Scopolamine (Devil’s Breath) Addiction Guide: Signs, Risks & Treatment Options

   Oct. 13, 2025
   6 minute read
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Last Edited: October 13, 2025
Author
Patricia Howard, LMFT, CADC
Clinically Reviewed
Mark Frey, LPCC, LICDC, NCC
All of the information on this page has been reviewed and certified by an addiction professional.

Scopolamine addiction doesn’t look like a party drug—it looks like confusion, memory loss, and real danger. On the street, devil’s breath is linked with blackouts and risky behavior because scopolamine is a powerful anticholinergic. Even small amounts can trigger delirium and dangerous dehydration; larger doses can lead to overdose, injury, or hospitalization—especially if mixed with alcohol or sedatives. Poison centers log thousands of anticholinergic exposures each year in the U.S., and emergency departments continue to see rising polysubstance cases. If you’re worried, this guide explains signs & symptoms, risks, withdrawals, effective treatment, and how to find insurance accepted rehab fast.

What Is Scopolamine (Devil’s Breath)? Street Names, Forms & Why It’s So Risky

Scopolamine (also known as hyoscine) blocks acetylcholine, a key brain messenger for memory, vision, and body temperature. In medicine, it’s used for motion sickness and as a pre-procedure sedative (think Transderm Scop patches). On the street, it’s sometimes sold or talked about as “devil’s breath,” “burundanga,” “scop,” “hyoscine,” or simply “patches.” It may appear as tablets, powders, liquids, or crushed patches—sometimes mixed with alcohol, benzos, or other drugs. Labels and appearances can be faked; potency can vary widely from batch to batch.

Why the danger escalates fast

  • Delirium + amnesia: people lose orientation, judgment, and short-term memory.
  • Overheating & dehydration: anticholinergics raise body temperature and dry you out—crowded parties or hot weather make it worse.
  • Eye & heart effects: dilated pupils, blurred vision, fast heart rate, and dizziness can lead to falls and crashes.
  • Mixing risk: alcohol, benzodiazepines, opioids, or cannabis increase confusion and slow reactions—raising the chance of injury or overdose.
  • Counterfeits: some “devil’s breath” products contain other drugs or higher doses than expected.

Data snapshot (big picture)

  • U.S. poison centers record millions of calls each year across substances; anticholinergic exposures number in the thousands and require medical evaluation.
  • National dashboards still track tens of thousands of drug overdose deaths yearly; many involve more than one drug.
  • Heat and dehydration contribute to drug-related emergencies during festivals and summer months.

Scopolamine Addiction (Devil’s Breath): Signs & Symptoms, Risks & Overdose

Behavioral signs & symptoms

  • Taking scopolamine without a prescription or in higher doses than directed
  • Using to “knock out,” to self-medicate anxiety, or to forget painful events
  • Mixing with alcohol or sedatives to intensify calm or sleep
  • Hiding pills/patches, buying online or from friends, unexplained memory gaps
  • Missing work/school, sudden money problems, risky or out-of-character behavior

Physical signs & symptoms

  • Dry mouth and skin, very dilated pupils, blurred or double vision
  • Flushed face, reduced sweating, high body temperature
  • Fast heart rate, dizziness, unsteady gait
  • Confusion, agitation, hallucinations, disorientation, trouble speaking
  • Urinary retention or constipation, nausea, and vomiting

Short- and long-term risks

  • Injuries & accidents: falls, traffic crashes, burns, drowning—often during delirium
  • Heat illness: heat exhaustion or heat stroke during hot weather or dancing/working out
  • Rhabdomyolysis: severe overheating can break down muscle and strain kidneys
  • Psychiatric impacts: anxiety, depression, or lingering sleep problems after heavy use
  • Legal & counterfeit risks: off-market products may hide other harmful drugs

Overdose—what to look for and what to do

  • Severe agitation or, conversely, extreme drowsiness
  • Very hot, dry skin; red face; pupils wide open; rapid heartbeat
  • Confusion, hallucinations, seizures, or collapse
  • Act now: Call 911. Move the person to a cool area, loosen clothing, and avoid giving more substances. If you suspect other drugs—especially opioids—are involved, administer naloxone (Narcan) and repeat as directed; it won’t reverse scopolamine but can reverse hidden opioids. Place the person in the recovery position and stay until help arrives.

Withdrawals & Detox: What Early Recovery Feels Like

Not everyone develops classic withdrawals, but frequent heavy use can lead to rebound symptoms when stopping:

Common withdrawal experiences

  • Anxiety, restlessness, irritability
  • Insomnia and vivid dreams
  • Nausea, headache, sweating, chills
  • Sensory sensitivity, low mood, and cravings
  • Temporary “brain fog” or concentration problems

Why medical support helps

  • Anticholinergic effects can mask dehydration, infections, or heart problems—medical teams can rule out emergencies.
  • Overlapping substance abuse (alcohol, benzos, opioids, stimulants) changes the withdrawal picture and may require specific care.
  • Short-term, non-addictive medications and sleep strategies reduce discomfort and risk.

Detox basics

  • Avoid “DIY” fixes or mixing with other drugs.
  • Hydrate, add electrolytes, and keep cool; aim for gentle movement and regular meals.
  • Build a two-week plan with check-ins; remove triggers and unsafe contacts.
  • Ask about support for sleep and anxiety while your system resets.

Treatment That Works + True Stories of Addiction

There’s no one-size-fits-all plan, but effective treatment is personalized, practical, and safety-first.

1) Assessment & stabilization
A clinician reviews all substances, mental health, sleep, medications, heat/exertion risks, and any fainting or injury history. They’ll check vitals, hydration, and orientation, and create a safety plan if access to high-risk products continues.

2) Choose the right level of care

3) Evidence-based care components

  • Medication strategy: manage agitation, insomnia, and mood with safer, non-addictive options; treat co-occurring conditions (anxiety, depression, PTSD).
  • Therapies:
    • Cognitive Behavioral Therapy (CBT): map triggers (stress, parties, grief), build coping and refusal skills.
    • Motivational Interviewing (MI): align change with your goals—no shame approach.
    • Contingency Management (CM): rewards for healthy steps and negative drug screens.
  • Harm reduction: hydration/cooling plans for hot settings, don’t use alone, avoid mixing with alcohol/sedatives, carry naloxone if opioids might be present.
  • Relapse prevention: identify cue times (weekends, travel, social events), set boundaries, use one prescriber/one pharmacy for any medications, and schedule follow-ups for 6–12+ months.

True Stories of Addiction (Video) — add this to your page
Real people move from confusion and chaos to clarity and calm. Featuring a short story from our True Stories of Addiction series can help visitors see what change looks like and how support actually works.

Sherri turned to prescription pills and heroin to numb the feeling of her internal struggles with yourself and her place in the world. Heavy drinking and drug experimentation lead her to painkillers and heroin. Struggling with her addiction, she gave drug rehab a try and by working hard at her recovery she is able to see her child and achieve millstones for a better life.

Your next step starts now
If you’re seeing signs & symptoms, feeling stuck in withdrawals, or scared about risks or overdose, you’re not alone—and help works. Compare programs in our directory—including insurance accepted rehab options—or talk to someone who understands what you’re facing.

Search our directory for treatment options or call our hotline at (866) 578-7471 for confidential help right now.

Frequently Asked Questions
What is scopolamine (Devil’s Breath), and why is it risky when misused?
Scopolamine is a strong anticholinergic used for motion sickness and anesthesia care. Misuse—taking high doses, chewing/cutting patches, using plant sources, or mixing with alcohol, opioids, or benzodiazepines—can cause sudden confusion, memory loss, overheating, slowed breathing, and overdose.
What are common street names and sources?
People may say “devil’s breath,” “burundanga,” “scope/scopo,” or “hyoscine.” Sources include prescription transdermal patches, tablets, and certain plants like Datura and Brugmansia (very unpredictable and dangerous).
What early signs & symptoms suggest a problem?
Using more or more often than prescribed, running out early, experimenting with patches or plant material, and substance abuse with other drugs. Physical signs & symptoms include dry mouth/skin, big pupils, blurred vision, hot/flushed skin, fast pulse, dizziness, confusion, agitation, and memory gaps.
How can I recognize an overdose, and what should I do right now?
Overdose signs: extreme confusion or unresponsiveness, very hot skin, rapid heartbeat, severe agitation, seizures, snoring/gurgling sounds, pale or blue lips. Call 911 immediately, move to a cool place, loosen tight clothes, and place the person in the recovery position. If opioids may be involved, give naloxone (Narcan) and repeat as directed.
Do withdrawals happen with scopolamine?
Yes. Withdrawals and rebound symptoms can include anxiety, insomnia, irritability, headache, nausea, sweating, tremor, and mood swings. A medical plan helps manage symptoms and lowers relapse risk—especially if other substances are also in the picture.
Who is at higher risk for harm?
Anyone mixing with alcohol, opioids, or benzodiazepines; people using in hot settings; those with heart disease, glaucoma, or urinary retention; and anyone using alone or experimenting with plant extracts.
What does effective treatment include?
A safety-first treatment plan: medical assessment, cooling/hydration if needed, symptom-targeted care (for sleep, anxiety, stomach upset), and the right level of care—inpatient/residential, PHP/IOP, or outpatient. Evidence-based therapies (CBT, Motivational Interviewing, Contingency Management), plus plans for triggers and safer motion-sickness options, are key. Many programs are insurance accepted rehab and can verify benefits quickly.
How can families help today?
Stay calm and specific about safety concerns. Remove patches/plant products, help check insurance benefits, schedule an assessment, learn overdose response (and have naloxone if opioids might be present), and support steady sleep, hydration, and follow-ups.
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