D.A. GUREEVA¹, G.A. GUREEV², I.A. UVAROV³, V.T. LEKOMTSEV³

¹Republican Clinical Psychiatric Hospital, 100 30 let Pobedy Str., Izhevsk, the Udmurt Republic, Russian Federation, 426054

²Republican Narcological Dispensary, 117 Mashinostroiteley Str., Izhevsk, the Udmurt Republic, Russian Federation, 426021

³Izhevsk State Medical Academy, 281 Kommunarov Str., Izhevsk, the Udmurt Republic, Russian Federation, 426034               

Gureeva D.A. ― psychiatrist, tel. (3412) 58-47-77, e-mail: [email protected]

Gureev G.A. ― Head of the Department, tel. (3412) 71-47-51, e-mail: [email protected]

Uvarov I.A. ― D. Med. Sc., Professor of the Department of Psychiatry, Narcology and Medical Psychology, tel. (3412) 58-47-78, e-mail: [email protected]

Lekomtsev V.T. ― Cand. Med. Sc., Associate Professor of the Department of Psychiatry, Narcology and Medical Psychology, tel. (3412) 58-47-78, e-mail: [email protected]

The article gives a brief history of synthetic cannabinoids, describes the urgency of the issue, complexity of the diagnosis of acute intoxication due to misuse of psychoactive substances because of application of various combinations of chemical formulas. It also gives a description of the main principles of differential diagnostics of psychoses due to the abuse of synthetic cannabinoids, often accompanied with schizophreniform  symptoms and signs, schizophrenia and organic psychoses with characteristics such as the onset age, initial symptoms, duration of psychosis, basic syndromes, disorders of perception, thinking, emotional sphere, etc. A comparative analysis of treatment of emergency conditions in narcological and psychiatric practice is performed.

Key words: psychoactive substances, smoking mixtures, schizophrenia, organic psychosis, differential diagnostics, toxic psychosis, spice.

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