| Palpitation chest pain tachycardia arrhythmias and hypertension are common cardiovascular collapse can occur in severe poisoning. Myocardial ischaemia infarction and ventricular dysfunction are described. Central nervous system cns stimulation of cns tremor restlessness agitation insomnia increased motor activity headache convulsions coma and hyperreflexia are described. Stroke and cerebral vasculitis have been observed. Gastrointestinal vomiting diarrhoea and cramps may occur. Acute transient ischaemic colitis has occurred with chronic methamphetamine abuse. Genitourinary increased bladder sphincter tone may cause dysuria hesitancy and acute urinary retention. Renal failure can occur secondary to dehydration or order viagra renal ischaemia may be noted. Dermatologic skin is usually pale and diaphoretic but mucous membranes appear order viagra endocrine transient hyperthyroxinaemia may be noted. Metabolism increased metabolic and muscular activity may result in hyperventilation and hyperthermia. Weight loss is common with chronic use. Fluidelectrolyte hypo and hyperkalaemia have been reported. Dehydration is common. Musculoskeletal fasciculations and rigidity may be noted. Rhabdomyolysis is an important consequence of severe amphetamine poisoning. Psychiatric agitation confusion mood elevation increased wakefulness talkativeness irritability and panic attacks are typical. Chronic abuse can cause delusions and paranoia. A withdrawal syndrome occurs after abrupt cessation following chronic use. 2.3 diagnosis the diagnosis of acute amphetamine poisoning is made. |
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