학술논문

Loperamide toxicity: recommendations for patient monitoring and management.
Document Type
Article
Source
Clinical Toxicology (15563650). May2020, Vol. 58 Issue 5, p355-359. 5p.
Subject
*BUPRENORPHINE
*PATIENT monitoring
*LOPERAMIDE
*OPIOID abuse
*POISON control centers
*CLINICAL toxicology
Language
ISSN
1556-3650
Abstract
Who: This position statement is a collaborative effort by the American Academy of Clinical Toxicology (AACT) and the American Association of Poison Control Centers (AAPCC) and has been endorsed by the American College of Medical Toxicology (ACMT). The position statement describes loperamide misuse, proposed mechanisms of toxicity, adverse clinical effects, and recommendations for the acute monitoring and management of patients with loperamide toxicity. Why: Use of high-dose loperamide for its euphoric effects and to self-treat opioid use disorder (in place of evidence-based therapies, like buprenorphine or methadone), is increasing. Despite reports in the medical literature and lay press, many remain unaware of high-dose loperamide use and how to manage patients with loperamide-associated toxicities. Target audience: Providers in Emergency Medicine; Prehospital; Intensive Care; Internal Medicine; Primary Care; Gastroenterology; Addiction Medicine; Pharmacy [ABSTRACT FROM AUTHOR]