In the past year, several questions have been posed on the CPNP Email Discussion List regarding bath salts and spice. Designer drugs, such as bath salts or spice, are agents that have pharmacologic effects similar to controlled substances, but are not under legal control since they are chemically distinct from controlled substances.1 These drugs may be marketed as a “legal high”. The dilemma in controlling designer drugs based on their structural similarity stems from the fact that these designer drugs may also be structurally similar to approved medications for depression or anaphylaxis.1 Designer drugs can also avoid control by being placed in packaging labeled “not for human consumption”, thereby failing to meet all attributes needed to be considered a controlled substance.1 The example previously mentioned, bath salts, have no legitimate use for bathing and are meant to be abused and the same chemical has also been sold as plant food. This month's MHC Toolbox of Drugs of Abuse, though not all-inclusive, is based on information found through government and drug agency organizations and is meant to provide insight into the effects of many illicit substances, including bath salts and spice.

The MHC Toolbox begins on the next page.

1.
Morbidity and Mortality Weekly Report. Emergency department visits after use of a drug sold as “bath salts” – Michigan, November 13, 2010 – March 31, 2011
.
MMWR.
May 2011
;
60
(
19
):
624
627
.

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)

THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)
THE MENTAL HEALTH CLINICIAN TOOLBOX: DRUGS OF ABUSE (CONTINUED)