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Clenbuterol-contaminated heroin: cardiovascular and metabolic effects. A case series and review.
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2006
Year
AsthmaSpecific AdulterantsCase SeriesPharmacotherapyDrug AllergyAdverse Drug ReactionStreet DrugsClenbuterol-contaminated HeroinAddiction MedicineToxicologyHeroinDrug OverdoseClinical ToxicologyDrug ToxicityHealth SciencesNeuropharmacologyPharmacologySingle WeekendSubstance AbuseAddictionForensic ToxicologyMetabolic EffectsOpioid OverdoseCardiovascular PharmacodynamicsMedicine
We report a series of six cases, admitted over a single weekend, following nasal inhalation of street drugs and exhibiting markedly atypical presentations. Clenbuterol, a beta2 adrenoceptor agonist, was identified as a contaminant. Increased awareness of the effects of specific adulterants is essential to the adequate management of these patients.