Table 1. Summary of both patient cases.

F: female, GCS: Glasgow Coma scale, ED: emergency department, 5-Fluoro-MDMB-PICA: methyl (2S)-2-{[1-(5-fluoropentyl)-1H-indole-3-arbonyl]amino}-3,3-dimethylbutanoate.

Case	Age (years)/Sex	Symptoms and Clinical Presentation	Management	Disposition From ED	Length of Hospital Stay and Outcome	Significant Blood Toxicology Findings	Significant Urine Toxicology Findings
1	67/F	Seizures, drowsiness with low GCS, hypotension	Fluid boluses, transient use of dopamine, antibiotics for aspiration pneumonia	Internal medicine general ward	87 hours, Discharged home	Nil	5-Fluoro-MDMB-PICA-ester hydrolysis metabolite, acetone
2	79/F	Syncope, vomiting, drowsiness with low GCS	Symptomatic, antibiotics for aspiration pneumonitis	Internal medicine general ward	27 hours, Discharged home	Nil	5-Fluoro-MDMB-PICA-ester hydrolysis metabolite