Salvia divinorum is a perennial herb that can produce hallucinations. It is not listed in the Controlled Substances Act.
Distribution: Mexico, Central and South America. Also now grown in the United States.
Toxin class: thujone (nitrogen-containing terpenoid). Thujone is also present in sage (Salvia officinalis L).
Specific toxin: salvinorin A (also called divinorin A), a neoclerodane diterpene
The plant is intentionally smoked.
Clinical effects include hallucinations and altered consciousness similar to THC. If chronically abused then the clinical findings (restlessness, delirium, psychosis, convulsions) of absinthism (above) could occur.
The evaluation may be complicated if the patient has ingested other intoxicants.
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