{"id":10223,"date":"2025-03-01T14:03:11","date_gmt":"2025-03-01T19:03:11","guid":{"rendered":"https:\/\/www-test.dhss.delaware.gov\/dph\/dhan257\/"},"modified":"2025-03-02T00:50:30","modified_gmt":"2025-03-02T05:50:30","slug":"dhan257","status":"publish","type":"page","link":"https:\/\/www-test.dhss.delaware.gov\/dph\/php\/alerts\/dhan257\/","title":{"rendered":"php\/alerts\/dhan257 ~  Division of Public Health &#8212; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan257.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->257 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->September 30, 2011 5:44pm <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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USE IN DELAWARE<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  A new group of designer drugs deceptively known as \u201cbath salts\u201d has become increasingly popular. Poison centers across the\n\n\n  U.S. have reported growing numbers of calls about the synthetic stimulant. Recent appearance of the drug in Delaware has prompted the\n\n\n  Delaware Controlled Substances Advisory Committee to hold an emergency meeting today, September 30 2011, to ban the drugs by placing them\n\n\n  on the Delaware\u2019s list of Schedule 1 substances.\n\n\n<\/p>\n\n\n<p>\n\n\n  The following information is gleaned from the Federal Drug Enforcement Agency.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Introduction\n\n\n<\/h3>\n\n\n<p>\n\n\n  Synthetic stimulants that are marketed as \u201cbath salts\u201d are often found in a number of retail products. MDPV\n\n\n  (methylenedioxypyrovalerone) is the drug most commonly found in \u201cbath salt\u201d products. Many of these products are sold over\n\n\n  the Internet, in convenience stores, and in \u201chead shops.\u201d They are sold in powder form in small plastic or foil packages\n\n\n  typically of 200 and 500 milligrams. MDPV is a designer drug of the phenethylamine class. MDPV is structurally related to cathinone, an\n\n\n  active alkaloid found in the khat plant, and is similar to methamphetamine and methylenedioxymethamphetamine (MDMA). MDPV is a central\n\n\n  nervous system (CNS) stimulant, first seized in Germany in 2007.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Street names\n\n\n<\/h4>\n\n\n<p>\n\n\n  Bilss, Blue Silk, Cloud Nine, Drone, Energy-1, Ivory Wave, Lunar Wave, Meow Meow, Ocean Burst, Pure Ivory, Purple Wave, Red Dove, Snow\n\n\n  Leopard, Stardust, Vanilla Sky, Voodoo, White Dove, White Knight, White Lightning and many others.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Licit Uses\n\n\n<\/h4>\n\n\n<p>\n\n\n  MDPV is not approved for medical use in the United States\n\n\n<\/p>\n\n\n<h4>\n\n\n  Chemistry\n\n\n<\/h4>\n\n\n<p>\n\n\n  MDPV (1-(1,3-benzodioxol-5-yl)-2-(1-pyrrolidinyl)- 1-pentanone; Chemical Abstract Service Number 687603- 66-3) is related in chemical\n\n\n  structure to schedule I hallucinogenic substances (MDMA, MDEA) and to schedule I stimulants (cathinone, methcathinone).\n\n\n<\/p>\n\n\n<h4>\n\n\n  Pharmacology\n\n\n<\/h4>\n\n\n<p>\n\n\n  MDPV is structurally related to MDMA and also to cathinone, with a ring-bearing substituent group. Cathinone derivatives, which bear\n\n\n  ring-group substituents, have been reported to induce subjective effects similar to those induced by cocaine, amphetamine, and MDMA in\n\n\n  humans. The subjective effects induced by ring-group substituted cathinones are feelings of empathy, stimulation, alertness, euphoria,\n\n\n  and awareness of senses.\n\n\n<\/p>\n\n\n<p>\n\n\n  It has been demonstrated that MDPV administered to mice increased the extracellular levels of dopamine levels 60 minutes after\n\n\n  administration of MDPV. Though MDPV increased dopamine levels, the effect was not as marked as the increases induced by methamphetamine\n\n\n  or MDMA.\n\n\n<\/p>\n\n\n<p>\n\n\n  The following information is provided courtesy of the Poison Control Center of Philadelphia.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Clinical Effects\n\n\n<\/h4>\n\n\n<p>\n\n\n  MDPV may be ingested, snorted, smoked, or injected. Anecdotal reports from users suggest that they take 5 mg or less per dose, but\n\n\n  repetitive use may induce intense cravings. Typical symptoms reported by \u201cbath salt\u201d users seeking medical care include\n\n\n  anxiety, paranoia, restlessness, insomnia, anorexia, palpitations, bizarre behavior, and sometimes frank hallucinations. Signs of MDPV\n\n\n  intoxication include tachycardia, hypertension, dilated pupils, diaphoresis, and tremor. Seizure-like movements have been noticed in some\n\n\n  users. The duration of the subjective effects is about 3 to 4 hours and the side effects continuing to a total of 6 to 8 hours after\n\n\n  administration. Higher doses of MDPV have caused intense, prolonged panic attacks in stimulant-intolerant users. Users have reported\n\n\n  bouts of psychosis induced by sleep deprivation and becoming addicted after using higher doses or using at more frequent dosing\n\n\n  intervals. MDPV loses potency when it is put into solution.\n\n\n<\/p>\n\n\n<h4>\n\n\n  Treatment\n\n\n<\/h4>\n\n\n<p>\n\n\n  There is no specific antidote for intoxication with the stimulant drugs sold as \u201cbath salts.\u201d Intoxicated individuals should\n\n\n  be placed in a quiet room free from excessive stimuli until the drug effects wear off. Dehydration can be treated with oral or\n\n\n  intravenous fluids. Benzodiazepines have been used successfully to diminish anxiety and agitation, and will often reduce the sympathetic\n\n\n  effects of tachycardia, hypertension, and tremor. MDPV intoxication can exacerbate existing cardiovascular or neurological illness.\n\n\n  \u201cBath salts\u201d are often abused along with other drugs including ethanol, marijuana, caffeine, amphetamines, and cocaine.\n\n\n  Standard urine drug screens for drugs of abuse will not detect the synthetic stimulants currently associated with \u201cbath\n\n\n  salts\u201d and aren\u2019t usually needed to guide therapy. However, when necessary for diagnostic or epidemiological purposes, urine\n\n\n  can be analyzed for MDPV or mephedrone by some specialized laboratories.\n\n\n<\/p>\n\n\n<h4>\n\n\n  For More Information\n\n\n<\/h4>\n\n\n<p>\n\n\n  Clinicians seeking guidance in the care of patients using \u201cbath salts\u201d drugs are encouraged to utilize the regional poison\n\n\n  control center at 1-800-222-1222.\n\n\n<\/p>\n\n\n<p>\n\n\n  *******************************\n\n\n<\/p>\n\n\n<p>\n\n\n  You are receiving this message because you are a registered member of the Delaware Health Alert Network. If you are not a member and\n\n\n  would like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a>\n\n\n<\/p><!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #257 September 30, 2011 5:44pm Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections Screening [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10223","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10223"}],"version-history":[{"count":1,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10223\/revisions"}],"predecessor-version":[{"id":11399,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10223\/revisions\/11399"}],"up":[{"embeddable":true,"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/www-test.dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}