Article Text

Download PDFPDF
Ivory wave: the next mephedrone?
  1. Mark Durham
  1. Correspondence to Mark Durham, C/O Brighton Ambulance Station, Elm Grove, Brighton BN2 3EU, UK; mark.durham{at}


Background Since the classification of miaow miaow (mephedrone) as a class B drug in April this year, a new drug is emerging as a so-called ‘legal high’. Deaths have already been attributed to ivory wave in different parts of the country.

Method A case study is presented, and relevant literature is explored in order to better understand the drug and its effects in the human body.

Results Overstimulation of the nervous system can cause acute paranoid psychosis, dizziness, hyperthermia and potential fitting. Effects on the cardiovascular system include tachycardia, chest pains, S-T segment changes, and blood pressure variations with potential renal implications.

Conclusion Ivory wave's popularity seems to be growing and it seems quite plausible that this drug could become ‘the next mephedrone’. Clinicians should be aware of its likely presentations, dangers, and management.

  • Ivory wave
  • legal high
  • bath salts
  • substance abuse
  • poisoning
  • mental health
  • drug abuse

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

Linked Articles

  • Primary survey
    Malcolm Woollard