Keywords: ketamine, methoxetamine (PubMed Search)
A new drug is coming onto the drug scene with some case reports beginning to build. The internet appears to have been a major driver or mode of distribution for this particular drug.
One study of users showed that this ketamine analog has more vivid hallucinations that would liken it to LSD. It has been theorized that this drug has the dissociative effects of ketamine but also has prominent serotninergic effects making additions more likely and hallucinations possible.
If you see a case in your ED, you can say you heard it here first!
Kjellgren A, Jonsson K. Methoxetamine (MXE)--a phenomenological study of experiences induced by a "legal high" from the internet. J Psychoactive Drugs. 2013 Jul-Aug;45(3):276-86.