Abuse of tropicamide eye drops: review of clinical data

Over the past 15 years, the increasing nonmedical use of tropicamide ophthalmic drops has been reported in Europe, coinciding with an increase in opioid addiction and drug-related mortality. Although tropicamide is generally known as a cheap alternative to heroin in Eastern Europe, it still appears to be a relatively new phenomenon that has arisen over the last decade. A narrative review was conducted of all the relevant sources published in more than five countries between January 1, 1975 and January 10, 2021. For bibliographic accuracy, the materials published in Russian and Italian were professionally translated to English. During the preparation of this report, we were able to interview five Russian-speaking patients who injected tropicamide in the past and we discuss another case of intravenous tropicamide use. This review was acknowledged by the institutional review board of the University of Missouri-Kansas City. All patients interviewed at the Unica Medical Center consented for their clinical information to be reported in a medical publication. We analyzed data from 50+ various sources and covered a variety of drug-related issues, including information on the extent, patterns, and trends in tropicamide use, its health consequences, and other clinical findings. The information provided in this article may help providers better detect tropicamide abuse and incorporate new rehabilitation strategies into the management of these patients.

Abuse of tropicamide eye drops: review of clinical data.

Over the past 15 years, the increasing nonmedical use of tropicamide ophthalmic drops has been reported in Europe, coinciding with an increase in opioid addiction and drug-related mortality. Although tropicamide is generally known as a cheap alternative to heroin in Eastern Europe, it still appears to be a relatively new phenomenon that has arisen over the last decade. A narrative review was conducted of all the relevant sources published in more than five countries between January 1, 1975 and January 10, 2021. For bibliographic accuracy, the materials published in Russian and Italian were professionally translated to English. During the preparation of this report, we were able to interview five Russian-speaking patients who injected tropicamide in the past and we discuss another case of intravenous tropicamide use. This review was acknowledged by the institutional review board of the University of Missouri-Kansas City. All patients interviewed at the Unica Medical Center consented for their clinical information to be reported in a medical publication. We analyzed data from 50+ various sources and covered a variety of drug-related issues, including information on the extent, patterns, and trends in tropicamide use, its health consequences, and other clinical findings. The information provided in this article may help providers better detect tropicamide abuse and incorporate new rehabilitation strategies into the management of these patients.

Use of plastic films in grain stores.

A laboratory study of wheat stored at two different levels of moisture content with and without presence of Sitophilus zeamais Motschulsky was performed. Flexible PVC and polythene films as seals were used in order to examine their effectiveness to maintain the wheat quality by comparing changes in moisture content, germination and weight loss. The PVC film showed a high water vapor permeability and it behaved as the permeable muslin control, keeping the grain quality in all tested conditions. The polythene film showed a low water vapor permeability and it allowed the insects development. It seems that plastic films may be useful in grain stores bearing in mind their properties, adequate sealing and protecting them from insect damage, besides they should be selected according to environmental conditions.

Use of plastic films in grain stores

A laboratory study of wheat stored at two different levels of moisture content with and without presence of Sitophilus zeamais Motschulsky was performed. Flexible PVC and polythene films as seals were used in order to examine their effectiveness to maintain the wheat quality by comparing changes in moisture content, germination and weight loss. The PVC film showed a high water vapor permeability and it behaved as the permeable muslin control, keeping the grain quality in all tested conditions. The polythene film showed a low water vapor permeability and it allowed the insects development. It seems that plastic films may be useful in grain stores bearing in mind their properties, adequate sealing and protecting them from insect damage, besides they should be selected according to environmental conditions

Cutaneous larva migrans in northern climates. A souvenir of your dream vacation.

Three young women recently returned to the metropolitan Detroit area with cutaneous larva migrans. All three had vacationed at a popular club resort on the Caribbean island of Martinique. Cutaneous larva migrans is frequently seen in the southern United States, Central and South America, and other subtropical areas but rarely in northern climates. Several organisms can cause cutaneous larva migrans, or creeping eruption. The larvae of the nematode Ancylostoma braziliense are most often the causative organisms. Travel habits of Americans make it necessary for practitioners in northern climates to be familiar with diseases contracted primarily in warmer locations. The life cycle of causative organisms and current therapy are reviewed.