Frog sweat misuse – emerging evidence from India

Abstract

Background: Cutaneous secretion of frogs (Kambo) have been reported to be misused for its opioid-like psycho-active effects, mostly from the Amazonian basin of Brazil and Peru. This is a unique case of frog sweat misuse in a middle-aged male with opioid dependence from India.

Case description: A middle aged male presenting with symptoms of opioid withdrawal reported using frog sweat as an alternate, long-acting form of opioid in a dependent manner, for its much stronger psychoactive effect. Assessment and management using opioid substitution therapy along with motivational enhancement therpay have been discussed.

Conclusion: Frog sweat (kambo) misuse is an emerging health risk in India along with different parts of the world and warrants reseach on epidemiology, clinical presentation, management guidelines along with its public health impact for effective regulation and control.