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Forensic aspects of salbutamol overdose – doping, abuse, and suicide

100%
Kycler M., Rzepczyk S., Teżyk A., Żaba C.
European Journal of Clinical and Experimental Medicine
|
2024
|
issue 4
885-896
EN
Introduction and aim. Salbutamol is a popular drug used in respiratory diseases. With the increasing prevalence of the use of this substance for therapeutic purposes and its availability on the market, the frequency of its use for other purposes has also risen due to its effects outside the respiratory system. The aim of the study was to investigate the medico-legal aspects of salbutamol. Material and methods. Medical literature databases such as PubMed, Scopus, Web of Science and Google Scholar were searched. The search was carried out in accordance with the specified purpose of the keyword research using Boolean operators. Analysis of the literature. In sports, the use of salbutamol is strictly regulated by anti-doping regulations. Recreational substance abuse and accidental overdoses, mainly among children and the elderly, are also important. Rare cases of suicide attempts associated with the use of salbutamol have also been reported. Conclusion. Salbutamol overdoses are usually not life threatening. However, one should remember about the possibility of accidental overdose, especially among the elderly and children taking the drug chronically. Currently, the use of salbutamol for recreational purposes is rare. In sports, the status of salbutamol use, especially among athletes who do not require its use for therapeutic reasons, is still a controversial issue.
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E-cigarettes, e-liquids and drug vaping – forensic perspectives on electronic nicotine delivery systems

88%
Kycler M., Rzepczyk S., van der Veer J., Świderski P., Żaba C.
Problems of Forensic Sciences
|
2023
|
issue 135
EN
Electronic cigarettes are devices that produce an aerosol by heating e-liquid. Their history can be traced back to the 20th century but their popularity exponentially increased in the 21st century. Multiple generations and types of e-cigarettes are available on the market with an astounding choice of e-liquids. They gained popularity in almost all countries and among all age groups. The regulation concerning them varies drastically across the world. The health impact is still not fully understood. Although e-cigarettes contain less toxic substances compared to regular cigarettes their use is still not harmless. Some studies suggest a correlation between e-cigarettes and cardiovascular diseases and a potential cancer risk. However, the most noticeable is the effect on the respiratory system. There have been reported cases of fatal respiratory failure caused by e-cigarette use. There has been an increased interest in using e-cigarettes for recreational drug use, notably cannabinoids. E-liquids have been used in suicide attempts. They are usually ingested causing potentially lethal poisoning. Furthermore, lung biopsy and extensive medical history analysis should be the cornerstone of forensic examination of deaths involving e-cigarettes.
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