Articles related to POISONING/OVERDOSE

A possible carcinogen found in laundry detergent, 1,4-dioxane, has a regulatory limit in New York State. The toxin, which is a byproduct of the chemical processes used to create detergent, can covertly infect goods without the knowledge of consumers. Providers should buy healthy goods and consult with their patients about the household cleaning supplies they use to prevent exposure to 1,4-dioxane and other chemicals found in laundry detergents.

She has been treating her IBS with bismuth subsalicylate. Her symptoms include shortness of breath, nausea, and vomiting. On exam, the patient is confused. Laboratory testing showed primary anion-gap metabolic acidosis, primary respiratory alkalosis, and a salicylate level 25x greater than the normal upper limit.

The American Academy of Sleep Medicine issued a health advisory on September 25, 2022, encouraging parents to seek medical advice before giving melatonin to children. Although melatonin can be useful in treating certain sleep-wake disorders like jet lag, there is much less evidence it can help healthy children or adults fall asleep faster. Symptoms of melatonin overdose can include headache, dizziness, and irritability.

In 2021, melatonin was the most frequently reported substance involved in pediatric substance ingestions, resulting in 4,000 hospitalizations, 287 ICU admissions, and 2 deaths in children under the age of 2. Melatonin supplements can have 500% more melatonin than indicated on the label and about 30% of OTC products tested had serotonin as well.

In 2019, the FDA warned that gabapentin might cause serious breathing difficulties when used with drugs that depress the central nervous system. The warning may have not been heeded, as overdose deaths in which gabapentin was detected doubled from 449 in the first quarter of 2019 to 959 in the second quarter of 2020.

Burkholderia pseudomallei bacteria showed up in four patients in Georgia, Kansas, Minnesota, and Texas in 2021, despite the bacterium typically associated with travel to tropical and subtropical areas like Thailand and Malaysia. The case was cracked when researchers found an essential oil spray that contained B. pseudomallei in the home of a 4-year-old boy who died from complications of the melioidosis outbreak.