GAMMA-HYBWQXYBUPVRATE (GHB) WITH- DRAWL
Worth W. Everett · 2001
A 35-year-old man with no significant medical history presented to a university ED complaining of anxiety. tremors and insomnia. The patient denied use of common street drugs or tobacco. He admitted to social weekend alcohol consumption, but had not been drinking during the preceding 2 weeks. His vital signs were: temperature 37.2OC, pi~lse 105/min. respirations 161 min. blood pressure 148188 mmHg. Physical examination revealed a muscular young man with a resting tremor and obvious anxiety. but was otherwise unremarkable. The patient's girlfriend took the physician aside and revealed the actual reason for seeking ED treatment was that he was trying to quit using GHB. She also confirmed he had nor been drinking alcohol and was not a habitual alcohol user. The patient subsequently admitted to using increasing amounts of GHB for the previous 2.5 years, and was consuming 1 to 2 "capfuls " of liquid GHB 4 to 6 times daily (exact dose