The clinical manifestations of LSD intoxication often include an early stage of nausea followed 45-60 minutes after dosage by a confused state in which delusions and hallucinations are common but not always experienced. There is some evidence that the effects may be held off, at least for a time, by determination to continue duty and that the presence of non-intoxicated comrades enables affected subjects to maintain contact with reality. Hyperthermia has been reported. Subjectively, feelings of tension, heightened awareness, exhilaration, kaleidoscopic imagery, emotions of every type, hilarity and exultation are characteristic. Paranoid ideas and more profound states of terror and ecstasy may also occur, especially in highly suggestible individuals.
True hallucinations are rare, as is homicidal or suicidal behaviour.
No true antagonist to the indoles is as yet known. Chlorpromazine has also been suggested but does not appear to have any advantage over these drugs. Course and Prognosis. Unfamiliar agents or mixtures of agents may be encountered in future battlefield situations. In such instances, the general principles of restraint, close observation and supportive medical care apply.