A retrospective review of isolated duloxetine-exposure cases
| Autor: | Alycia K Clark, F. Lee Cantrell, Lily Qian, Michael A. Darracq |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Emergency Medical Services Pediatrics medicine.medical_specialty Poison Control Centers Adolescent Databases Factual medicine.drug_class Suicide Attempted Thiophenes Duloxetine Hydrochloride Toxicology California Electrocardiography Young Adult chemistry.chemical_compound Pregnancy Fibromyalgia medicine Humans Duloxetine Depression (differential diagnoses) Aged Retrospective Studies Serotonin–norepinephrine reuptake inhibitor Retrospective review Adrenergic Uptake Inhibitors business.industry General Medicine Emergency department Middle Aged medicine.disease Treatment Outcome Peripheral neuropathy Generalized anxiety chemistry Anesthesia Female Drug Overdose business |
| Zdroj: | Clinical Toxicology. 51:106-110 |
| ISSN: | 1556-9519 1556-3650 |
| DOI: | 10.3109/15563650.2013.766749 |
| Popis: | Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) approved in the US for the treatment of major depression, generalized anxiety, fibromyalgia, diabetic peripheral neuropathy, and chronic musculoskeletal pain. Given the limited published information regarding human overdoses to this medication, our goal was to characterize such exposures.We retrospectively reviewed a state poison system's database for all single agent exposures to duloxetine from 2004-2011. Data collected included age, gender, circumstances surrounding exposure, symptoms, and outcome. Patients with co-ingestants, confirmed non-exposure, unknown outcomes, or other coding errors were excluded.159 cases were identified. 106 were included for review. Of 61 pediatric and adolescent cases (0-19 years old) identified, 53 involved unintentional overdose. Three patients experienced symptoms and none were admitted. All intentional ingestions(8) were seen in the emergency department, two patients experienced symptoms. No intentional ingestion was admitted for medical care. Fifty-one adult cases were included for review. Four adult patients were admitted following intentional duloxetine overdose with resolution of symptoms within 24 hours. Three adults were evaluated in a HCF following non-self-harm exposures to duloxetine. None of these patients were admitted. The remaining 15 adult patients with non-self-harm exposures were safely managed at home.The majority of non-self-harm duloxetine-exposed adult and pediatric/adolescent patients were safely managed at home and when evaluated in a healthcare facility, did not require further hospitalization. Intentional pediatric/adolescent and adult duloxetine exposures were managed in a healthcare facility but rarely resulted in further hospitalization, serious morbidity, or mortality. |
| Databáze: | OpenAIRE |
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