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Gamma-hydroxybutyric acid is an allegedly benign illicit substance that is gaining increasing recognition and attention among substance abusers and athletes. Alongside foreign-made brands, the compound is also easily available, at low cost because Of the facility with which it can be produced in one's kitchen. Named by some 'Nature's Quaalude' or sold as a health product, it is often used with a false sense of security as it may cause serious and disabling complications, as illustrated by this clinical vignette. Key Words: Gamma-hydroxybutyrate; Hydrocodone; Intoxication; Nature's Quaalude; Psychosis, INTRODUCTION Complications from the use of illicit types of GHB have been reported with increasing frequency in California (1). The drug's use is now expanding to the eastern United States [...]