|Beitragstitel||Choco snuff: case report and literature review.|
Novel Psychoactive Drugs (NPS) has rapidly increased in the last years in the drug market as a ricreational use . Chocolate alone activating similar brain regions and neurobiological substrates with potentially similar psychoactive effects as substances of abuse . Chocolate powder, specifically an "infused raw cacao snuff" containing cacao powder along with the energy-drink staples gingko biloba, taurine, and guarana, is entered in the market and it’s used by snorting with others psychoactive drugs to abuse. This is a novel psychoactive drugs that is emerged recently in the market and named Choco Loko: however, they may pose larger risks, due to the limited knowledge about them, their relatively low price and availability, as well as it’s use is to getting high. The purpose of this report is to review the clinical evidence for the potential of abuse of Choco Loko. We propouse a case report and literature review.
We conducted a systematic review of the literature with the principal database (PubMed, Enbase, PsychInfo) and we present a case report.
The effects of Choco prowder is characterized by euphoria, frenzy, psychomotor activation, strong feeling of well-being, increase of energy, reduction of fatigue, insomnia as well as like a full-blown episode of hypomania.
Discussion and conclusion
To our knowledge in the literature there are no studies about Choco snorting. In our case report the clinical features were also similar to effects from other analogues novel psychoactive drugs. In our case euphoria, frenzy, psychomotor activation, strong feeling of well-being, increase of energy, reduction of fatigue, insomnia as well as like a full-blown episode of hypomania were observed . Further research is warranted to replicate our clinical and qualitative observations and, in general, quantitative studies in large samples followed up over time are needed. Methodological limitations, clinical implications and suggestions for future research directions are considered.
 Scherbaum N, et al., 2017;
 Casperson SL, et al., 2019;
 Acciavatti T, et al., 2017;