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Case Reports in Psychiatry
Volume 2017, Article ID 2319094, 4 pages
Case Report

“Being with a Buddha”: A Case Report of Methoxetamine Use in a United States Veteran with PTSD

1Department of State Hospitals, Salinas Valley Psychiatric Program, 31625 Highway 101, P.O. Box 1080, Soledad, CA 93960, USA
2Department of Psychiatry, University of California, 401 Parnassus Avenue, San Francisco, CA 94143, USA
3San Francisco Veterans Affairs Medical Center, OTP Clinic, 4150 Clement Street, Building 1, Ground Floor, Room 24, San Francisco, CA 94121, USA

Correspondence should be addressed to Raj K. Kalapatapu; moc.liamg@k.jar.upatapalak

Received 15 December 2016; Accepted 11 January 2017; Published 29 January 2017

Academic Editor: Liliana Dell’Osso

Copyright © 2017 Joan M. Striebel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Methoxetamine (MXE) is a ketamine analogue with a high affinity for the N-methyl-D-aspartate (NMDA) receptor. MXE is a newly emerging designer drug of abuse and is widely available through on-line sources and is not detected by routine urine drug screens. In this report, we describe a United States (US) veteran with posttraumatic stress disorder (PTSD) and heavy polysubstance use, who injected high dose MXE for its calming effect. Given MXE’s structural similarities to ketamine and recent work showing that ketamine reduces PTSD symptoms, we hypothesize that MXE alleviated this veteran’s PTSD symptoms through action at the NMDA receptor and via influences on brain-derived neurotrophic factor (BDNF). To our knowledge, this is the first case report of self-reported use of MXE in the US veteran population. More awareness of designer drugs, such as MXE, is an important first step in engaging patients in the treatment of designer drug addiction in both military/veteran settings and civilian settings.