Progressive nicotine poisoning by multiple transdermal nicotine patches
The pharmacokinetic properties of transdermal nicotine patches (TNPs) are different from those of other routes of nicotine administration; further, acute nicotine poisoning by TNPs may present with different clinical features. In the present report, we describe the case of a 23-year-old woman who wa...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Institute for Medical Science, Jeju National University
2021-08-01
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| Series: | Journal of Medicine and Life Science |
| Subjects: | |
| Online Access: | http://www.e-jmls.org/upload/pdf/jmls-2021-18-2-31.pdf |
| _version_ | 1797731019439210496 |
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| author | Jeong Ho Kang Sung Kgun Lee |
| author_facet | Jeong Ho Kang Sung Kgun Lee |
| author_sort | Jeong Ho Kang |
| collection | DOAJ |
| description | The pharmacokinetic properties of transdermal nicotine patches (TNPs) are different from those of other routes of nicotine administration; further, acute nicotine poisoning by TNPs may present with different clinical features. In the present report, we describe the case of a 23-year-old woman who was admitted to emergency department (ED) at Jeju National University Hospital with loss of consciousness. Five hours before the ED visit, she used multiple TNPs to attempt suicide. Initially, nausea and vomiting occurred, and the symptoms worsened over time. We immediately removed the TNPs, and the application sites were gently washed with sterile water. The patient’s level of consciousness gradually improved, and she fully recovered an altered mental status 5 hours later. Her initial urinary cotinine level was 324 ng/mL. Physicians should be aware that acute nicotine poisoning by TNPs can cause various toxic symptoms. |
| first_indexed | 2024-03-12T11:52:22Z |
| format | Article |
| id | doaj.art-5e1d1af0e58f49e8aab1d134832611e8 |
| institution | Directory Open Access Journal |
| issn | 2671-4922 |
| language | English |
| last_indexed | 2024-03-12T11:52:22Z |
| publishDate | 2021-08-01 |
| publisher | Institute for Medical Science, Jeju National University |
| record_format | Article |
| series | Journal of Medicine and Life Science |
| spelling | doaj.art-5e1d1af0e58f49e8aab1d134832611e82023-08-31T05:21:28ZengInstitute for Medical Science, Jeju National UniversityJournal of Medicine and Life Science2671-49222021-08-01182313410.22730/jmls.2021.18.2.31217Progressive nicotine poisoning by multiple transdermal nicotine patchesJeong Ho Kang0Sung Kgun Lee1 Department of Emergency Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea Department of Emergency Medicine, Jeju National University Hospital, Jeju, Republic of KoreaThe pharmacokinetic properties of transdermal nicotine patches (TNPs) are different from those of other routes of nicotine administration; further, acute nicotine poisoning by TNPs may present with different clinical features. In the present report, we describe the case of a 23-year-old woman who was admitted to emergency department (ED) at Jeju National University Hospital with loss of consciousness. Five hours before the ED visit, she used multiple TNPs to attempt suicide. Initially, nausea and vomiting occurred, and the symptoms worsened over time. We immediately removed the TNPs, and the application sites were gently washed with sterile water. The patient’s level of consciousness gradually improved, and she fully recovered an altered mental status 5 hours later. Her initial urinary cotinine level was 324 ng/mL. Physicians should be aware that acute nicotine poisoning by TNPs can cause various toxic symptoms.http://www.e-jmls.org/upload/pdf/jmls-2021-18-2-31.pdfnicotinetransdermal patchsuicide |
| spellingShingle | Jeong Ho Kang Sung Kgun Lee Progressive nicotine poisoning by multiple transdermal nicotine patches Journal of Medicine and Life Science nicotine transdermal patch suicide |
| title | Progressive nicotine poisoning by multiple transdermal nicotine patches |
| title_full | Progressive nicotine poisoning by multiple transdermal nicotine patches |
| title_fullStr | Progressive nicotine poisoning by multiple transdermal nicotine patches |
| title_full_unstemmed | Progressive nicotine poisoning by multiple transdermal nicotine patches |
| title_short | Progressive nicotine poisoning by multiple transdermal nicotine patches |
| title_sort | progressive nicotine poisoning by multiple transdermal nicotine patches |
| topic | nicotine transdermal patch suicide |
| url | http://www.e-jmls.org/upload/pdf/jmls-2021-18-2-31.pdf |
| work_keys_str_mv | AT jeonghokang progressivenicotinepoisoningbymultipletransdermalnicotinepatches AT sungkgunlee progressivenicotinepoisoningbymultipletransdermalnicotinepatches |