Diphenhydramine dependence through deep intramuscular injection resulting in myonecrosis and prolonged QT interval.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:Diphenhydramine (DPH) is a first-generation antihistamine, which is useful in treating allergic reaction, and is usually considered innocuous. We describe a retired nurse with history of depression, who began to develop drug-seeking behaviour after her first receiving of an intramuscular (IM) DPH injection due to urticaria. CASE SUMMARY:The 49-year-old patient had developed IM DPH dependence within 4 months. She needed to receive psychiatric inpatient treatment because of depressive mood, serious myonecrosis over injected sites, and prolongation of QT interval. WHAT IS NEW AND CONCLUSION:This is the first reported case of DPH dependence through the IM route. Second-generation antihistamines might be better choices for patients with psychiatric illness by reason of their lower effects on central nervous system and lower risk of abuse.

journal_name

J Clin Pharm Ther

authors

Chen TY,Yeh YW,Kuo SC,Chen CY,Lin TP,Chang CC

doi

10.1111/jcpt.12142

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

325-7

issue

3

eissn

0269-4727

issn

1365-2710

journal_volume

39

pub_type

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