Search
Cheese Heroin: a slang term for the combination of heroin with an over-the-counter antihistamine
- The two are combined and forms a cheesy like powder that is different from pure heroin
- A string of deaths were reported between 2005-2007 in Texas, many adolscents
- This concoction is more often insufflated than smoked or injected
- Combines opioid effect with the anticholinergic confusion and hallucinations
- Scorpion was a heroin that was combined with scopolamine that had similiar effect
Treatment
- Find the anticholinergic toxidrome, place the foley and supportive care are mainstays
- Consider administration of physostigmine 1mg IV slowly over 2-5 minutes (call toxicologist)
- The anticholinergic effects will linger much longer than the heroin effects ( <1hr)