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Toxicology Observations
Foxy Methoxy: A New Drug Of Abuse
Susan C. Smolinske, PharmD, DABATa, Rahul Rastogi, MDb, Stephen Schenkel, MD, MPPc
a Childrens Hospital of Michigan Regional Poison Control Center, Detroit, MI
b St. Joseph Mercy Hospital, Ann Arbor, MI
c University of Michigan, Ann Arbor, MIREPRINTED FROM THE INT J MED TOXICOL 2004; 7(1): 3.
ABSTRACT
Introduction: In 1999, a new synthetic tryptamine, 5-MeO-DIPT, became known as a street drug, with the street name of Foxy or Foxy Methoxy. By February 2003, the DEA reported law enforcement seizures and/or reports of abuse in 12 states. We report a case along with an analysis of poison center data on this new drug of abuse.
Case report: A 19-year-old male was brought to the emergency department following ingestion of a larger than his usual dose of Foxy. Upon arrival, he had hallucinations, hypertension, tachycardia, mydriasis, and catalepsy. Symptoms resolved within two hours after administration of lorazepam and he recovered uneventfully.
Discussion: The AAPCC TESS database contained 41 exposures to Foxy between April, 2002 and June, 2003; 26 had moderate or major effects, indicating this drug has signicant toxic potential. Given the expanding use of this and other club drugs, the spectrum of toxicity from this new agent will continue to be elucidated.
INTRODUCTION
In 1999, a new synthetic tryptamine, 5-methoxy-N, N-diisopropyltryptamine (5-MeO-DIPT), became known as a street drug, with the street name of Foxy or Foxy Methoxy. By February, 2003, the DEA reported law enforcement seizures and/or reports of abuse in 12 states [1]. We report a case with an unusual neurological presentation.
CASE REPORT
A 19-year-old male with multiple body piercing was brought to the emergency department at 7 A.M. by his girlfriend. On initial examination he was entirely unable to answer any questions,
instead he was staring into space with his eyes open and repeating yeah . . . in response to any stimulation. His girlfriend revealed that he had taken some Foxya white powder purchased from an Internet source for $75/gram at 9 P.M. the
prior evening. Seeking a stronger high, he had taken more than ever before, but she was unable to provide the exact quantity. He had no past medical history, took no regular medications, and had no allergies to...