Abstract
Recreational use of salvia divinorum (salvia), a potent, naturally occurring hallucinogen, is on the rise internationally. Despite the paucity of information about its long-term health effects, salvia is readily available and generally portrayed as a safe non-addictive substance. We report on two patients who presented with an enduring and pervasive pattern of salvia use. Evaluating patients for salvia use during clinical assessment is strongly encouraged, especially among young polysubstance users. Clinicians should be mindful of the multifaceted psychiatric effects of salvia, including the potential for a use disorder. (Am J Addict 2018;27:163-165).
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