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It is primarily inhale via smoking the chemical after its mix with plant material or by vaping it after formulation in liquid. It is being sold and market under a variety of different brands without advertising it’s key ingredient, MDMB-4en-PINACA. Results from toxicology testing along with case history reveal the potential for MDMB-4en-PINACA to cause or contribute to impairment or death. Autopsy findings have included brain edema, internal congestion, petechial bleeding, pleural ecchymoses, and blood fluidity.

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Moreso, MDMB-4en-PINACA is a new synthetic indazole cannabinoid. In addition, MDMB-4en-PINACA is analogous to 5F-MDMB-PINACA and has a similar molecular structure. MDMB-4en-PINACA might display high affinity for peripheral CB1 and CB2 cannabinoid receptors. MDMB-4en-PINACA is market online as the designer drug cannabinoid. buy mdmb-4en-pinaca

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Health Effects • These symptoms have been report from synthetic cannabinoid exposure: cardiovascular effects (elevated blood pressure, fast heart rate, heart attack, or stroke), rapid loss of consciousness, unresponsiveness, seizures, vomiting, delirium, psychosis, and aggressive and violent behavior. • Severe poisoning is more common with synthetic cannabinoids and can cause death. In most of the reported deaths, it was mixed in with other substances, such as fentanyl, heroin, and other opioids. Buy mdmb-4en-pinaca​

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How to identify synthetic cannabinoids • Synthetic cannabinoids appear as a yellowish powder and blend in to other illicit powder street drugs. • Samples have  both in powder form and in the residue of cookers and cottons use for preparing drugs for consumption.

• Media and poison control reports indicate that synthetic cannabinoids are usually sprayed onto plant material and smoke. They can also be vape, injected or consume orally.

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