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When patients are admitted to the hospital due to severe symptoms, we recommend intensive monitoring and supportive care depending on the symptoms that the patient is showing.
Toxicological analyses confirmed the presence of 4F-MDMB-BINACA, theophylline, caffeine, and ethanol in the blood (Table 1).
Only a few case reports about the dangers of some synthetic cannabinoids due to neurotoxicity have been published (Cohen et al., 2012; McGuinness et al., 2012; Harris and Brown, 2013; Hermanns et al., 2013).
The precursor ion, m/z 350 showed a loss of 14 Da explaining the hydrolysis of methyl ester from 4F-MDMB-BINACA.
Discriminative stimulus effects were tested in rats trained to discriminate Δ9-tetrahydrocannabinol (3 mg/kg, 30-min pretreatment).
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