Narcosis produces a state similar to drunkenness (alcohol intoxication), or nitrous oxide inhalation. Severe cases of alkaloid intoxication may prove fatal. Narcosis is known to be additive to even minimal alcohol intoxication. Breath test is a widespread method for quickly determining alcohol intoxication. Management of alcohol intoxication involves supportive care. Couch was charged with four counts of intoxication manslaughter and two counts of intoxication assault. The same principle applies to alcohol intoxication. His blood alcohol level at the time measured three times the limit for legal intoxication. Effects include alcoholic intoxication and high anion gap metabolic acidosis. He died from acute drug intoxication and heart disease. The number of instances of fatal MDMA intoxication is low relative to its usage rates. Khamr is the Arabic word for alcoholic drinks that cause intoxication. They were pathologized and merely seen as symptoms of intoxication or demonic possession. This may convey a sense of confusion, intoxication, or another unusual mental state. Pfaff's death was attributed to "acute opiate intoxication".