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Hypocalcemia and hypomagnesemia after ibuprofen overdose.
al-Harbi, N N; Domrongkitchaiporn, S; Lirenman, D S.
Afiliación
  • al-Harbi NN; College of Medicine, King Saud University-Abha Branch, Saudi Arabia.
Ann Pharmacother ; 31(4): 432-4, 1997 Apr.
Article en En | MEDLINE | ID: mdl-9101004
OBJECTIVE: To report a case of hypocalcemia and hypomagnesemia after ibuprofen overdose. CASE SUMMARY: A 21-month-old boy developed acute renal failure with severe metabolic acidosis after ingestion of ibuprofen 8 g. The infant developed tonic-clonic seizures 46 hours after ingestion, with significant hypocalcemia and hypomagnesemia that required electrolyte replacement to control the seizures. DISCUSSION: To our knowledge this is the first case report of hypocalcemia, hypomagnesemia, and seizures in a patient after ibuprofen overdose. The mechanism is unclear, the situation was probably aggravated by the use of sodium polystyrene sulfonate and furosemide. CONCLUSIONS: In patients with ibuprofen overdose, serum calcium and magnesium concentrations should be evaluated since seizures may be associated with a deficiency of these cations. The management of these patients should include calcium and/or magnesium supplementation when required and furosemide should be avoided.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antiinflamatorios no Esteroideos / Ibuprofeno / Hipocalcemia / Magnesio Límite: Humans / Infant / Male Idioma: En Revista: Ann Pharmacother Asunto de la revista: FARMACOLOGIA / TERAPIA POR MEDICAMENTOS Año: 1997 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antiinflamatorios no Esteroideos / Ibuprofeno / Hipocalcemia / Magnesio Límite: Humans / Infant / Male Idioma: En Revista: Ann Pharmacother Asunto de la revista: FARMACOLOGIA / TERAPIA POR MEDICAMENTOS Año: 1997 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos