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A Mix Of Vitamin Supplements And Dried Psilocybin Mushrooms.

What’s Magic About Psilocybin?

OVERVIEW Long relegated to the rear-view mirror of drug trends, psilocybin-containing mushrooms, also known as “magic mushrooms,” have made a strong comeback in the last 5 years. Psilocybin and psilocybin mushrooms were placed on Schedule 1 under the Controlled Substances…

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A Brown Recluse Spider Sits Still On A Brown Background.

Systemic Loxoscelism: Brown Recluse Bites & Symptoms

Systemic Loxoscelism (Brown Recluse Spider Envenomation)  The brown recluse spider (Loxosceles reclusa), also known as the violin- or fiddleback spider, is capable of envenomating humans and is endemic to the Midwest and Southeast United States. This spider is found throughout…

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A Gas Station With An Associated Food Mart. It's A Bright, Sunny Day And Two Date Trees Are In The Background.

Have You Heard of “Gas Station Heroin?”

Another unregulated drug is lurking around the shelves of energy drinks and beef jerky at your local convenience store. It is an antidepressant called tianeptine but has been dubbed “gas station heroin” because of its opioid-like effects at high doses.…

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Package Of Xylazine

Be Aware of Xylazine-Adulterated Fentanyl

You give naloxone – a lot of naloxone – and the patient still has some CNS and respiratory depression and hypotension. What gives? Fentanyl has almost replaced heroin in recreational drugs, but the creators of such experiences are always trying…

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A Box Of Generic Gabapentin Pills.

GABAPENTANOIDS – GABAPENTIN and PREGABALIN

Gabapentin (Neurontin®, others) is FDA-approved for partial-onset seizures, post-herpetic neuralgia, and restless leg syndrome; pregabalin (Lyrica®) for fibromyalgia, various painful neuralgias, and partial-onset seizures. Both have myriad off-label uses including chronic cough, migraine prophylaxis, pruritus, bipolar and anxiety disorders, hot…

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