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, 12 (4), 406-8

Acute Psychosis Following Ingestion of 'Rapture'


Acute Psychosis Following Ingestion of 'Rapture'

Helen Austin et al. Australas Psychiatry.


Objectives: To describe a brief psychotic episode associated with ingestion of a dietary supplement containing piperazine.

Methods: A case report was undertaken.

Results: A 20-year-old man developed a brief psychotic episode associated with persecutory delusional beliefs and auditory and visual hallucinations, leading him to commit the offence of arson. This episode occurred 12 h following the ingestion of 'Rapture' in addition to small quantities of cannabis and nitrous oxide, in a young man with no prior psychiatric history. This episode resolved with the use of benzodiazepines and 6 months later he has had no recurrence of psychiatric symptoms.

Conclusions: Given the reported mechanism of action of the 'herbal high' dietary supplements, it would seem possible that they may be able to precipitate a psychotic episode in vulnerable individuals. With the increasing use of these substances, it is important for clinicians to be alert to this possibility.

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