Recent problems with paracervical vasopressin: a possible synergistic reaction with nicotine.

Abstract:

:Vasopressin is now commonly used to control bleeding during surgery of the cervix. In larger intravenous doses, vasopressin can cause coronary artery vasoconstriction and increase systemic vascular resistance. Nicotine has a similar effect on the coronary circulation. The effects of combining both these drugs has not been studied. We describe a 22-year-old woman who developed severe hypotension and bradycardia after receiving a small dose of paracervical vasopressin. She was using a transdermal nicotine patch at the time of her surgery. We suspect her cardiac problems, and recently reported cardiac events in other women receiving small doses of paracervical vasopressin, could be caused by a synergism of the vasoconstrictive properties of nicotine and vasopressin. Caution is urged when vasopressin is to be administered to patients who smoke or use nicotine transdermal patches.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Groudine SB,Morley JN

doi

10.1016/s0306-9877(96)90036-5

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

19-21

issue

1

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(96)90036-5

journal_volume

47

pub_type

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