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seeing sounds) patient may be confused or disoriented, have distorted perceptions & impaired judgment mydriasis, tachycardia, mild hypertension & tachypnea, tremor patients may present themselves to the Emergency Department after having had a bad trip (uncomfortable hallucination) flashbacks occur in most patients who have taken LSD more than 10 times intoxication usually lasts 8-12 hours, but psychotic behavior may persist for days Treatment: primarily supportive care (talking down the patient) & benzodiazepines (diazepam) to decrease agitation haloperidol for acute psychosis References: Olson KR (2007): Poisoning & Drug Overdose