Mescaline abuse via peyote cactus: the first case report in Turkey/Peyote kaktusu yoluyla meskalin kotuye kullanimi: Turkiye'de ilk olgu sunumu

Mescaline is a psychoactive hallucinogenic alkaloid that resemble the natural neurotransmitters epinephrine and dopamine. It is extracted from peyote cactus. Peyote cactus cannot be detected via blood or urine samples in routine toxicology laboratories, and it can be easily reachable over the Internet. In this report, we presented the first case of mescaline abuse via peyote cactus in Turkey. The case is an 18-year-old male patient. He was subjected to probation service due to use of cannabis for three months by the court decision, and being treated in our forensic outpatient clinic. He was admitted to the emergency service with symptoms such as intense anxiety, panic attacks and visual hallucinations. Patient told that he consumed peyote cactus instead using cannabis not to get caught in urine analyze. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):68-70) Keywords: mescaline, peyote cactus, abuse, hallucinogen, Turkey Meskalin, dogal norotransmitter olan epinefrin ve dopamine benzer bir psikoaktif halusinojenik alkaloiddir. Meskalin, peyote kaktusunden elde edilir. Peyote kaktusu rutin toksikoloji laboratuvarlarinda kan veya idrar orneklerinde saptanamaz ve internet uzerinden kolayca saglanabilir. Bu olgu sunumunda, Turkiye'de peyote kaktusu yoluyla meskalin kotuye kullanan ilk olgu sunulmustur. On sekiz yasinda bir erkek hasta, uc aydir esrar kullanmasi nedeniyle mahkeme karari ile denetimli serbestlik hizmeti almasi icin hastanemize gonderilmisti ve adli psikiyatri poliklinigimizde tedavi edilmekte idi. Acil servisimize yogun anksiyete, panik atak ve gorsel varsanilar gibi belirtilerle basvurdu. Hasta, idrar tetkikinde esrar kullandiginin anlasilmamasi icin peyote kaktusu kullandigini belirtti. (Anadolu Psikiyatri Derg 2016; 17(Ek.3):68-70) Anahtar sozcukler: Meskalin, peyote kaktus, kotuye kullanim, halusinojen, Turkiye