“Synthacaines”: A mosaic of substances for a wide range of effects, from a case

Abstract

In recent years, a class of new designer drugs commercialized under the generic name of “Synthacaines” have been available both to the surfaceweb and the illicit drug market or deep web. We report the case of a 30-year-old man admitted to the psychiatry department for acute anxiety crisis with paranoid experiences associated with dysmorphophobia, who followed one week of intensive use of “synthacaine” he bought on the web. Toxicological analysis of the powder consumed by the patient allowed to identifying a mixture of 4 different drugs: 2-aminoindane, N-methyl-2-amino-indane, methiopropamine and lidocaine.