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Lloyd I. Sederer, MD

Lloyd I. Sederer, MD

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'Bath Salts' Aren't What They Used To Be

Posted: 05/26/11 02:23 PM ET

Remember when bath salts were what you put in hot water before you lowered yourself into a bath so you could have a wonderful soak? Well I suppose you can still get these, but sales of another form of 'bath salts' are reaching new records -- and bringing grave health hazards. While news of their popularity (and risk) has circulated for some time, there is very disturbing information just out.

The Centers for Disease Control and Prevention (The CDC) has released the first report on 35 patients who appeared in Michigan Emergency Departments (EDs) from mid-November 2010 until the end of March 2011. One of the people who ingested the 'bath salts' was already dead upon arrival at the ED. The others suffered from severe agitation, rapid heart rate, high blood pressure, paranoia and other psychotic symptoms including hallucinations and delusions (ideas contrary to reality and not responsive to efforts to correct them with reality). Some of these patients were violent. Half of those who came to the EDs required hospitalization, half of those were admitted to the intensive care unit. Sixteen of the cases had pre-existing mental health or substance abuse problems.

'Bath Salts' are stimulants, cooked up in underground labs. They are sold on the internet, at head shops, convenience stores and even some gas stations. The packages typically contain methylenedioxypyrovalerone (MPDV), mephedrone and pyrovalerone, all amphetamine-like in their action. The drugs are taken by mouth and sometimes inhaled or even injected. Needless to say, the last two routes of administration are associated with the worst reactions. While stimulants are controlled drugs, the labs often produce variations of existing drugs to avoid regulation.

Bags of 'bath salt' sometimes have written on them "Not Intended for Human Consumption." New York State's Health Commissioner, Dr. Nirav Shah, banned their distribution. Several states have proposed legislation, as has happened federally, to prohibit these substances, but the law is a slow tool in a rapidly moving market. These substances are also marketed as 'plant food' and 'pond water cleaner', and in many other ways to elude detection and control. In other words, it will be the same word of mouth that has driven their consumption that is needed to control it.

Speak to your friends. Talk to your children. Doctors, mental health and addiction counselors warn your patients. Let them know: The bath you take with 'bath salts' is dangerous and at the deep end of the toxic pool.

........................
The opinions expressed herein are solely my own as a psychiatrist and public health advocate.


Dr. Sederer receives no support from any pharmaceutical or device company.


Visit Dr. Sederer's website for questions you want answered, reviews and stories.

www.askdrlloyd.com

 
Remember when bath salts were what you put in hot water before you lowered yourself into a bath so you could have a wonderful soak? Well I suppose you can still get these, but sales of another form of...
Remember when bath salts were what you put in hot water before you lowered yourself into a bath so you could have a wonderful soak? Well I suppose you can still get these, but sales of another form of...
 
 
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07:18 PM on 05/30/2011
This is ridiculous. The make Marijuana illegal, but they allow alcohol and "bath salts" to be legal, Yes i read the whole thing, But if they just legalized marijuana, people wouldnt try to get high off something legal, cause Pot would be legal! The percentage of deaths by any other illegal drug would plumet...
CarmanK
democrat, retired tax acct
11:23 AM on 05/27/2011
The current war on drugs is a farce. Far too many people's lives are being ruined by the "three strikes rule" not to mention that jails are overflowing with non violent "criminals". In addition, jobs and careers a are being damaged by a single offense over using or selling POT. Marijuana should be legalized, taxed and like WINE, if someone wants to grow it in their basement they should be allowed limited amounts. I really hate paying $72,000.00 a year for a nonviolent criminal to be jailed. Like the bath salts, young people seem to find the "brain teaser" to make the world different. Sniffing glue, sniffing aerosol cans, what next?? We need to legalize POT, like beer and educate the public about the dangers of bath salts etc.....
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hornedcog
Tax Tea Now!
08:33 AM on 05/27/2011
Present laws breed contempt and distrust of government warnings. I believe there is evidence that drug laws encourage usage among certain groups. A return to individual freedoms and responsibilities with science based government information available would be consistent with our constitution.
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Indigo1941
Time Traveler
08:33 AM on 05/27/2011
Sea salt or Epsom salt or both mixed with baby oil and maybe a dash of lemon juice or a nicely scented oil, pine or pachouli or whatever and there you are . . . homemade bath salt you can safely use in bath water

Warning:Do not snort it up your snout!
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HUFFPOST SUPER USER
John Stopple
07:50 AM on 05/27/2011
This is the clear reductio of US drug policy. By the wonders of chemistry, chemists can find a chemical not on the schedule, package it up with some innocuous name like "Bath Salts" (even though it has no use as such) distribute it through legal channels and get it to people who are looking to get high. When those chemicals are placed on the schedule, the chemists already have their fallback position.

Meanwhile, this stuff gets less and less safe than the stuff already on the schedule (including cocaine and heroin). The simple fact is that the legal market will always be preferred to the illegal market in terms of cost/benefit analysis so US Drug policy will drive people towards less and less safe options.
04:10 AM on 05/27/2011
I feel like the people who are advocating the demise of the DEA and the abolition of drug laws are either a) users/addicts themselves or b) completely ignorant of what real drug addiction looks like. As a person who has family members with drug problems, I can tell you, jail can be a saving grace (it helped my brother). Making drugs legal would certainly increase use and addiction, and there would be NO stop gap for serious addicts. People who otherwise would have respected the laws and not taken the risks associated with drugs may begin using because... hey, why not. And many more who abuse drugs would end up dead.

Drugs are dangerous. People that are high (on whatever) can also be dangerous, not just to others but also to themselves.They are certainly less productive and less likely to aspire to or achieve goals. I really believe that if America went ahead and made all drugs legal, it wouldn't last more than a decade and people would be begging for law enforcement to help.
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sunmocker1970
Mocking the Sun since 1970...
07:23 AM on 05/27/2011
These folks were already abusing before "bath salts" became popular. Legalization would not hurt or help these folks. Any addiction (gambling, sex, etc) can be devastating to the family and community at large. I glad for your brother, but for the majority, jail is the end of a lot of dreams. In my state, if you are convicted of a felony, you don't get to vote, you can't get a decent (living wage job) and drugs are still just as easy to get. General has the right idea, treat the addiction and most of these problems will actually take care of themselves.
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Corners
07:40 AM on 05/27/2011
"People who otherwise would have respected the laws and not taken the risks associated with drugs may begin using because."

Do you not realize the amount of people that try drugs eve with the laws? And a lot of them try it out just because of the laws sometimes?

You dont legalize and not have support systems put in place. Today we lock people up for a few years then dump them back on the street with no support whats so ever. Your brother was lucky to have family still.

I don't think all drugs should be legal but we really need to take a long hard look at the failed war on drugs and the damage it has caused our culture. 1 out of 100 Americans has been to jail or us under supervision from the state or fed. Most for drugs.
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General Public
liberal, progressive, atheist, Democrat, SubGenius
01:24 AM on 05/27/2011
Maybe if there wasn't a War on Drugs, these so-called "bath salts" could be sold legally as what they actually are: stimulant drugs. Then the government could actually protect the public better, by requiring drug dealers to be honest about what substances they are selling and what the ingredients and their purity are, in exchange for it being legal. Then drug addicts could seek out treatment for addiction without the fear of being arrested. Then science could study these chemicals to determine their safety, side effects, etc. Then all the nonviolent drug offenders could be let out of prison, have their convictions overturned, and all be allowed to vote again. Drug addiction is a victimless crime, and is actually a disease that is best treated in rehab, rather than punished with prison sentences. Portugal has decriminalized all drugs, replacing prison with rehab, and it has been a resounding success, with drug abuse actually going down significantly. This would also have beneficial effects on government budgets, which could really use the savings of not keeping all these nonviolent drug offenders in prison. Furthermore, drug legalization would end the problem of drug gangs and their violence, and drugs would be sold legally in stores, plus people would know what they were buying, and it would be regulated and taxed. This is all just common sense reform that needs to happen. This would end many different problems, all at once.
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ElBruce
04:35 AM on 05/27/2011
If there wasn't a war on drugs, people would have safer options and wouldn't be resorting to crazy stuff like this.
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CarlIII
Liberal Virginian living in Remlap Alabama
07:13 AM on 05/27/2011
Fanned you. You are so right. The War on Drugs has filled our prisons and hasn't accomplished anything. Decriminalize drugs. End the war on drug users.
09:27 AM on 05/27/2011
I agree with you, but I'm not sure drug addiction is a victimless crime. Too many thefts, robberies and break-ins can be attributed to the addict's need for money to buy more drugs.
01:20 PM on 05/27/2011
This is the same logical stretch that many prohibition supporters resort to when they realize that all of their other arguments have been refuted. "Addicts commit crimes that are not victimless" is not even close to the same thing as "addiction is not a victimles crime." Thefts, robberies and break-ins would still be illegal and punishable if drugs were legal, and there would be more police resources available to investigate and prevent these actual crimes if they weren't distracted by making sure no one gets high on a substance that is not approved by the state.
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HUFFPOST COMMUNITY MODERATOR
General Public
liberal, progressive, atheist, Democrat, SubGenius
05:52 AM on 05/28/2011
And there would be less robberies for that reason if drugs were legal, since they would be a lot cheaper and people would be able to afford them more easily. But you are muddying the waters. Someone who commits a robbery or does a violent crime is committing a crime that is illegal, as it should be, and this is different from doing drugs, which is an addiction, a medical problem. People with addiction often commit non-drug crimes, and they should be held fully accountable for their actions just like everyone else. Alcohol is legal, but driving while intoxicated is not, and alcohol is taxed and regulated. That is a sensible system for alcohol, and the only change I would make is lowering the drinking age. If you look at how cigarettes are legal, have government-mandated warning labels, and how cigarette taxes actually bring in money to the government (despite the obvious negative health effects on smokers), this is a model for how to handle other drugs. Drug legalization maximizes both individual liberty and government balance sheets. At the very least, it should happen with marijuana, the least dangerous and addictive of the illegal drugs, and also the most common one. Then once that is successful, the issue of more dangerous drugs like crack cocaine, heroin, etc. could be debated within the context of what would by then be the proven success of marijuana legalization, and by this time more people would understand the cost-benefit analysis.
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Jeff Rosenbury
12:45 AM on 05/27/2011
So people are intentionally ingesting clearly labeled poisons and dying. It's a terrible shame, but at some point there's nothing more that can be done.

I don't think we need any new laws for this. It's the sort of problem that takes care of itself.
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Thinkster
I Think, therefore I POST!
02:53 AM on 05/27/2011
Evolution in action. Don't interfere.
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thereisonlyoneparty
more amazing than you
11:56 PM on 05/26/2011
I think I can propose a better solution that would actually save lives. Instead of forcing people to buy "bath salts" to get their "fix" why not allow substances to be legally sold so that they can be higher grade and standardized? That would allow people to know what they are getting and be more concern about dosage (plus it would be better in cases of adverse reactions as someone would know what they actually ingested). But that will never work, right? I mean the law is doing a bang up job in preventing people from using substances. I have never used an illegal substance in all of my days. Ever. I am so seriously you guys. Thank you Jesus and the government from protecting me from myself. People are not going to stop getting "high" just because Johnny Law bans bath salts. (Never tried ingesting bath salts, but I have purchased "room odourizers" and "ornamental poppy plants" among other things to engage in a little substance use when it was possible to do it.)
Genders
Love, Tolerance, Enlightenment
02:01 AM on 05/27/2011
Jesus gave out free wine....
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Thinkster
I Think, therefore I POST!
02:54 AM on 05/27/2011
Jesus wasn't much of a businessman.

That's not why we listen, of course.
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Zenith1959
Buying Things=Job Creator
10:58 PM on 05/26/2011
Its normal for lots of people to want to alter their state of mind, little kids spin around for the fun of feeling dizzy, and it just goes on from there.
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Joe3245
How can we have lost control we never had?
03:36 AM on 05/27/2011
Its normal for many living things besides people to alter their state of mind as well. Just another thing to keep in mind when it comes to psychoactive substances.
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10:42 PM on 05/26/2011
I suppose it would be pointless to note that since the government has waged all-out war on relatively benign drugs for decades - the use of diabollically dangerous and destructive drugs has skyrocketed.

Just legalizing pot would all but eliminate the blight - personal and societal - these other drugs cause.

But no - that would make too much sense - we all know there are millions of pot overdoses and trips to the emergency room caused by pothead violence - right?

One thing about this country - when we find something that doesn't work - we do it again just to make sure - and then stick to it forever...
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Thinkster
I Think, therefore I POST!
02:58 AM on 05/27/2011
Einstein spoke of this - and he was right.

"Doing the same thing over and over and expecting change - is the definition of insanity"
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Mother77
09:48 PM on 05/26/2011
Unfortunately, the people who need to know this probably don't read blogs.
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Thinkster
I Think, therefore I POST!
02:59 AM on 05/27/2011
Actually - they don't read (or think) at all. They just emote - and expect their emotions to be codified in law - to the detriment of us all.
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daveny
09:02 PM on 05/26/2011
Horrible post -- in desperate need of some editorial supervision. What "bath salts" are the ones being talked about, and how does the reader distinguish between these and "normal" bath salts and soaks? Are these "bad" bath salts being ingested intentionally to get high, or accidentally? Why are these chemicals used in them in the first place.

This post really represents a new low in internet "journalism": 100% hysteria, 0% useful information.
09:38 PM on 05/26/2011
Exactly! great post
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Demitasse
Ars longa, vita brevis
10:20 PM on 05/26/2011
Good point. As you noted how does one distinguish between the "normal" bath salts
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thereisonlyoneparty
more amazing than you
12:01 AM on 05/27/2011
If you are looking for normal bath salts you are not going to find these. These are MDPV or something similar. Which I guess is sometimes sold as a "plant food." They have names and prices that clearly indicate their purpose. Well, imply it. Sometimes you directly search for the drug to get the product you seek. For example, a quick search found his description: Due to the concentrated nature of this product, we advise purchasing the 500 mg package if you have not enjoyed [product name] before. Use sparingly.
07:46 PM on 05/26/2011
The comments on this post are highly encouraging. The fact that there are only 11 of them, while Sarah Palin's Summer Vacation has gotten 6,000, not so much.
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Thinkster
I Think, therefore I POST!
03:03 AM on 05/27/2011
Hey - we like bath salts - just not inhaling them...
07:32 PM on 05/26/2011
You are really unclear here ... are you saying that people are ingesting "Bath Salts" the over the counter product for purposes of getting high or something and it is killing them .. or, that there is a street name for some drug called "Bath Salts" that is a bad and possible fatal drug ... like PCP or whatever????
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thereisonlyoneparty
more amazing than you
12:08 AM on 05/27/2011
They are sold as "bath salts" to hide the real purpose. Just like poppers (alkyl nitrites) are sold as "room odorizers" and GHB precursors are sold as "metal cleaners." Hell, poppy pods were sold as decorative items on eBay that people used to prepare opium "teas" until the government caught on. Do not worry about your bath salts. If the website or store you bought them from sells other bath items (bubble bath, bath oils, and anything like that) you are probably in the clear.
12:29 AM on 05/27/2011
I have never encountered a "bath salt" in my whole life. Not really interested in either use. Thanks for the info though.