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An unusual case of systemic cardiovascular side effects from the application of over-the-counter nasal decongestion drops
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Browning, M. G., Seddon, J. O., Yung, L. T. M. and Gough, G. (2011) An unusual case of systemic cardiovascular side effects from the application of over-the-counter nasal decongestion drops. BMJ Case Reports, Vol.2011 (No.1). bcr0620103078-bcr0620103078. doi:10.1136/bcr.06.2010.3078 ISSN 1757-790X.
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Official URL: http://dx.doi.org/10.1136/bcr.06.2010.3078
Abstract
A 78-year-old female with a history of stable angina, phoned for advice with chest pains following the application of 0.5% ephedrine nasal drops for nasal congestion, which she had bought over-the-counter on the recommendation of a pharmacist. On applying the medication, she developed chest pain which she recognised as her angina. The Foundation Year 2 general practitioner on duty consulted the British National Formulary (BNF), issue 56 and thought that nasal decongestant induced angina was unlikely and advised the patient to seek emergency attention should she have any further episodes. After re-applying the medication and suffering the same symptoms, the patient later presented to the Emergency Department. The patient had the relevant tests and was diagnosed with ‘ephedrine-induced angina’. This settled on withdrawal of the medication and she had no f
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | BMJ Case Reports | ||||
Publisher: | B M J Group | ||||
ISSN: | 1757-790X | ||||
Official Date: | 24 March 2011 | ||||
Dates: |
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Volume: | Vol.2011 | ||||
Number: | No.1 | ||||
Page Range: | bcr0620103078-bcr0620103078 | ||||
DOI: | 10.1136/bcr.06.2010.3078 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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