Source:http://linkedlifedata.com/resource/pubmed/id/18344110
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2008-3-17
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pubmed:abstractText |
A 34-year-old man with a history of multiple substance abuse (now abstinent for six years) became addicted to tranylcypromine, consuming up to 240 mg/day. After discontinuing the drug, he developed thrombocytopenia (52,000/ul) and delirium; there were no other anticholinergic signs. The delirium was unresponsive to haloperidol and diazepam. Intravenous administration of physostigmine (2 mg) on hospital day 6 resulted in prompt, but temporary, clearing of the delirium. Following a recurrence of the delirium after 30 minutes, he was started on an intravenous infusion of physostigmine (2 mg/hr) with good results. Physostigmine administration did not produce any cholinergic signs. By hospital day 8, he did not require any more physostigmine. Thrombocytopenia resolved on hospital day 9 without therapeutic intervention. On hospital day 10, the patient was asymptomatic and left the hospital on his own recognizance.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1556-3650
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
261-3
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pubmed:dateRevised |
2009-11-17
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pubmed:meshHeading |
pubmed-meshheading:18344110-Adult,
pubmed-meshheading:18344110-Antidotes,
pubmed-meshheading:18344110-Delirium,
pubmed-meshheading:18344110-Heroin Dependence,
pubmed-meshheading:18344110-Humans,
pubmed-meshheading:18344110-Infusions, Intravenous,
pubmed-meshheading:18344110-Male,
pubmed-meshheading:18344110-Migraine Disorders,
pubmed-meshheading:18344110-Monoamine Oxidase Inhibitors,
pubmed-meshheading:18344110-Physostigmine,
pubmed-meshheading:18344110-Substance Withdrawal Syndrome,
pubmed-meshheading:18344110-Thrombocytopenia,
pubmed-meshheading:18344110-Tranylcypromine
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pubmed:year |
2008
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pubmed:articleTitle |
Withdrawal from high-dose tranylcypromine.
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pubmed:affiliation |
Department of Toxicology, Klinikum rechts der Isar, München, Germany.
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pubmed:publicationType |
Journal Article,
Case Reports
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