Hypokalaemia in ibuprofen and codeine phosphate abuse

doi:10.1111/j.1368-5031.2004.00304.x

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Wiley InterScience

International Journal of Clinical Practice

Volume 58 Issue 11, Pages 1061 - 1062

Published Online: 24 Nov 2004

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CASE REPORT

Hypokalaemia in ibuprofen and codeine phosphate abuse

B.T. Dyer ¹ , J.L. Martin ¹ , J.L. Mitchell ¹ , N.C. Sauven ¹ , B. Gazzard ¹ *

Chelsea & Westminster Hospital, ¹Imperial College, London, UK

Correspondence to *Professor Brian G. Gazzard, St
Stephen's Centre,
369 Fulham Road, London SW10 9TH, UK
Tel.: 020 8746 8239
Fax.: 020 8746 5611
Email: eileen.witney@chelwest.nhs.uk

KEYWORDS

Ibuprofen abuse • hypokalaemia

Summary

Ibuprofen abuse may be more prevalent than generally considered. Although normally benign, serious complications have been documented. We report an unusual presentation of hypokalaemia and its associated symptoms as a result of Nurofen Plus^® (200 mg ibuprofen + 12.8 mg codeine phosphate) abuse. Ibuprofen is generally not included in a standard toxicology screen, but should be considered as a rare cause of hypokalaemia.

Paper received May 2004, accepted May 2004

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1368-5031.2004.00304.x About DOI