An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern

Deriphyllin has been a mainstay of asthma therapy despite its narrow therapeutic index and a large pharmacokinetic variability between patients. Here, the authors decided to report a rare case of suspected deriphyllin-induced hallucinations in adults for the first time. An 83-year-old male patient w...

Full description

Bibliographic Details
Main Authors: Mohit Dahiya, Nehal R Parikh, Deepak S Malhotra, Shikha V Sood
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Apollo Medicine
Subjects:
Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=4;spage=247;epage=249;aulast=Dahiya
_version_ 1819140084430012416
author Mohit Dahiya
Nehal R Parikh
Deepak S Malhotra
Shikha V Sood
author_facet Mohit Dahiya
Nehal R Parikh
Deepak S Malhotra
Shikha V Sood
author_sort Mohit Dahiya
collection DOAJ
description Deriphyllin has been a mainstay of asthma therapy despite its narrow therapeutic index and a large pharmacokinetic variability between patients. Here, the authors decided to report a rare case of suspected deriphyllin-induced hallucinations in adults for the first time. An 83-year-old male patient who was a known case of recent onset asthma was on tablet deriphyllin 150 mg BD and salbutamol nebulization BD. He underwent emergency drainage of subdural hematoma due to a history of fall 20 days back with head injury. Within 2 days, he improved and was discharged 3 days later with the medicines. On follow-up after 7 days, he was admitted with a chief complaint of hallucinations. After stopping tablet deriphyllin, the patient's condition drastically improved in next few days and neurology was completely normal. Drug dechallenge was positive in this case since the hallucinations subsided after discontinuation of suspected drug deriphyllin. There are no such cases published previously.
first_indexed 2024-12-22T11:32:56Z
format Article
id doaj.art-10738f0b45c84601b8e9d4dcfc6aeb27
institution Directory Open Access Journal
issn 0976-0016
2213-3682
language English
last_indexed 2024-12-22T11:32:56Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Apollo Medicine
spelling doaj.art-10738f0b45c84601b8e9d4dcfc6aeb272022-12-21T18:27:33ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822019-01-0116424724910.4103/am.am_52_19An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concernMohit DahiyaNehal R ParikhDeepak S MalhotraShikha V SoodDeriphyllin has been a mainstay of asthma therapy despite its narrow therapeutic index and a large pharmacokinetic variability between patients. Here, the authors decided to report a rare case of suspected deriphyllin-induced hallucinations in adults for the first time. An 83-year-old male patient who was a known case of recent onset asthma was on tablet deriphyllin 150 mg BD and salbutamol nebulization BD. He underwent emergency drainage of subdural hematoma due to a history of fall 20 days back with head injury. Within 2 days, he improved and was discharged 3 days later with the medicines. On follow-up after 7 days, he was admitted with a chief complaint of hallucinations. After stopping tablet deriphyllin, the patient's condition drastically improved in next few days and neurology was completely normal. Drug dechallenge was positive in this case since the hallucinations subsided after discontinuation of suspected drug deriphyllin. There are no such cases published previously.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=4;spage=247;epage=249;aulast=Dahiyaderiphyllindrug dechallengeelderlyvisual hallucinations
spellingShingle Mohit Dahiya
Nehal R Parikh
Deepak S Malhotra
Shikha V Sood
An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
Apollo Medicine
deriphyllin
drug dechallenge
elderly
visual hallucinations
title An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
title_full An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
title_fullStr An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
title_full_unstemmed An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
title_short An unusual occurrence of deriphyllin-induced hallucinations: Contingency of concern
title_sort unusual occurrence of deriphyllin induced hallucinations contingency of concern
topic deriphyllin
drug dechallenge
elderly
visual hallucinations
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=4;spage=247;epage=249;aulast=Dahiya
work_keys_str_mv AT mohitdahiya anunusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT nehalrparikh anunusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT deepaksmalhotra anunusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT shikhavsood anunusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT mohitdahiya unusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT nehalrparikh unusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT deepaksmalhotra unusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern
AT shikhavsood unusualoccurrenceofderiphyllininducedhallucinationscontingencyofconcern