Presentation
Adverse drug reactions present a potentially serious problem for any patient for whom drugs are prescribed and particularly for those who must take multiple prescriptions. [books.google.com]
[…] propoxyphene intoxication.}, author={L J Bogartz and William C Miller}, journal={JAMA}, year={1971}, volume={215 2}, pages={ 259-62 } } In three consecutive cases of severe, rapid intoxication with propoxyphene hydrochloride (Darvon), pulmonary edema was present [semanticscholar.org]
Patients with salicylate poisoning are often alkalemic on presentation with hyperventilation. [calpoison.org]
Conclusions In conclusion, we report a case of opium intoxication with atypical presentation and the presented case illustrates that intoxications should be taken into consideration in differential diagnosis of aetiological factors leading to edema. [ispub.com]
Entire Body System
- Swelling
Case A 4-year old male infant was admitted with swelling of the face, hands and feet, abdominal enlargement and difficulty in breathing. [ispub.com]
Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. [minclinic.ru]
Darvon or Darvocet side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue breathing difficulties, wheezing confusion [lawyersandsettlements.com]
In the liver there was a pronounced cloudy swelling of the hepatocytes, especially in the centrilobular areas with occasional cytolytic necrosis. The myocardium had a slight to moderate loosening of the interstitial connective tissue. [documents.tips]
Ocular Ocular side effects including eye swelling and vision blurred have been reported with the use of propoxyphene. General General side effects including drug tolerance and influenza type illness have been reported with the use of propoxyphene. [drugs.com]
- Gastric Lavage
Gastric lavage may be helpful. Activated charcoal can absorb a significant amount of ingested propoxyphene. [home.intekom.com]
Despite early hospitalization and treatment with gastric lavage, intubation and artificial ventilation in- ducing hypocapnia, we found a mortality rate of 8%. [docslide.us]
lavage (in lethargic or comatose patients) • Activated charcoal (if bowel sounds are present) • Diuretics, dialysis and hemoperfusion are not indicated, because of large volume of distributions and reversibility with naloxone. [studyres.com]
If the patient is seen within 4 hours of ingestion the stomach should be emptied by inducing vomiting or by gastric lavage as soon as possible. [ndrugs.com]
Respiratoric
- Cough
Dextromethorphan (DXM) Dextromethorphan (DXM) is a drug with antitussive properties and is commonly found in several cough and cold combination formulations. It is available in many over-the-counter cough syrups and tablets. [drugabuse.com]
Accidental ingestions and abuse of cough preparations are adundant. [ispub.com]
Effects of Propoxyphene Use Leads to Ban Propoxyphene is an Opioid pain reliever and cough suppressant, that was previously most commonly sold under brand names Darvon® and Darvocet®. [rehabspot.com]
Constipation Cough suppression Difficulty urinating Nausea Sedation Pupil constriction Decreased libido Appetite suppression Dizziness - Dextropropoxyphene causes dizziness at a higher rate than other opioids. [psychonautwiki.org]
It is intended to treat mild pain and also has antitussive (cough suppressant) and local anaesthetic effects. [en.wikipedia.org]
- Respiratory Distress
In this article we report a case of opium intoxication in a 4-year old male infant, who presented with generalized edema, respiratory distress and hypertension, considered as nephrotic syndrome. [ispub.com]
Cardiovascular
- Hypotension
Diagnosis Patients presenting with ventricular dysrhythmias, wide QRS complexes, or severe hypotension should be suspected of poisoning by a sodium channel antagonist. [calpoison.org]
Decreased sensitivity of the CO2 chemoreceptors • Noncardiogenic pulmonary edema • Hypothermia • Miosis (typically, tolerance to miosis is not developed, but miosis may not present in meperidine or lomotil overdose or in severe hypoxia) • Bradycardia • Hypotension [studyres.com]
Drugs & MedicationsPropoxyphene Capsule Conditions: suicidal thoughts alcoholism alcohol intoxication drug abuse depression cor pulmonale prolonged QT interval on EKG abnormal heart rhythm abnormal EKG with QT changes from birth orthostatic hypotension [webmd.com]
[…] hypoglycemics, insulin Liquor (alcohols) Sedative-hypnotics Hyperthermia (NASA) Neuroleptic malignant syndrome, nicotine Antihistamines, alcohol withdrawal Salicylates, sympathomimetics, serotonin syndrome Anticholinergics, antidepressants, antipsychotics Hypotension [segwfg.nl]
A case of ischemic colitis has been reported following an overdose of propoxyphene which was complicated by severe hypotension. [drugs.com]
- Cyanosis
OF ITS TREATMENT: Propoxyphene : The manifestations of serious overdosage with propoxyphene are similar to those of narcotic overdosage and include: respiratory depression (a decrease in respiratory rate and/or tidal volume, CheyneStokes respiration, cyanosis [home.intekom.com]
[…] disturbances Low blood pressure Weak pulse Lungs: Breathing slow, labored, or shallow No breathing Muscles: Muscle spasticity Muscle damage from being immobile while in a coma Nervous system: Coma (lack of responsiveness) Confusion Drowsiness Seizures Skin: Cyanosis [medlineplus.gov]
Methemoglobinemia with resulting cyanosis has also been observed in the setting of acute overdose. [drugs.com]
The ventilatory rate and/or tidal volume is decreased, which results in cyanosis and hypoxia. Pupils, initially pinpoint, may become dilated as hypoxia increases. Cheyne-Stokes respiration and apnea may occur. [ndrugs.com]
Skin
- Eruptions
Thomas RH, Munro DD "Fixed drug eruption due to paracetamol." Br J Dermatol 115 (1986): 357-9 65. [drugs.com]
Psychiatrical
- Anger
Very angered ane regular users who interchangeably nodded off, orally to return, even when injecting im it still hurt i feel pain relief but i want to walk in the obliterated States. Still, I'm not big on snorting any shit. So, spread the word! [hascom.wz.cz]
MANIC Rage, Anger, Pain, Flight, Over Joyed, Pissed off at life, Want to fly with me? The only way PROPOXYPHENE will PROPOXYPHENE is if you think PROPOXYPHENE is that a PROPOXYPHENE is controlled vs. [histm1.free.fr]
Workup
Serum
- Hypercapnia
Canine experiments have indicated that reducing hypoxia and hypercapnia lowers serum catecholamine concentrations. [emj.bmj.com]
QRS Wave
- Wide QRS Complex
Diagnosis Patients presenting with ventricular dysrhythmias, wide QRS complexes, or severe hypotension should be suspected of poisoning by a sodium channel antagonist. [calpoison.org]
Treatment
Pharmacology and Therapeutics for Dentistry, 6th Edition describes how to evaluate a patient’s health and optimize dental treatment by factoring in the drugs they take. [books.google.com]
There are different subtypes of both treatment programs, but essentially, inpatient treatment involves living onsite at the treatment facility throughout the recovery program, while outpatient treatment allows someone to continue living at home or a sober [newperspectivesfl.com]
Drug treatments / 002B02U Drug toxicity and drugs side effects treatment / 002B02U03 Toxicity: cardiovascular system Discipline Drugs toxicity and drug intoxications Toxicology Origin Inist-CNRS Database PASCAL INIST identifier 2686995 Sauf mention contraire [pascal-francis.inist.fr]
Prognosis
Home | CCC | ECG in Toxicology by, last update March 26, 2019 OVERVIEW The ECG is important in the assessment and management of poisoned patients for: screening diagnosis prognosis monitoring progression to guide management and disposition USE AS A SCREENING [lifeinthefastlane.com]
I t is surprising that six patients admitted in asystole could be discharged without any sequelae, emphasis- ing a readily reversible depressed state and a positive prognosis if treated immediately. [docslide.us]
Etiology
Because chronic pain is a complex condition with intrinsic sensory, emotional, and behavioral components contributing to its etiology and severity, managing chronic pain disorders can be challenging. [hayes.web.fc2.com]
Common etiologies and new approaches to management of poisoning in pediatric practice. Curr Opin Pediatr. 1993 Oct; 5(5):524-30. View abstract Woolf AD, Lovejoy FH. Epidemiology of drug overdose in children. Drug Saf. 1993 Oct; 9(4):291-308. [childrenshospital.org]
Epidemiology
Prescription drug misuse: Epidemiology, prevention, identification, and management. In: Saxxon AJ, ed. UpToDate. Updated April 6, 2021. [labtestsonline.it]
The epidemiology of dextropropoxyphene (Distalgesic) overdose fatalities in Birmingham and the West Midlands. J. Clin. Hosp. Pharm., 6,251-257. Google Scholar | Medline Young, D.J. (1972). Propoxyphene suicides. Arch. Intern. Med., 129, 62-66. [journals.sagepub.com]
Epidemiology of drug overdose in children. Drug Saf. 1993 Oct; 9(4):291-308. View abstract Ledley FD, Lovejoy FH. [childrenshospital.org]
This review considers the epidemiology, mechanisms, and management of opioid ... DA: 74 PA: 62 MOZ Rank: 5 9. Appendix B. [tiwebsite.com]
According to Gerald Dal Pan, M.D., M.H.S., director of the Office of Surveillance and Epidemiology, CDER, once patients stop taking propoxyphene, the risk of heart damage will go away. [lawyersandsettlements.com]
Pathophysiology
They also address the consequences of drug interactions and the basic pathophysiology of central nervous system toxicity. [books.google.com]
Pathophysiology The role of sodium bicarbonate as an antidote depends on the specific indication. Its mechanisms as an antidote for sodium channel blocking drugs are incompletely understood. [calpoison.org]
Prevention
Administration of N-acetylcysteine prevented inorganic sulfate depletion usually caused by acetaminophen and may have increased the formation of acetaminophen sulfate. Some patients eliminate large overdoses of acetaminophen very slowly. [ucdavis.pure.elsevier.com]
Centers for Disease Control and Prevention. Available at https://www.cdc.gov/drugoverdose/data/index.html. July 18, 2017; Accessed: October 1, 2018. Fentanyl. Centers for Disease Control and Prevention. [emedicine.medscape.com]
The influence of sociocultural factors on drug dependence and alcohol related problems-on their cause, development, and consequences as well as on their treatment and prevention-has been taken into account in the preparation of this manual in order to [books.google.com]