These Four male young adults (aged 18–19) simultaneously offered on the ED with altered mental status, tachycardia, and psychomotor agitation after either insufflating or ingesting 25I-NBOMe, bought by a vendor who acquired it from the net. 3 developed seizures, and necessary sedation and intubation. 1 gained hemodialysis for severe rhabdomyolysis https://www.thedutchcartel.com