Phencyclidine overdose
PCP overdose; Angel dust overdose; Sernyl overdose; Wet overdosePhencyclidine, or PCP, is an illegal street drug. It can cause hallucinations and severe agitation. This article discusses overdose due to PCP. An overdose is when someone takes more than the normal or recommended amount of something, usually a drug. An overdose may result in serious, harmful symptoms or death.
PCP
Phencyclidine (PCP) is an illegal street drug that usually comes as a white powder, which can be dissolved in alcohol or water. It can be bought as ...
Read Article Now Book Mark ArticleThis article is for information only. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call the local emergency number (such as 911), or the local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
Overdose
An overdose is when you take more than the recommended amount of something, often a medicine or drug. An overdose may result in serious, harmful sym...
Read Article Now Book Mark ArticleSymptoms
Symptoms of PCP overdose include:
- Agitation (overly excited, violent behavior)
Agitation
Agitation is an unpleasant state of extreme arousal. An agitated person may feel stirred up, excited, tense, confused, or irritable.
Read Article Now Book Mark Article - Altered state of consciousness
Altered state of consciousness
Decreased alertness is a state of reduced awareness and is often a serious condition. A coma is the most severe state of decreased alertness from whi...
Read Article Now Book Mark Article - Catatonic trance (person does not talk, move, or react)
- Coma
Coma
Decreased alertness is a state of reduced awareness and is often a serious condition. A coma is the most severe state of decreased alertness from whi...
Read Article Now Book Mark Article - Convulsions or seizures
Convulsions
A seizure is the physical changes in behavior that occurs during an episode of specific types of abnormal electrical activity in the brain. The term ...
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- High blood pressure
- Side-to-side eye movements (nystagmus)
Side-to-side eye movements
Nystagmus is a term to describe uncontrollable movements of the eyes that may be:Side to side (horizontal nystagmus)Up and down (vertical nystagmus)R...
Read Article Now Book Mark Article - Psychosis (loss of contact with reality)
- Uncontrolled movement
Uncontrolled movement
Uncontrollable movements include many types of movements that you cannot control. They can affect the arms, legs, face, neck, or other parts of the ...
Read Article Now Book Mark Article - Lack of coordination
Lack of coordination
Uncoordinated movement is due to a muscle control problem that causes an inability to coordinate movements. It leads to a jerky, unsteady, to-and-fr...
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People who have used PCP can be dangerous to themselves and others. DO NOT try to approach an agitated person who you think has used PCP.
Home Care
Seek medical help right away. DO NOT make the person throw up unless poison control or a health care provider tells you to.
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition
- Name of product (as well as the ingredients and strength if known)
- Time it was swallowed
- Amount swallowed
Poison Control
Your local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.
Poison control center
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
Read Article Now Book Mark ArticleThis is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
What to Expect at the Emergency Room
People being treated for PCP overdose may be sedated and placed in restraints to avoid hurting themselves or medical staff.
The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.
Additional treatment may include:
- Activated charcoal, if the drug has been taken by mouth
- Blood and urine tests
- Chest x-ray
- CT scan of the brain
- ECG (electrocardiogram, or heart tracing)
ECG
An electrocardiogram (ECG) is a test that records the electrical activity of the heart.
Read Article Now Book Mark Article - Intravenous fluids (given through a vein)
- Medicines to treat symptoms
Outlook (Prognosis)
The outcome depends on several factors, including:
- The amount of PCP in the body
- The time between taking the drug and receiving treatment
Recovery from the psychotic state may take several weeks. The person should be in a quiet, darkened room. Long-term effects may include kidney failure and seizures. Repeated PCP use may cause long-term psychiatric problems.
Psychotic
Psychosis occurs when a person loses contact with reality. The person may: Have false beliefs about what is taking place, or who one is (delusions)S...
Read Article Now Book Mark ArticleReferences
Aronson JK. Phencyclidine. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:670-672.
Barrett W, Iwanicki JL. THC and hallucinogens. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 145.
Review Date: 4/1/2023
Reviewed By: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.