2007
DOI: 10.1176/ajp.2007.164.1.173a
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Intravenous Quetiapine-Cocaine Use (“Q-Ball”)

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Cited by 42 publications
(18 citation statements)
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“…Ours is one of the few qualitative studies that examine misuse of quetiapine among drug users (Incardi et al, 2007;Kecojevic et al, 2015;Malekshahi, Tioleco, Ahmed, Campbell & Haller, 2015). Since quetiapine obtained market approval in 1997, there has been an increasing number of case reports suggesting it has a misuse/abuse potential (Haridas et al, 2010;Hussain et al, 2005;Keltner & Vance, 2008;Morin, 2007;Murphy, Bailey, Stone & Wirshing, 2008;Pierre, Shnayder, Wirshing & Wirshing, 2004;Pinta & Taylor, 2007;Reeves & Brister, 2007;Waters & Joshi, 2007). Several reports have emphasized that individuals in institutional settings (psychiatric units and prisons) show drug-seeking behaviours or mimic psychiatric symptoms to obtain quetiapine, and use alternative routes to administer it.…”
Section: Discussionmentioning
confidence: 99%
“…Ours is one of the few qualitative studies that examine misuse of quetiapine among drug users (Incardi et al, 2007;Kecojevic et al, 2015;Malekshahi, Tioleco, Ahmed, Campbell & Haller, 2015). Since quetiapine obtained market approval in 1997, there has been an increasing number of case reports suggesting it has a misuse/abuse potential (Haridas et al, 2010;Hussain et al, 2005;Keltner & Vance, 2008;Morin, 2007;Murphy, Bailey, Stone & Wirshing, 2008;Pierre, Shnayder, Wirshing & Wirshing, 2004;Pinta & Taylor, 2007;Reeves & Brister, 2007;Waters & Joshi, 2007). Several reports have emphasized that individuals in institutional settings (psychiatric units and prisons) show drug-seeking behaviours or mimic psychiatric symptoms to obtain quetiapine, and use alternative routes to administer it.…”
Section: Discussionmentioning
confidence: 99%
“…52 Similarly, atypical antipsychotics, specifically quetiapine, olanzapine, and risperidone are mentioned in association with methadone and buprenorphine use. Que-tiapine has been reported to be abused by injection and nasal insufflation, particularly with cocaine in a combination referred to as a “Q-ball.” 53 It is an inhibitor of CYP 450 2D6 and is an inhibitor of the efflux transporter p-glycoprotein. 54 Quetiapine should not be considered a first-line treatment of anxiety or psychosis in methadone or buprenorphine-maintained patients.…”
Section: Discussionmentioning
confidence: 99%
“…Other types of substances or medications, both new (Spice [synthetic cannabinoid][113,114]) and old (quetiapine [Seroquel ® ][115] and carisoprodol [Soma ® ][116]), have potential for abuse as well and can typically be tested through LC‐MS/MS.…”
Section: Introductionmentioning
confidence: 99%