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Yıl:2016; Cilt: 27; Sayı: 1>> Özet
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Türk Psikiyatri Dergisi; 2016;27(1):63-66
Sentetik Kannabinoid Reseptör Agonisti Kullanımına Bağlı Psikotik Bozukluk: Olgu Sunumu
İ Sönmez, F Köşger
Yakın Doğu Üniversitesi, Lefkoşa
Son zamanlarda, sentetik kannabinoid reseptör agonistleri (SKRA) en sık kötüye kullanılan maddeler arasına girmiştir. Kuzey Kıbrıs Türk Cumhuriyeti’nde en yaygın kullanılan SKRA, sokak ismi bonzai olan JWH-018’dir. SKRA kullanımı ile ilgili bildirilen olgularda en sık görülen belirtiler ajitasyon, öfke, kötülük görme ve alınma sanrıları, yönelim bozukluğu, epileptik nöbetler ve bulantıdır. SKRA’lerinin etkileri esrara benzese de esrara göre uyarıcı etkileri daha fazladır. SKRA içeren karışımlarda esrarın psikoza yol açan etkilerini azalttığı bildirilen kannabinidol maddesinin olmaması, SKRA’leri ile psikotik bozukluklar arasındaki ilişkiyi açıklayabilir. Bu olgu şimdiye kadar yazında nadir görülen tekrarlayan SKRA kullanımı sonrası gelişen psikotik bozukluk ve tedavisini tartışmak amacıyla sunulmuştur
Synthetic Cannabinoid Receptor Agonist-Associated Psychotic Disorder: A Case Report
Synthetic cannabinoid receptor agonists (SCRA) has become one of the most abused substances, recently. JWH-018 street name known as Bonzai is one of the most abused substances in Turkish Republic of Northern Cyprus. The most common symptoms in cases reported with synthetic cannabis use are agitation, angry, paranoia and reference delusions, disorientation, seizure and nausea. Although the effects are very similar to cannabis, stimulant effects are more likely in SCRA use. In preparations containing SCRA do not contain cannabinidol agent which is reported to reduce the psychotic effects of the cannabis. This may explain the relationship between SCRA and psychotic disorders. We aimed to discuss a brief psychotic disorder associated with SCRA use and treatment which is less reported in the literature in this case report.

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