Author/Editor     Šavs-Požek, T; Najdenov, P; Brecelj-Kobe, M
Title     Ecstasy
Type     članek
Source     Slov Pediatr
Vol. and No.     Letnik 12, št. 1
Publication year     2005
Volume     str. 13-7
Language     slo
Abstract     3,4 metilendioxymethamphetamine (MDMA) is a popular syntetic drug among yougsters, because it is wrongly believed that it does not induce harm. However, there are many reports of adverse effects and acute intoxication. Therefore, health care providers need to promptly recognize the symptoms of systemic intoxication in order to initiate early treatment. The drug is used by the oral route and it effects the serotoninergic neurons. Ecstasy users showed a high risk of developing psychopatological disturbances. Acute intoxication needs emergency treatment to avoid severe complications. There are no specific antidotes. Supportive measures and treatment for each one of the complications should be implemented, keeping in mind that symptoms originate mainly from the central nervous system and the cardiovascular system. A case report is presented.
Summary     3,4 metilendioksimetamfetamin (MDMA) ali ecstasy je vse bolj popularna sintetična droga med mladimi. Zmotno velja za varno drogo kljub številnim podatkom o resnih zdravstvenih zapletih in zastrupitvah s smrtnim izidom. Zato je pomembno, da zdravstveno osebje prepozna simptome sistemske zastrupitve in prične hitro ukrepati. Ecstasy se uporablja večinoma oralno in deluje na serotoninergično živčevje. Pri rednih uživalcih MDMA poročajo o možnosti razvoja resnih psihopatoloških motenj. Akutna zastrupitev z ecstasyem je urgento stanje, kjer je potrebno ukrepati hitro, da bi preprečili najresnejše zaplete. Specifičnega antidota ni. Zdravljenje je podporno in simptomatsko, zapleti oziroma simptomi pa so prvenstveno s strani centralnega živčevja in kardiovaskularnega sistema. Na koncu je predstavljen primer iz klinične prakse.
Descriptors     3,4-METHYLENEDIOXYAMPHETAMINE
OVERDOSE
SUICIDE, ATTEMPTED
ADOLESCENCE