Parachuting (also called
bombing) is a method of drug delivery where illicit drugs or medicines are
ingested after wrapping the substance. There is little data describing
parachuting in the literature.
To provide a description of this practice, all
cases of parachuting reported to the national addictovigilance network up to 31
December 2014 were identified from spontaneous reports and specific
surveillance programs. Cases were described according to the type of substance
used, patient age and gender, type of complications, context of use, and year
of the event.
Forty-five cases of parachute use were identified and most (n=43)
occurred after 2011. Patients were mostly men (60%) and mean age was 28.9
years. The context of use, known in 19 cases, was mostly recreational.
Complications were present in 24 cases, of which 8 were serious. The substance
was supposed to be 3,4-methylenedioxymethamphetamine (MDMA) in the majority of
cases (64.4%); research chemicals were more involved in the most recent years.
The physical form was mainly granular (51.6%). The wrappers were a cigarette
paper (9 cases) and in one case plastic package; in the other cases, the term
of parachute was used without further details.
The reason for use was not
explained in the majority of cases; two patients indicated using a parachute
for faster effect than with a methadone capsule.
Clinicians should be aware of
this delivery form as the results suggest that it is common and can involve a
great variability of drugs
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By:
- 1Centre d'Addictovigilance, Service de Pharmacologie Médicale, CHU de Bordeaux, INSERM, U657, Bordeaux, F-33000.
- 2Centre d'Addictovigilance, Département de Pharmacologie Médicale et Toxicologie, CHU de Montpellier, Montpellier, F-34000.
- 3Centre d'Addictovigilance, CHU de Lyon, Lyon, F-69000.
- 4Centre d'Addictovigilance, Service de Pharmacologie, CHU de Clermont-Ferrand, Clermont-Ferrand, F-63000.
- 5Centre d'Addictovigilance, Département de Pharmacologie, CHRU de Lille, Lille, F-59037.
- 6Centre d'Addictovigilance PACA Corse, Service de Pharmacologie Médicale et Clinique, AP-HM, Marseille, F-13005.
- 7Centre d'Addictovigilance, Département de Pharmacologie Clinique, CHU de Nantes, Nantes, F-44000.
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