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Etamivan/ 2157 Effects on the liver. The UK MHRA had warned1 that there Profile 2. Gourlay SG, McNeil JJ. Antismoking products. Med J Aust had been cases of hepatotoxicity associated with adulteration of is a prodrug of dexamfetamine (p.2153). It is 1990; 153: 699–707. traditional Chinese slimming medicines with used as a central in the treatment of attention deficit 3. Stead LF, Hughes JR. for smoking cessation. Available in The Cochrane Database of Systematic Reviews; Issue 3. and/or nitrosofenfluramine. Nitrosofenfluramine was known to hyperactivity disorders (p.2148). Chichester: John Wiley; 1997 (accessed 16/05/05). be hepatotoxic. Lisdexamfetamine is given orally as the mesilate and doses are Preparations 1. Medicines and Healthcare products Regulatory Agency expressed in terms of this salt. For adults, and children between (MHRA). Shubao slimming capsules containing fenfluramine 6 and 12 years of age, the starting dose is 30 mg once daily in the Proprietary Preparations (details are given in Part 3) and nitrosofenfluramine (issued 28th April, 2004). Available at: Austral.: Cig-Ridettes†; Canad.: Butt-Out; Spain: Smokeless. http://www.mhra.gov.uk/home/groups/es-herbal/documents/ morning, increased if necessary in increments of 10 or 20 mg Multi-ingredient: Austral.: and Stramonium Com- websiteresources/con009291.pdf (accessed 11/08/08) daily at approximately weekly intervals, up to a total maximum dose of 70 mg daily. If therapy is continued for longer than 4 pound†; Belg.: Kamfeine†; Braz.: Asmatiron†; Bronquidex; Brontoss; Ex- Porphyria. Fenfluramine is considered to be unsafe in patients pectobron†; Expectol†; Iodeto de Potassio†; Iol†; Iolin†; MM Expectorante; weeks, use of lisdexamfetamine should be periodically stopped Pulmoforte†; Sedatux†; Xarope Peitoral de Ameixa Composto†; Chile: with porphyria because it has been shown to be porphyrinogenic to evaluate the necessity for continued administration. Paltomiel Plus; Pulmagol; Ramistos; Spain: Pazbronquial; UK: Antibron; in animals. Asthma & Catarrh Relief; Balm of Gilead; Chest Mixture; Herbelix; Hore- ◊ References. hound and Aniseed Cough Mixture; Modern Herbals Cold & Congestion; Uses and Administration Vegetable Cough Remover; Venez.: Novacodin. Fenfluramine is an indirect-acting sympathomimetic related to 1. Blick SK, Keating GM. Lisdexamfetamine. Paediatr Drugs 2007; 9: 129–35. amfetamine, but at standard doses it usually depresses rather than 2. Biederman J, et al. Efficacy and tolerability of lisdexamfetamine stimulates the CNS. It appears to stimulate the release of seroton- dimesylate (NRP-104) in children with attention-deficit/hyper- (BAN, USAN, rINN) in and selectively inhibits its reuptake resulting in increased CNS activity disorder: a phase III, multicenter, randomized, double- Mazindol ⊗ serotonin concentrations. It may also increase glucose utilisation blind, forced-dose, parallel-group study. Clin Ther 2007; 29: 42-548; AN-448; Matsindoli; Mazindolum; SaH-42548. 5-(4- and lower blood-glucose concentrations. 450–63. Chlorophenyl)-2,5-dihydro-3H-imidazo[2,1-a]isoindol-5-ol. Fenfluramine was formerly given by mouth as the hydrochloride Preparations Мазиндол in the treatment of obesity (p.2149) but was generally withdrawn C H ClN O = 284.7. worldwide after reports of valvular heart defects. Proprietary Preparations (details are given in Part 3) 16 13 2 USA: Vyvanse. CAS — 22232-71-9. Preparations ATC — A08AA05. Proprietary Preparations (details are given in Part 3) ATC Vet — QA08AA05. Chile: Megaval†. Lobelia N Indian Tobacco. Hydrochloride (rINNM) ⊗ Description. Lobelia consists of the dried aerial parts of Lo- N N-2-Cyanoethylamphetamine Hydrochloride; Fenproporex, belia inflata (Lobeliaceae). Lobeline is the main alkaloidal con- stituent. Chlorhydrate de; Fenproporexi Hydrochloridum; Hidrocloruro OH de fenproporex. (±)-3-(α-Methylphenethylamino)propionitrile hydrochloride. Lobeline Hydrochloride (BANM, rINNM) ⊗ Фенпропорекса Гидрохлорид Alpha-lobeline Hydrochloride; Hidrocloruro de lobelina; Lo- Cl C H N ,HCl = 224.7. beliinihydrokloridi; Lobéline, chlorhydrate de; Lobelin-hidroklor- 12 16 2 id; Lobelin-hydrochlorid; Lobelinhydroklorid; Lobelini hydrochlo- CAS — 15686-61-0 (fenproporex); 18305-29-8 (fenprop- Pharmacopoeias. In US. orex hydrochloride). ridum; Lobelino hidrochloridas. 2-[6-(β-Hydroxyphenethyl)-1- methyl-2-piperidyl]acetophenone hydrochloride. USP 31 (Mazindol). A white to off-white crystalline powder, having not more than a faint odour. Insoluble in water; slightly Лобелина Гидрохлорид soluble in chloroform and in methyl . Store in airtight H N C22H27NO2,HCl = 373.9. containers. CN CAS — 90-69-7 (lobeline); 134-63-4 (lobeline hydrochlo- Adverse Effects, Treatment, and Precautions ride). As for Dexamfetamine Sulfate, p.2153. CH3 Effects on the testes. Testicular pain developed in 8 men after 1 (fenproporex) CH3 taking mazindol. 1. McEwen J, Meyboom RHB. Testicular pain caused by mazindol. BMJ 1983; 287: 1763–4. NOTE. The following terms have been used as ‘street names’ (see O N OH p.vi) or slang names for various forms of fenproporex: Interactions Pasexes. As for Dexamfetamine Sulfate, p.2153. Profile Lithium. For a report of mazindol interacting with lithium to Fenproporex is a central stimulant and indirect-acting sympatho- cause lithium toxicity, see Central , p.405. mimetic with actions similar to those of dexamfetamine Pharmacokinetics (p.2153). After oral doses it is reported to be metabolised to am- Mazindol is readily absorbed from the gastrointestinal tract and fetamine. Fenproporex has been given as the hydrochloride, the (lobeline) is excreted in the urine, partly unchanged and partly as metabo- diphenylacetate, and as a resinate. lites. Fenproporex hydrochloride has been used as an anorectic in the Pharmacopoeias. In Chin. and Eur. (see p.vii). treatment of obesity (p.2149) although the use of stimulants in Uses and Administration Ph. Eur. 6.2 (Lobeline Hydrochloride). A white or almost white Mazindol is a central stimulant with actions similar to those of this way is no longer recommended. Regulatory authorities in the microcrystalline powder. Sparingly soluble in water; freely solu- EU have called for the withdrawal of all anorectics from the mar- dexamfetamine (p.2154), although structurally the two com- ble in alcohol; soluble in dichloromethane. A 1% solution in wa- pounds are unrelated. It appears to inhibit reuptake of ket (see under Effects on the Cardiovascular System in Fenflu- ter has a pH of 4.6 to 6.4. Protect from light. ramine, p.2156). and noradrenaline. It has been used as an anorectic, given orally in the treatment of obesity (p.2149), although stimulants are no Preparations Lobeline Sulfate (rINNM) ⊗ longer recommended for this indication. Regulatory authorities in the EU have called for the withdrawal of all anorectics from Proprietary Preparations (details are given in Part 3) Lobéline, Sulfate de; Lobeline Sulphate (BANM); Lobelini Sulfas; Braz.: Desobesi-M; Lipomax†; Chile: Salcal; Sinapet†; Mex.: Feprorex; Ifa- the market (see under Effects on the Cardiovascular System in Diety. Sulfato de lobelina. Fenfluramine, p.2156). Multi-ingredient: Arg.: Tratobes; Mex.: Esbelcaps. Лобелина Сульфат Mazindol has been investigated in the treatment of Duchenne (C22H27NO2)2,H2SO4 = 773.0. muscular dystrophy. CAS — 134-64-5. Narcolepsy. Mazindol has been reported1-4 to be beneficial in Lisdexamfetamine Mesilate (rINNM) ⊗ Adverse Effects patients with narcolepsy and associated cataplexy (p.2148). A wide range of doses has been used: 3 to 8 mg daily in one study,1 Lisdexamfetamine Dimesylate (USAN); Lisdexamfétamine, Mési- Adverse effects of lobelia and lobeline include nausea and vom- 3 iting, coughing, tremor, and dizziness. Symptoms of overdosage 1 mg weekly to 16 mg daily in another; children have been giv- late de; Lisdexamfetamini Mesilas; Mesilato de lisdexanfetamina; en 1 to 2 mg daily.4 NRP-104. (2S)-2,6-Diamino-N-[(1S)-1-methyl-2-phenylethyl]hex- include profuse diaphoresis, paresis, tachycardia, hypothermia, hypotension, and coma; fatalities have occurred. 1. Parkes JD, Schachter M. Mazindol in the treatment of narcolep- anamide dimethanesulfonate. sy. Acta Neurol Scand 1979; 60: 250–4. Лисдексамфетамина Мезилат Uses and Administration 2. Shindler J, et al. , mazindol, and in Lobelia is the dried aerial parts of Lobelia inflata (Lobeliaceae). narcolepsy. BMJ 1985; 290: 1167–70. C15H25N3O,(CH4O3S)2 = 455.6. Lobeline is the main alkaloidal constituent and has peripheral 3. Alvarez B, et al. Mazindol in long-term treatment of narcolepsy. CAS — 608137-32-2 (lisdexamfetamine); 608137-33-3 and central effects similar to those of (p.2352). Lancet 1991; 337: 1293–4. (lisdexamfetamine mesilate). 4. Allsopp MR, Zaiwalla Z. Narcolepsy. Arch Dis Child 1992; 67: Lobelia has been used mainly in preparations aimed at relieving 302–6. respiratory-tract disorders. Lobeline has been given by mouth as Preparations the hydrochloride or sulfate as a smoking deterrent (see Smoking H NH USP 31: Mazindol Tablets. H 2 Cessation, p.2354). Lobelia has been used similarly given either N orally or incorporated into herbal cigarettes. Proprietary Preparations (details are given in Part 3) NH2 Arg.: Afilan; Dimagrir; Dimagrir Triac†; Fagolip Plus; Samonter; Braz.: Ab- Smoking cessation. Reviews of smoking cessation therapy sten S; Fagolipo; Canad.: Sanorex†; Hong Kong: Qualizindol; Hung.: Te r - H CH 3 O generally consider lobeline to have little benefit compared with onac†; Indon.: Teronac; Mex.: Diestet; Ifa Lose; Ilezol; Liofindol†; Obendol; placebo.1-3 Sanorex†; Solucaps; Singapore: Teronac; Switz.: Teronac†. Multi-ingredient: Arg.: Maxitratobes; Braz.: Dobesix†; Moderine. (lisdexamfetamine) 1. Nunn-Thompson CL, Simon PA. Pharmacotherapy for smoking cessation. Clin Pharm 1989; 8: 710–20. The symbol † denotes a preparation no longer actively marketed The symbol ⊗ denotes a substance whose use may be restricted in certain sports (see p.vii) 2158 Stimulants and Anorectics

Mefenorex Hydrochloride (USAN, pINNM) ⊗ ichanga; Chingadera; Chittle; Chizel; Chiznad; Choad; Chris; 3. Yeo K-K, et al. The association of use and Chrissy; Christal; Christina; Christine; Christmas tree; Christy; cardiomyopathy in young patients. Am J Med 2007; 120: Hidrocloruro de ; Méfénorex, Chlorhydrate de; Cinnamon; Clavo; Clear; Coco; Coffee; Colorado Rockies; 165–71. Mefenorexi Hydrochloridum; Ro-4-5282. N-(3-Chloropropyl)- 4. Sperling LS, Horowitz JL. Methamphetamine-induced chore- Cookies; CR; Crack Whore; Crank; Cranster Gansters; Cri, cri; oathetosis and rhabdomyolysis. Ann Intern Med 1994; 121: 986. α-methylphenethylamine hydrochloride. Criddle; Criddy; Cringe; Crink; Crip; Cris; Crisco; Crissie; Cris- 5. Albertson TE, et al. Methamphetamine and the expanding com- Мефенорекса Гидрохлорид sy; Cristina; Cristy; Critty; Crizzy; Croak; Crossles; Crothch plications of . West J Med 1999; 170: 214–19. dope; Crow; Crunk; Crypto; Crystal; Crystal glass; Crystal meth; 6. Curtis EK. Meth mouth: a review of methamphetamine abuse C12H18ClN,HCl = 248.2. Crystal methadrine; Crystalight; Crystals; Cube; D; Debbie; and its oral manifestations. Gen Dent 2006; 54: 125–9. CAS — 17243-57-1 (mefenorex); 5586-87-8 (mefenorex Desocsins; Desogtion; Devil dust; Devils dandruff; Devils drug; 7. Donaldson M, Goodchild JH. Oral health of the methampheta- hydrochloride). Dingles; Dirt; Dirty; Dizzy D; D-Monic; Do da; Doody; Doo- mine abuser. Am J Health-Syst Pharm 2006; 63: 2078–82. Cor- ATC — A08AA09. my-lau; Dope; Drano; Dummy dust; Dyno; El Gato Diablo; rection. ibid.; 2180. ATC Vet — QA08AA09. Epimethrine; Epod; Eraser dust; Ethyl-M; Evil yellow; Fast; 8. Cho AK, Melega WP. Patterns of methamphetamine abuse and Fatch; Fedrin; Fil-layed; Fizz whizz; Fizz Wizz; Flash; Fluff; Fu- their consequences. J Addict Dis 2002; 21: 21–34. 9. Rawson RA, et al. Treatment of methamphetamine use disor- ture; G; Gackle-a Fackle-a; Gab; Gak; Gas; Gear; Geek; Geep; ders: an update. J Subst Abuse Treat 2002; 23: 145–50. Geeter; Gemini; Get geared up; Getgo; Glass; Go; Go-ey; Go H3C 10. Cretzmeyer M, et al. Treatment of methamphetamine abuse: re- Fast; Go-fast; Go-go; Go-go juice; Gonzales; Goop; Go Pills; search findings and clinical directions. J Subst Abuse Treat Goose-Egg; Got anything; Grads; Granulated orange; Grit; 2003; 24: 267–77. Cl NH Gumption; Gyp; Haiwaiian salt; Hank; Hanyak; Hard Crystal; 11. Lineberry TW, Bostwick JM. Methamphetamine abuse: a per- Hawaiis finest; High speed chicken feed; Highthen; Hillbilly fect storm of complications. Mayo Clin Proc 2006; 81: 77–84. crack; Hippy crack; Hironpon; Hiropon; Holy Smoke; Home- 12. Ernst T, et al. Evidence for long-term neurotoxicity associated (mefenorex) work; Hoo; Horse mumpy; Hot Ice; Hydro; Hypes; Ibski; Ice; with methamphetamine abuse: a H MRS study. Neurology Ice cream; Icee; Ink; Ish; Izice; Jab; Jasmine; Jenny Crank; Jenny 2000; 54: 1344–9. Profile Crank Program; Jet fuel; Jetfuel; Jib; Jib nugget; Jibb Tech War- Porphyria. Metamfetamine has been associated with acute at- Mefenorex hydrochloride is a central stimulant and indirect-act- rier; Jibber jabbin; Jinga; Juddha; Juice; Junk; Kaksonjae; Kib- tacks of porphyria and is considered unsafe in porphyric patients. ble; Killer; KooLAID; Kryptonite; L.A.; LA Glass; L.A. glass; ing sympathomimetic with actions similar to those of dexamfet- la glass; L.A. ice; LA Ice; Lamer; Laundry detergent; Leapers; Interactions amine (p.2153). It has been used as an anorectic in the treatment Lemon drop; Life; Lily; Linda; Linga; Load of Laundry; Lost As for Dexamfetamine Sulfate, p.2153. of obesity although stimulants are no longer recommended for weekend; Love; Low; Lucille; M man; Magic; Maui-wowie; this indication. Regulatory authorities in the EU have called for Pharmacokinetics Meth; Meth amps; Meth monsters; Methaine; Methandfriend; Like most amfetamines (see Dexamfetamine Sulfate, p.2154) the withdrawal of all anorectics from the market (see under Ef- Methandfriendsofmine; Methanfelony; Methatrim; Methedrine; fects on the Cardiovascular System in Fenfluramine, p.2156). Methlies Quik; Methmood; Method; Mexican crack; Miniben- metamfetamine is readily absorbed from the gastrointestinal tract nies; Motivation; Motorcycle crack; Moving on G; Nazi crank; and is distributed into most body tissues. It is partially metabo- Nazi dope; Nazi vitamens; Nazimeth; Ned; Newday; No doze; lised in the liver and excreted in the urine. Nose candy; On a good one; Orange; OZs; P; Patsie; Peaking; ◊ References. (rINN) Peanut butter; Peel dope; Pervatine; Pervitin; Phazers; Phets; ⊗ 1. Shappell SA, et al. Chronopharmacokinetics and chronopharma- Philopon; Pieta; Piko; Pink; Pink elephants; Pink hearts; Poison; codynamics of dextromethamphetamine in man. J Clin Pharma- Mésocarb; Mesocarbo; Mesocarbum. 3-(α-Methylphenethyl)-N- Poof; Poop; Poop’d out; Poor man’s coccaine; Poor man’s coke; (phenylcarbamoyl)syndnone imine. col 1996; 36: 1051–63. Poot; Pootananny; Poppers; Powder; Powder monkeys; Powder 2. Harris DS, et al. The bioavailability of intranasal and smoked Мезокарб point; Project propellant; Puddle; Pump; Pure; Q’d; Quartz; methamphetamine. Clin Pharmacol Ther 2003; 74: 475–86. C H N O = 322.4. Quick; Quill; Rachet jaw; Rails; Rank; Red; Red devils; Red 18 18 4 2 phosphorus; Redneck ; Redneck heroin; Richie Rich; Uses and Administration CAS — 34262-84-5. Rip; Rippers; Rock; Rock crank; Rocket fuel; Rocky mountain Metamfetamine hydrochloride is a central stimulant and indi- high; Rosebud; Rudy; Rudy’s; Rumdumb; Running Pizo; Sack; rect-acting sympathomimetic with actions and uses similar to Sam’s sniff; Sarahs; Satan dust; Scante; Scap; Schlep rock; those of dexamfetamine (p.2154). Schmiz; Sciznac; Scooby snax; Scootie; Scud; Scwadge; Sean; It has been given orally in the treatment of attention deficit hy- Sha-bang; Shab; Shabs; Shabu; Shamers; Shards; Shit; Shiznac; peractivity disorder in children aged 6 years and over, although Shiznack; Shiznastica; Shiznit; Shiznittlebang; Shiznitty; Shiz- dexamfetamine and are the main stimulants O zo; Shnizzie snort; Shwack; Skeech; Sketch; Ski; Skitz; Sky CH3 used (p.2148). Initial doses are 5 mg once or twice daily, increas- H NH rocks; Sliggers; Smiley smile; Smurf dope; Smzl; Snaps; Sniff; ed if necessary by 5 mg at weekly intervals to the optimum effec- C Snow; Soap; Soap dope; Space food; Spaceman; Spackle; Spa- tive dose, usually 20 to 25 mg daily given in 2 divided doses. N + N gack; Sparacked; Sparked; Sparkle; Speckled birds; Speed; − Speed racer; Spin, spin, spin; Spinack; Spindarella; Spinney Metamfetamine hydrochloride has also been used as an anorectic N O Boo; Spinning; Spishak; Splash; Spook; Spoosh; Sprack; Spriz- in the management of obesity (p.2149), although amfetamines zlefracked; Sprung; Spun Ducky Woo; Squawk; Stallar; Sto-Pid; are no longer recommended for this indication. A dose of 5 mg Stove top; Styels; Sugar; Suger; Super ice; Sweetness; Swerve; before each meal has been given orally. Treatment should be for Profile Syabu; Ta’doww; Talkie; Tanner; Tasmanian Devil; T.D.; Teena; no longer than a few weeks. Mesocarb is reported to be a central stimulant. Tenner; Terry; Texas Tea; The New Prozac; The White House; Metamfetamine hydrochloride has also been used parenterally as Tic; Tical; Tick tick; Tik; Tina; Tink Dust; Tish; Tobats; Tootie; a pressor agent. Toots; Torqued; Trash; Trippin Trip; Tubbytoast; Tuk; Tuk-tuk; Tutu; Twack; Twacked out; Tweak; Tweedle Doo; Tweek; The laevorotatory form, levmetamfetamine (p.1564) is used as a Metamfetamine Hydrochloride (rINNM) ⊗ Tweezwasabi; Twiz; Twizacked; Ugly Dust; Upside-down b; nasal decongestant. d-Deoxyephedrine Hydrochloride; d-Desoxyephedrine Hydro- Uppers; Vanilla Pheromones; Wake; Wash; Water; Way; We We Preparations chloride; Hidrocloruro de metanfetamina; Métamfétamine, We; Wet; Whacked; White; White bitch; White Cross; White Crosses; White Crunch; White ink; White junk; White lady; USP 31: Methamphetamine Hydrochloride Tablets. Chlorhydrate de; Metamfetamini Hydrochloridum; Metham- White pony; Whiz; Whizz; Who-Ha; Wigg; Work; Working Proprietary Preparations (details are given in Part 3) phetamine Hydrochloride; Methamphetamini Hydrochloridum; man’s cocaine; Xaing; YAMA; Ya Ba; Yaaba; Yaba; Yammer Chile: Cidrin; Escancil†; USA: Desoxyn. Methylamphetamine Hydrochloride; Phenylmethylaminopro- Bammer; Yank; Yankee; Yay; Yead Out; Yellow bam; Yellow pane Hydrochloride. (+)-N,α-Dimethylphenethylamine hydro- barn; Yellow jackets; Yellow powder; Zingin; Zip; Zoiks; Zoom. chloride. ⊗ Метамфетамина Гидрохлорид Pharmacopoeias. In Jpn and US. USP 31 (Methamphetamine Hydrochloride). White, odourless Ephedrone; Methylcathinone; Monomethylpropion. 2-(Methyl- C10H15N,HCl = 185.7. or practically odourless, crystals or crystalline powder. Freely amino)-1-phenyl-1-propan-1-one. CAS — 537-46-2 (metamfetamine); 51-57-0 (metamfet- soluble in water, in alcohol, and in chloroform; very slightly sol- C H NO = 163.2. amine hydrochloride). 10 13 uble in ether. Its solutions in water have a pH of about 6. Store in CAS — 5650-44-2. ATC — N06BA03. airtight containers. Protect from light. ATC Vet — QN06BA03. Adverse Effects, Treatment, and Precautions CH As for Dexamfetamine Sulfate, p.2153. 3 H CH N 3 Metamfetamine is subject to extensive abuse. N CH3 H 1,2 2,3 O CH3 Abuse. Pulmonary oedema, cardiomyopathy, and chore- oathetosis and rhabdomyolysis4 have occurred after smoking of (metamfetamine) metamfetamine crystals. It is also abused orally and intravenous- NOTE. The following terms have been used as ‘street names’ (see ly, and has been associated with fatalities.5 Dental problems such p.vi) or slang names for various forms of methcathinone: as rampant caries and tooth wear and fracture, colloquially Bathtub speed; Cadillac express; Cat; Catt; Cosmos; Crank; NOTE. The following terms have been used as ‘street names’ (see termed "meth mouth", have been reported with long-term Gagers; Gaggers; Go fast; Go-fast; Goob; Jee cocktail; Jeff; p.vi) or slang names for various forms of metamfetamine: abuse.6,7 A marked increase in prevalence of abuse in recent Khat; Mulk; Mulka; Qat; Slick superspeed; Sniff; Somali; Soma- 20/20; 222; Agua; Albino Poo; Alffy; All tweakend long; Amp; years, particularly in the USA, has led to increased research into li tea; Speed; Star; Stat; The C; Tweak; Tweek; Tweeker; Wild Anny; Anything going on; Bache knock; Bache rock; Bag chas- the consequences of such abuse and methods for manage- cat; Wonder star. ers; Baggers; Barney dope; Batak; Bathtub crank; Bato; Batu; 8-11 Batu kilat; Batunas; Batuwhore; Beannies; Beegokes; Bianca; ment. Profile Bikerdope; Billy; Bitch; Biznack; Black; Black beauty; Blade; Methcathinone, a methyl derivative of (p.2152), pro- A study of former users suggests that metamfetamine abuse may duces CNS stimulant effects similar to those of the amfetamines Blanco; Bling; Blizzard; Blue acid; Blue belly; Blue devils; Blue 12 funk; Blue meth; Bomb; Bombita; Bombitas; Boo; Booger; cause long-term neuronal damage. (see Dexamfetamine, p.2153) and is subject to abuse. Boorit-Cebuano; Boo-Yah!; Brian Ed; Brown; Buff stick; Bug- ◊ References. ger sugar; Buggs; Bump; Bumps; Buzzard dust; Caca; Cale 1. Nestor TA, et al. Acute pulmonary oedema caused by crystal- Gerst; Candy; Cankinstien; Cartwheels; CC; ChaChaCha; line methamphetamine. Lancet 1989; ii: 1277–8. 1. Belhadj-Tahar H, Sadeg N. Methcathinone: a new postindustrial drug. Forensic Sci Int 2005; 153: 99–101. Chach; Chalk; Chalk dust; Champagne; Chank; Cheebah; 2. Hong R, et al. Cardiomyopathy associated with the smoking of Cheese; Chicken; Chicken feed; Chicken flippin; Chikin; Chim- crystal methamphetamine. JAMA 1991; 265: 1152–4.