Hydroxyzine-induced priapism.
Hydroxyzine
Intentional overdose
Priapism
Psychiatry
Urology
Journal
The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
02
02
2021
revised:
11
03
2021
accepted:
20
03
2021
pubmed:
11
4
2021
medline:
25
2
2023
entrez:
10
4
2021
Statut:
ppublish
Résumé
Priapism is a severe urologic condition requiring emergency management. Ischemic priapism is the most common subtype which is characterized by a long-lasting, painful, and rigid erection which can be caused by medications with alpha-adrenergic properties such as hydroxyzine. Typically, medication-induced priapism is reported at therapeutic doses and few case reports exist implicating medication overdose as the cause. We report a case of a patient taking hypercompliant doses of hydroxyzine hydrochloride for worsening insomnia (200-600 mg), including the night before admission. Blood-gas analysis of blood from the right corpora was completed and revealed a pH of 6.736, pCO
Identifiants
pubmed: 33836933
pii: S0735-6757(21)00253-9
doi: 10.1016/j.ajem.2021.03.066
pii:
doi:
Substances chimiques
Histamine H1 Antagonists
0
Hydroxyzine
30S50YM8OG
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
375.e5-375.e6Informations de copyright
Published by Elsevier Inc.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.