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DICP, The Annals of Pharmacotherapy: Vol. 25, No. 10, pp. 1066-1067.
© 1991 Harvey Whitney Books Company.
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Research Articles

Suspected central nervous system toxicity from inadvertent nonsteroidal antiinflammatory drug overdose

TP Bright and CJ McNulty

This case illustrates a severe adverse reaction of the central nervous system involving a moderate overdose of diclofenac sodium along with therapeutic dosages of indomethacin and ibuprofen. Our patient became disoriented, hallucinated, lost consciousness, and suffered respiratory arrest after ingesting five diclofenac tablets (375 mg total), two ibuprofen tablets (400 mg total), and one indomethacin capsule (75 mg). Aggressive supportive therapy was instituted and the patient improved. She was awake, alert, and extubated in less than 24 hours with no serious sequelae.


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Copyright © 1991 by Harvey Whitney Books Company.