A Psychonaut's Experience of Intoxication with Multiple Classes of Drugs Including Novel Psychoactive Substance 2-fluorodeschloroketamine: Case Report and Urinary Analysis.

A 28-year-old man with a history of polysubstance use arrived at an Emergency Department in a dissociated state after snorting 2-fluorodeschloroketamine (2-FDCK), a ketamine derivative available online for as little as $12 per gram. He recovered with supportive care, and urine analysis confirmed 2-FDCK metabolites. This case is the first reported in the United States, highlighting that the drug is easily obtainable online and has significant abuse potential.

Study at a glance

Abstract

Novel psychoactive substances have emerged as drugs of abuse. 2-Fluorodeschloroketamine (2-FDCK) is a ketamine derivative that can be purchased online for as little as $12 per gram. We report the case of a patient with a history of polysubstance use presenting after insufflation of 2-FDCK, with subsequent confirmation of metabolites in the patient's urine. A 28-year-old man presented to the Emergency Department in a dissociated state. He recovered well with supportive care, and described during interview his experience of substance use including the novel psychoactive substance 2-FDCK. A urine sample was sent for analysis and 2-FDCK metabolites were isolated. This case is concerning because 2-FDCK is a relatively new agent that has not yet been reported in the United States. It is easy to obtain over the internet and has significant abuse potential.