VAPING DANGER: A HIDDEN THREAT AMONG MALAYSIA’S YOUTH Over the past few years, there has been a rising trend of young adult vapers presenting to health clinics across Malaysia with signs and symptoms such as dizziness, vomiting, eye redness, abnormal behaviours and seizures. Publishing this case aims to raise awareness among primary care doctors regarding the latest trends in substance use among Malaysian young adults and school-aged teenagers. Without prior experience in managing addiction cases or a high index of suspicion for substance use, such cases are at risk of being misdiagnosed and mistreated, especially since many new psychoactive substances (NPSs) cannot be detected with standard urine drug test kits.

Major depressive disorder (MDD) is a common but complex illness that is frequently presented in the primary care setting. Managing this disorder in primary care can be difficult, and many patients are underdiagnosed and/or undertreated. The Malaysian Clinical Practice Guidelines (CPG) on the Management of Major Depressive Disorder (MDD) (2nd ed.), published in 2019, covers screening, diagnosis, treatment and referral (which frequently pose a challenge in the primary care setting) while minimising variation in clinical practice.
Depression ; Depressive Disorder, Major ; Primary Health Care ; Therapeutics