Document Detail


Imported fenproporex-based diet pills from Brazil: a report of two cases.
MedLine Citation:
PMID:  19096898     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Banned amphetamine-based anorectics are illicitly imported into the United States (US), but little is known regarding the harm these diet pills pose to US residents. A 26-year-old woman using imported diet pills presented with a two-year history of intermittent chest pains, palpitations, headaches and insomnia. Urine toxicology screen detected amphetamines and benzodiazepines. Fenproporex and chlordiazepoxide were detected in her pills. Her symptoms resolved after she stopped using diet pills. A 38-year-old man using imported diet pills presented after his occupational urine screen was significantly positive for amphetamine. Fenproporex and fluoxetine were detected in his pills. These cases illustrate the potential harm from imported prescription diet pills that combine fenproporex with benzodiazepines, antidepressants, diuretics, laxatives and other substances. Increasing physicians' awareness of imported diet pill use may improve care of patients suffering from the pills' many adverse effects.
Authors:
Pieter A Cohen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  24     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-13     Completed Date:  2009-05-28     Revised Date:  2010-09-22    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  430-3     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Cambridge Health Alliance, Cambridge, MA, USA. pcohen@challiance.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Amphetamines / adverse effects*,  supply & distribution
Appetite Depressants / adverse effects*,  supply & distribution
Brazil
Chest Pain / chemically induced
Drug and Narcotic Control
Female
Humans
Male
Sleep Initiation and Maintenance Disorders / chemically induced
Substance Abuse Detection*
Substance-Related Disorders / diagnosis,  etiology*
Tachycardia / chemically induced
United States
Chemical
Reg. No./Substance:
0/Amphetamines; 0/Appetite Depressants; 16397-28-7/fenproporex
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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