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Vaping danger: A hidden threat among Malaysia’s youth

Summary

A 15-year-old student in Malaysia was hospitalized after vaping a product labeled as having a magic mushroom flavor. Testing revealed the vape actually contained MDMB-4en-PINACA, a highly potent synthetic cannabinoid that is 100-200 times stronger than natural cannabis. This case highlights the danger of unregulated vaping products being mixed with illegal substances that can cause serious health effects including seizures, heart problems, and organ damage. Doctors and the public need to be aware of these hidden threats in vaping products.

Background

There has been a rising trend of young adults and teenagers in Malaysia presenting to health clinics with signs and symptoms related to vaping, including dizziness, vomiting, eye redness, abnormal behaviors, and seizures. Many new psychoactive substances (NPSs) cannot be detected with standard urine drug test kits, leading to potential misdiagnosis and mistreatment.

Objective

To raise awareness among primary care doctors regarding the latest trends in substance use among Malaysian young adults and school-aged teenagers through the presentation of a case study involving a 15-year-old student who presented with vaping-related complications.

Results

Clinical evaluation showed stable vital signs and negative urine drug test results. Hospital monitoring revealed sinus bradycardia with no acute ischemic changes. Chemical analysis of the vape devices confirmed the presence of MDMB-4en-PINACA, a synthetic cannabinoid, rather than psilocybin compounds as the product label suggested.

Conclusion

The unpredictable nature of vapes and new psychoactive substances requires urgent awareness and research to mitigate health dangers. Implementation and enforcement of the new Control of Smoking Products for Public Health Act 2024 is essential to reduce harmful exposure to youth, and primary care doctors must remain vigilant in detecting and managing vaping-related issues.
  • Published in:Malaysian Family Physician,
  • Study Type:Case Report,
  • Source: PMID: 39949651
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