To the Editor: We are concerned that recent media reports about a 17-year-old Sydney boy who died after allegedly consuming 25B- or 25I-NBOMe might lead to an increase in the incidence of NBOMe toxicity among patients presenting to emergency departments. NBOMe was reported to be available online for as little as $1.50 per tab.1 The subsequent media interest is likely to have increased public awareness of the availability of the NBOMe series of drugs; and increased awareness of psychoactive substances through media reporting is associated with their increased initial uptake.2 It is possible that the increased awareness of this cheap LSD (lysergic acid diethylamide)-like drug will prompt some individuals to buy NBOMe tabs and sell them as LSD in order to make a significant profit.
- 1. Ralston N, Davies L. Teen jumps to his death after $1.50 drug hit. Sydney Morning Herald 2013; Jun 6. http://www.smh.com.au/nsw/teen-jumps-to-his-death-after-150-drug-hit-20130606-2nrpe.html (accessed Jul 2013).
- 2. Bright SJ, Bishop B, Kane R, et al. Kronic hysteria: exploring the intersection between Australian synthetic cannabis legislation, the media, and drug-related harm. Int J Drug Policy 2013; 24: 231-237.
- 3. Braden MR, Parrish JC, Naylor JC, Nichols DE. Molecular interaction of serotonin 5-HT2A receptor residues Phe339(6.51) and Phe340(6.52) with superpotent N-benzyl phenethylamine agonists. Mol Pharmacol 2006; 70: 1956-1964.
- 4. Hill SL, Doris T, Gurung S, et al. Severe clinical toxicity associated with analytically confirmed recreational use of 25I-NBOMe: case series. Clin Toxicol (Phila) 2013; 51: 487-492.
- 5. Bluelight [online drug discussion forum]. The big and dandy NBOMe-2C-C (25C-NBOMe) thread. http://www.bluelight.ru/vb/threads/518529 (accessed Jul 2013).
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