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Related Experiment Videos

Intentional ipecac poisoning in children.

H J McClung1, R Murray, N J Braden

  • 1Division of Gastroenterology, Columbus Children's Hospital, OH 43205.

American Journal of Diseases of Children (1960)
|June 1, 1988
PubMed
Summary

Ipecac syrup, used for poisoning emergencies, can be misused for chronic self-induced vomiting. This misuse can lead to serious health issues like cardiomyopathy and electrolyte disturbances, often missed by standard drug screens.

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Area of Science:

  • Toxicology
  • Pharmacology
  • Internal Medicine

Background:

  • Ipecac (emetine) is commonly available for emergency home use as an emetic.
  • Its accessibility also presents a risk for intentional misuse, including child abuse and chronic self-induced vomiting.

Observation:

  • Chronic ipecac administration can manifest as a complex of symptoms including diarrhea, vomiting, muscle weakness, colitis, cardiomyopathy, fever, edema, and electrolyte imbalances.
  • The study details cases of intentional poisoning presenting with these specific symptoms.

Findings:

  • Intentional poisoning with ipecac can lead to severe and varied medical conditions.
  • The symptoms of chronic ipecac abuse may not be immediately recognized.

Implications:

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  • Toxicology screening protocols may need re-evaluation to include ipecac in cases of suspected chronic poisoning.
  • Early recognition of ipecac toxicity is crucial for timely intervention and management of affected patients.