Abstract
Lambanog or Philippine Coconut wine is locally made distilled alcohol made from coconut sap and is well known for its strong alcohol content (40-45%). Severe methanol intoxication from Lambanog wine is rare but frequently lethal. Poor prognosis criteria include coma and seizure and severe metabolic acidosis. We present epidemiological and clinical data from a recent toxicologic mass casual incident involving suspected methanol poisoning. The management of methanol poisoning includes standard supportive care, correction of metabolic acidosis, administration of folinic acid, provision of an antidote to inhibit the metabolism of methanol to formate, and selective hemodialysis to correct severe metabolic abnormalities and enhance methanol and formate elimination.
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