Menthol toxicity: an unusual cause of coma
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Published on: March 31, 2016
Motaz Baibars1, Simona Eng, Khaldoon Shaheen
1Hospital Medicine/Internal Medicine Department, Peninsula Regional Medical Center, Salisbury, MD 2180, USA.
Abstract:
The US Food and Drug Administration (FDA) consider menthol an effective substance, which help in common cold symptoms and labeled to have low toxicity profile. Direct exposure to high menthol amount has been reported in animal; but no studies have been done to show the effect of menthol on long-term use in humans. Up to our knowledge we are reporting a rare case of chronic exposure to significant amount of menthol associated with cutaneous, gastrointestinal and neurological manifestations.
Insights
Menthol, approved by the FDA for colds, may cause rare chronic health issues. This case study details adverse cutaneous, gastrointestinal, and neurological effects from long-term menthol exposure in a human.
Area of Science:
- Toxicology
- Human Health
- Pharmacology
Background:
- Menthol is recognized by the US Food and Drug Administration (FDA) for its efficacy in alleviating common cold symptoms.
- Menthol is generally considered to have a low toxicity profile.
- While high menthol exposure effects are documented in animals, human long-term use impacts remain understudied.
Purpose of the Study:
- To report a rare case of chronic menthol exposure in a human.
- To investigate the potential adverse health effects associated with long-term, significant menthol consumption.
Main Methods:
- Case report detailing a patient with chronic menthol exposure.
- Clinical observation and documentation of patient's symptoms.
Main Results:
- The patient presented with a combination of cutaneous, gastrointestinal, and neurological manifestations.
- These symptoms are associated with chronic exposure to a significant amount of menthol.
Conclusions:
- This case highlights a rare instance of menthol-associated chronic health issues in humans.
- Further research is warranted to understand the long-term effects and toxicity of menthol in human populations.
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Toxic Reactions: Overview
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...

