Abstract
Supposedly herbal weight loss pills are sold online and are widely used in the world. Some of these products are found to contain sibutramine by FDA and their sale is prohibited. We report a case of a female patient who presented to the emergency department after taking slimming pills. 17-year-old female patient presented to the emergency room with palpitations, dizziness, anxiety, and insomnia. She stated that she had taken 3 pills named La Jiao Shou Shen for slimming purposes during the day. Her vital signs revealed tachycardia. On her physical examination, she was restless, her oropharynx was dry, her pupils were mydriatic, and no other pathological findings were found. Sibutramine intoxication was suspected. She was given 5 mg IV diazepam for restlessness. After supportive therapy and observation in emergency department for 12 hours there were no complications and the patient was discharged home. Some herbal pills that are sold online for weight loss have sibutramine hidden as an active ingredient, and their sale is prohibited for this reason. For people who use herbal weight loss drugs, sibutramine excessive intake should be kept in mind at all times.
Highlights
A variety of the so-called herbal pills are widely used for slimming purposes in the world
Turkish Ministry of Health has analyzed some supposedly herbal pills that are sold in Turkey (Pepper Time Capsule©, Lida Daidaihua Weight Loss Capsule©, and La Jiao Shou Shen Capsule©) and has found that these pills have contained more sibutramine than the licensed weight loss medicine
We present a case that took 3 slimming pills and had findings consistent with sibutramine overdose
Summary
A variety of the so-called herbal pills are widely used for slimming purposes in the world. In one study ingredients of herbal slimming pills were analyzed and sibutramine was the most often detected synthetic substance [2]. Turkish Ministry of Health has analyzed some supposedly herbal pills that are sold in Turkey (Pepper Time Capsule©, Lida Daidaihua Weight Loss Capsule©, and La Jiao Shou Shen Capsule©) and has found that these pills have contained more sibutramine than the licensed weight loss medicine. The sale of those pills is banned. We present a case that took 3 slimming pills and had findings consistent with sibutramine overdose
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