Features of differential diagnosis of schizophrenia, toxic psychosis as a result of the use of synthetic cannabinoids and organic psychoses at the present stage.
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.
REFERENCES
- Karpov Ya.S. Designer drugs and new precursors of narcotic drugs and psychotropic substances: issues of legal status. Narkokontrol’, 2013, no. 1, pp. 35-37 (in Russ.).
- Vserossiyskaya nauchno-prakticheskaya konferentsiya «Problemy narkologicheskoy toksikologii: ot toksikologicheskoy reanimatsii do narkologicheskoy reabilitatsii», Sankt-Peterburg, 31 maya — 1 iyunya 2016 : tezisy, pod obshch. red. d.m.n. A.N. Lodyagina i prof. A.G. Sofronova [All-Russian scientific-practical conference «Problems of narcological toxicology: from toxicological resuscitation to drug treatment», St. Petersburg, May 31 — June 1, 2016: abstracts. Under general. Ed. Ph.D. A.N. Lodyagin and prof. A.G. Sofronova]. Saint Petersburg: Al’ta Astra, 2016. 115 p.
- Rokhlina M.L. Narkomanii. Toksikomanii: psikhicheskie rasstroystva i rasstroystva povedeniya, svyazannye s upotrebleniem psikhoaktivnykh veshchestv [Addiction. Substance abuse: mental disorders and behavioral disorders associated with the use of psychoactive substances]. Moscow: Litterra, 2010. 256 p.
- Mendelevich V.D., Sivolap Yu.P. Narkologiya: uchebnik [Narcology: a textbook]. Rostov on Don: Feniks, 2017. Pp. 338-340.
- Kerbikov O.V. Ostraya shizofreniya [Acute schizophrenia]. Moscow: Medgiz, 1949. 177 p.
- Rukovodstvo po psikhiatrii, pod red. G.V. Morozova. V 2-kh t. T.1 [A guide to psychiatry. Ed. by G.V. Morozov. In 2 vol. Vol.1]. Moscow: Meditsina, 1988. Pp. 610-639.