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Drug Toxicity: Risk factors

Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
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Double, suicidal intoxication with hydroxycarbamide--a case report.

Wojciech Waldman1, Piotr Kabata, Jacek Sein Anand

  • 1Department of Clinical Toxicology, Medical University of Gdańsk. waldman.wojciech@gmail.com

Przeglad Lekarski
|December 19, 2012
PubMed
Summary

This case report details a rare instance of adult suicidal overdose with hydroxycarbamide (hydroxyurea), an antineoplastic and antisickling agent. The patient experienced no severe complications from the intentional ingestion.

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Area of Science:

  • Pharmacology
  • Toxicology
  • Hematology

Background:

  • Hydroxycarbamide (hydroxyurea) is a vital medication used for its antineoplastic and antisickling properties.
  • Essential thrombocythemia is a myeloproliferative neoplasm characterized by elevated platelet counts.

Observation:

  • A 31-year-old female with essential thrombocythemia ingested hydroxycarbamide twice suicidally.
  • The first ingestion involved 7.5g hydroxycarbamide with diazepam and alcohol.
  • The second ingestion involved 10g hydroxycarbamide with paroxetine and alcohol.

Findings:

  • The patient presented with restlessness and decreased mood.
  • A transient decrease in leukocyte count was observed after the first overdose.
  • No significant hematological or biochemical abnormalities were noted after the second overdose.

Implications:

  • This is the first reported case of acute suicidal intoxication with hydroxycarbamide in an adult.
  • Highlights the potential for intentional overdose with hydroxycarbamide.
  • Underscores the importance of monitoring patients with essential thrombocythemia and psychiatric comorbidities.