Synthetic cannabinoids may be adulterated with potent vitamin K antagonists, which should be considered if a patient presents with unexplained coagulopathy, widespread bleeding, and a history of synthetic cannabinoid use.
History
Citation
Godwin, P. O., Unterman, S., Elfessi, Z. Z., Bhagat, J. D.Kolman, K. (2019). Management of Rodenticide Poisoning Associated with Synthetic Cannabinoids. Federal Practitioner, 36(5), 237-241. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/31138978