Severe Psychosis, Drug Dependence, and Hepatitis C Related toSlammingMephedrone

Synthetic cathinones (SCs), also known as “bath salts,” are𝛽-ketone amphetamine compounds derived fromcathinone, a psychoactive substance found inCatha edulis. Mephedrone is the most representative SC.Slammingis the term usedfor the intravenous injection of these substances in the context ofchemsexparties, in order to enhance sex experiences. Using IVmephedrone may lead to diverse medical and psychiatric complications like psychosis, aggressive behavior, and suicide ideation.Case. We report the case of a 25-year-old man admitted into a psychiatric unit, presenting with psychotic symptoms afterslammingmephedrone almost every weekend for the last 4 months. He presents paranoid delusions, intense anxiety, and visual and kinesthetichallucinations. He also shows intense craving, compulsive drug use, general malaise, and weakness. After four weeks of admissionand antipsychotic treatment, delusions completely disappear. The patient is reinfected with hepatitis C.Discussion. Psychiatric andmedical conditions related tochemsexandslamminghave been reported in several European cities, but not in Spain. Psychoticsymptoms have been associated with mephedrone and other SCs’ consumption, with the IV route being prone to produce moresevere symptomatology and addictive conducts. In the case we report, paranoid psychosis, addiction, and medical complicationsare described.