Not detected on routine drug screens
Evaluate for other organic causes of hallucinations or hyperadrenergic symptoms
Evaluate for co-ingestions
Mescaline toxicity
Serotonin-Like Agents
Xylazine toxicity
Lysergic acid diethylamide 
Acetaminophen toxicity
Psilocybin 
Tianeptine toxicity
N,N-Dimethyltryptamine 