FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 345:469 August 9, 2001 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

To the Editor: Many acute psychotic episodes encountered in emergency situations are related to addictive substances. Nalbuphine is a synthetic opiate agonist–antagonist, chemically related to both the opioid antagonist naloxone and the analgesic oxymorphone.¹ It has been widely prescribed in Mexico for palliative care and in the United States for obstetrical analgesia.^1,2,3 Nalbuphine is a low-priced analgesic and is not a tightly controlled substance.

We wish to report the case of a 53-year-old man with no known psychiatric or substance-abuse history. Police found him walking public streets unclothed and apparently responding to internal stimuli. He was taken to the emergency . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Szalavitz, M., Boyer, E. W., Shannon, M., Hibberd, P. L. (2001). Web Sites and Misinformation about Illicit Drugs. NEJM 345: 1710-1710 [Full Text]