II. Background

  1. Class
    1. Dissociative Agent and Hallucinogen
    2. Schedule II
  2. Street Names
    1. Angel dust
    2. Hog
    3. Horse Tranquilizer

III. Pharmacokinetics

  1. PCP (2-10 mg): 3-18 hour duration

IV. Signs

V. Labs

VI. Differential Diagnosis

  1. See Hallucinogen
  2. Dextromethorphan Toxicity may have similar effect (and a False Positive urine tox for PCP)

VII. Management: Toxicity

  1. See Toxin Ingestion
  2. Supportive care
  3. Consider Restraints for Violent Behavior
    1. Physical Restraints (with one-to-one monitoring)
    2. Chemical Restraints
  4. Benzodiazepines
  5. External cooling
  6. Status Epilepticus management (if Seizures occur)
  7. Dantrolene (Muscle Relaxant) Indications
    1. Severe hyperthermia
    2. Rhabdomyolysis

VIII. References

  1. Tagliaferro (2023) Crit Dec Emerg Med 37(1): 21-9

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Related Studies

Ontology: Phencyclidine (C0031381)

Definition (NCI) Developed as an anesthetic for humans in 1959. Its use was discontinued due to extreme side effects that included delirium, confusion, visual disturbances, hallucinations and violence; some evidence of long-term memory disorders and schizophrenia-like syndrome has been observed. Phencyclidine, a substance of abuse also know as 'angel dust', can cause physical and psychological distresses, such as coma, seizures, convulsions, respiratory depression, and cardiac problems.
Definition (MSH) A hallucinogen formerly used as a veterinary anesthetic, and briefly as a general anesthetic for humans. Phencyclidine is similar to KETAMINE in structure and in many of its effects. Like ketamine, it can produce a dissociative state. It exerts its pharmacological action through inhibition of NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE). As a drug of abuse, it is known as PCP and Angel Dust.
Definition (PSY) Piperadine having hallucinogenic, anesthetic, and analgesic properties.
Definition (CSP) this drug is both a legitimate prescription anesthetic and a notoriously abused street drug also known as "angel dust."
Concepts Organic Chemical (T109) , Pharmacologic Substance (T121)
MSH D010622
SnomedCT 228996005, 9721008
LNC LP14566-1, MTHU001586
English 1-(1-Phenylcyclohexyl)piperidine, Phencyclidine, Angel Dust, Dust, Angel, phencyclidine, Piperidine, 1-(1-phenylcyclohexyl)-, Phencyclidine substan of abuse, Phencyclidine substance of abuse, PCP - Phencyclidine, PHENCYCLIDINE, Phencyclidine [Chemical/Ingredient], angel dust, phencyclidines, phencyclidine(PCP), phencyclidine (Schedule I substance), Phencyclidine substance of abuse (substance), PCP, Angel dust, Phencyclidine (substance)
Swedish Fencyklidin
Czech fencyklidin
Finnish Fensyklidiini
Russian SERNIL, FENTSIKLIDIN, FENTSIKLIDINGIDROKHLORID, СЕРНИЛ, ФЕНЦИКЛИДИН, ФЕНЦИКЛИДИНГИДРОХЛОРИД
Italian 1-(1-Fenil cicloesano)piperidina, Polvere d'angelo, Fenciclidina
Polish Fencyklidyna
Japanese フェンサイクリジン, フェンシクリジン
Spanish abuso de enciclidina, abuso de enciclidina (sustancia), fenciclidina (sustancia), fenciclidina, polvo de ángel, Fenciclidina
French Phencyclidine
German Phencyclidin
Portuguese Fenciclidina