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The scenario presented in the box ‘Information for patients who ask about NPS’ is extraordinary. Can you imagine a patient making an appointment to see his or her GP and then saying something like: ‘Doctor, I’m think of using a “legal high” at a party this weekend. Could you please advise me how to do it.’
Despite a large part of the article being taken up with a discussion of the risks of these substances, this is the advice: ‘If using a novel substance, as with any drug, start with a very small dose and increase to obtain the desired effects.’
There is only one word a doctor should say to anyone planning to use such drugs: Don’t.