Inhaling muscle spray: A rising trend of abuse

Table 2 Systemic side-effects of ethyl chloride abuse

System involved	Effects
Neurological	Euphoria; visual hallucinations; confusion; dizziness; impaired short-term memory; ataxia; nystagmus; dysarthria; lack of muscle coordination; grand mal seizure; unconsciousness
Respiratory	Respiratory paralysis (rare)
Cardiovascular	Cardiac depression; sensitization to endogenous and exogenous epinephrine; ventricular tachycardia; ventricular fibrillation; asystole
Gastrointestinal	Abdominal cramps; nausea/vomiting
Hematological	Cyanosis
Hepatic	Hepatomegaly; transient deranged liver function test; elevated serum alanine aminotransferase
Ocular	Mild eye irritation
Dermal	Contact dermatitis (rare)