Poisoning with Over-the-Counter Doxylamine Preparations: An Evaluation of 109 Cases:

作者: C. Köppel , J. Tenczer , K. Ibe

DOI: 10.1177/096032718700600503

关键词:

摘要: One hundred and nine cases of monointoxication with doxylamine were evaluated respect to age distribution, amount ingested, plasma level, clinical symptomatology. The 60% the patients ranged between 16 30 years. In about 10 40 times a single therapeutic dose (25 mg) was ingested. Doxylamine concentrations exceeded maximum level after by factor in two-thirds cases. most frequent symptoms included impaired consciousness, seizures, tachycardia, mydriasis 'psychosis' similar that catatonic stupor. A serious complication may be rhabdomyolysis subsequent impairment renal function acute failure. No observed 39% patients. correlation found ingested or Primary detoxication gastric lavage, administration activated charcoal sodium sulfate. Regarding high frequenc...

参考文章(21)
Pamela J Aselton, Hershel Jick, Additional Follow-up of Congenital Limb Disorders in Relation to Bendectin Use JAMA: The Journal of the American Medical Association. ,vol. 250, pp. 33- 34 ,(1983) , 10.1001/JAMA.1983.03340010019015
S R Meadow, Poisoning from delayed release tablets. BMJ. ,vol. 1, pp. 512- 512 ,(1972) , 10.1136/BMJ.1.5798.512-A
John D. Schaldenbrand, Kenneth D. McClatchey, Jayant A. Patel, Merry J. Muilenberg, Doxylamine: a cause for false-positive gas chromatographic assay for phencyclidine. Therapeutic Drug Monitoring. ,vol. 3, pp. 181- 183 ,(1981) , 10.1097/00007691-198102000-00011
D. Haverić, P. Stern, Vergiftungen mit Antihistaminica Fühner-Wielands Sammlung von Vergiftungsfällen Archiv für Toxikologie. ,vol. 16, pp. 139- 142 ,(1956) , 10.1007/BF00577366
Kenneth J. Kohlhof, Decherd Stump, Joseph A. Zizzamia, Analysis of Doxylamine in Plasma by High-Performance Liquid Chromatography Journal of Pharmaceutical Sciences. ,vol. 72, pp. 961- 962 ,(1983) , 10.1002/JPS.2600720834
H. Friedman, D. J. Greenblatt, The pharmacokinetics of doxylamine: use of automated gas chromatography with nitrogen-phosphorus detection. The Journal of Clinical Pharmacology. ,vol. 25, pp. 448- 451 ,(1985) , 10.1002/J.1552-4604.1985.TB02875.X
S G Clarkson, A P Glanvill, Debendox overdosage in children. BMJ. ,vol. 2, pp. 459- 460 ,(1977) , 10.1136/BMJ.2.6084.459-E
H. C. Thompson, C. L. Holder, M. C. Bowman, Trace analysis of doxylamine succinate in animal feed, human, urine, and wastewater by GC using a rubidium-sensitized nitrogen detector. Journal of Chromatographic Science. ,vol. 20, pp. 373- 380 ,(1982) , 10.1093/CHROMSCI/20.8.373
Gene M Smith, Porter H Smith, Effects of doxylamine and acetaminophen on postoperative sleep Clinical Pharmacology & Therapeutics. ,vol. 37, pp. 549- 557 ,(1985) , 10.1038/CLPT.1985.87