concern. [dsm.wikia.com]
Among the serious neurologic and medical complications are coma, trauma, infection, seizures, stroke, altered mentation, peripheral neuropathies, myelopathies, Parkinsonism, visual disturbances, dyskinesias, cerebellar ataxia, impotence, and fetal effects [books.google.com]
Within an hour (less when smoked, "snorted," or used intravenously), two (or more) of the following signs: (1) vertical or horizontal nystagmus (2) hypertension or tachycardia (3) numbness or diminished responsiveness to pain (4) ataxia (5) dysarthria [behavenet.com]
Workup
Proper diagnosis of PCP intoxication is important to ensure that rapid, appropriate treatment is given, costly diagnostic workups are avoided, and family evalua tions are instituted. [journals.sagepub.com]
Urine Toxicology and Laboratory Testing Generally when a patient appears to have PCP intoxication, regular laboratory workup should include renal function, fluid balance, electrolyte abnormalities, hypoglycemia, lactic acidosis, serum creatine phosphokinase [theravive.com]
T Wave
- T Wave Inversion
Cardiac panel demonstrated normal troponin T levels. Electrocardiogram showed sinus rhythm with new deep biphasic T-wave inversions in anterolateral leads. Coronary angiography showed no pathological processes. [ncbi.nlm.nih.gov]
- Biphasic T Wave
Cardiac panel demonstrated normal troponin T levels. Electrocardiogram showed sinus rhythm with new deep biphasic T-wave inversions in anterolateral leads. Coronary angiography showed no pathological processes. [ncbi.nlm.nih.gov]
Treatment
The history, symptoms, diagnosis and treatment of phencyclidine hydrochloride (PCP) intoxication and the pharmacology of PCP are reviewed. [experts.umn.edu]
Abstract The history, symptoms, diagnosis and treatment of phencyclidine hydrochloride (PCP) intoxication and the pharmacology of PCP are reviewed. [ncbi.nlm.nih.gov]
They also know about the various treatment options that are available - like psychotherapy and counseling. Unlike some others, they offer online treatment for help with an addiction to PCP. [gomentor.com]
Pharmacologic treatment has focused more on long-term treatment of addiction than on short-term treatment of acute withdrawal ( 59, 60 ). [basicmedicalkey.com]
Treatment. Treatment of PCP intoxication aims to reduce sys Temic PCP levels and to address significant medical, behavioral, and psychiatric issues. [aibolita.com]
Prognosis
- disorientation, confusion without hallucinations, hallucinations or delusions, a catatonic-like syndrome, and/or coma) that develops during, or shortly after ingestion.[1] Epidemiology Prognosis Risk Factors Criterion A Recent use of phencyclidine [psychdb.com]
Course and Prognosis. Complete recovery from PCP intoxication is the rule in the absence of major medical complications. [aibolita.com]
Prognosis Relapse and return to PCP use is common, even among people who have experienced severe medical and psychiatric complications from the drug. [minddisorders.com]
Even patients with confirmed acute myocardial infarction have a favorable prognosis, possibly because of their relatively young age and good underlying health ( 42 ). [basicmedicalkey.com]
Etiology
Psychiatric symptoms that persist beyond a few days suggest an etiology other than stimulant use ( 24, 33, 34 ). Transient psychotic symptoms during periods of abstinence (“flashbacks”) have been reported among methamphetamine users ( 35 ). [basicmedicalkey.com]
Epidemiology
- disorientation, confusion without hallucinations, hallucinations or delusions, a catatonic-like syndrome, and/or coma) that develops during, or shortly after ingestion.[1] Epidemiology Prognosis Risk Factors Criterion A Recent use of phencyclidine [psychdb.com]
There were no signs of liver or kidney failure (serum creatinine: 73 μmol/L; estimated glomerular filtration rate calculated according to the Chronic Kidney Disease Epidemiology Collaboration equation: 130 mL/minute/1.73 m2; prothrombin ratio: 99%; serum [journals.lww.com]
Pathophysiology
Neurological complications of drug abuse: pathophysiological mechanisms. Eur J Neurol 2000;7:595–606; Schuckit MA. Drug and alcohol abuse. A clinical guide to diagnosis and treatment, 6th ed. New York: Springer, 2006; Tashkin DP. [basicmedicalkey.com]
Prevention
NOTHING – other than the fear of "taking a stand" – prevented these authors from offering a CONCLUSION strong enough to help to make a difference and save some lives. [charlydmiller.com]
Treatment and aftercare will provide the skills and support someone in recovery will need to live a life of sobriety and prevent relapse. [drugabuse.com]
Staff may administer activated charcoal to prevent further absorption of any drugs from the digestive tract into the person’s system. Treatment of any seizures. Seizures will be controlled with medications. Heart monitoring. [recovery.org]
You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week. [medlineplus.gov]
Prevention PCP intoxication and related disorders can be prevented by not using the drug. Resources BOOKS American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. text revised. [minddisorders.com]