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Dystonia not dystopia: effects of the legal high, ‘Clockwork Orange’
  1. Helen Elizabeth Mackey,
  2. Oliver Hawksley
  1. Department of Emergency Medicine, Milton Keynes Hospital, Milton Keynes, UK
  1. Correspondence to Dr Helen Elizabeth Mackey, hmackey{at}


A 27-year-old man presented to hospital after smoking a legal high named ‘Clockwork Orange’. He suffered dystonia, acute kidney injury, rhabdomyolysis, lactic acidosis and a troponin rise. He was treated with procyclidine and intravenous fluids.

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