Dietary supplement-related adverse events reported to the California Poison Control System.

PURPOSE: Dietary supplement (DS)-related adverse events (AEs) reported to the California Poison Control System (CPCS) were studied. METHODS: The CPCS database was used to search for all telephone calls from consumers concerning DS-related AEs received during the six-month period between April and Se...

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Publicado en:American Journal of Health-System Pharmacy Vol. 62; no. 14; pp. 1476 - 1483
Autores principales: Dennehy CE, Tsourounis C, Horn AJ
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA 7/15/2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/15/2005
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      pub: Oxford University Press / USA
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        atl: Dietary supplement-related adverse events reported to the California Poison Control System.
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          Dennehy CE
          Tsourounis C
          Horn AJ
        affil: Associate Clinical Professor, School of Pharmacy, University of California San Francisco
      sug:
        subj:
          Dietary Supplements Poisoning
          Adolescence
          Adult
          California
          Child
          Child, Preschool
          Convenience Sample
          Descriptive Research
          Descriptive Statistics
          Dietary Supplements Classification
          Ephedra
          Infant
          Overdose
          Poison Control Centers
          Poisoning Classification
          Poisoning Symptoms
          Record Review
          Telephone
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
      ab: PURPOSE: Dietary supplement (DS)-related adverse events (AEs) reported to the California Poison Control System (CPCS) were studied. METHODS: The CPCS database was used to search for all telephone calls from consumers concerning DS-related AEs received during the six-month period between April and September 2002. The calls were characterized according to the substance involved, the caller's age (adult or pediatric), and the type of ingestion (accidental or intentional). Each exposure in which symptoms were reported was categorized as involving an AE. Each AE was assessed for severity and causality. RESULTS: Data on a total of 1183 telephone calls were retrieved, of which 828 calls (70%) met the study's inclusion criteria. DS exposure occurred in 389 adults (47%) and 438 children (53%). DS ingestion was accidental in 360 patients (43%) and intentional in 467 patients (56%). Exposure resulted in an AE in 480 patients (58%). AEs were reported in 353 patients (74%) who ingested products containing ephedra; other exposures frequently involved zinc, kava, creatine, and valerian. AEs were classified as moderate in 198 patients (41%) who ingested a DS and as severe in 40 patients (8%). One patient had a fatal reaction. Among the 480 AEs in DS-exposed consumers, the DS was classified as the definite cause of 1 AE (<1%) and a probable cause of 237 (49.4%). The most frequently reported AE symptoms were increased heart rate (45%), agitation (30%), vomiting (30%), and nausea (15%). CONCLUSION: A majority of DS-related AEs reported by consumers to CPCS involved ephedra-containing products.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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