title: Horse pill ("bute") hemorrhage.
abstract: Phenylbutazone (PBZ) is a nonsteroidal antiinflammatory drug (NSAID) that is not commonly prescribed due to the high incidence of serious adverse reactions. However, it is still used extensively in equine medicine, and is readily available to those employed in the care and management of horses. Such persons may take the drug indiscriminately, without medical supervision. We present a 33-year-old male race horse track worker who took phenylbutazone horse pills for a chronic toothache and subsequently suffered a major hemorrhage from a gastric ulcer. Human use of phenylbutazone horse pills should be considered by physicians confronted with patients who have upper gastrointestinal symptoms and gastric injury and who belong to this select group.
authors.affiliation: Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque 87131.
authors.forename: M L
authors.initials: ML
authors.lastname: Cohen
authors.forename: R H
authors.initials: RH
authors.lastname: Ming
authors.forename: H K
authors.initials: HK
authors.lastname: Gogel
authors.forename: M
authors.initials: M
authors.lastname: Davis
authors.forename: J L
authors.initials: JL
authors.lastname: Pitcher
mesh_terms: D000328:Adult; D000818:Animals; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006734:Horse Diseases / Q000188:drug therapy; D006736:Horses; D006801:Humans; D008297:Male; D010653:Phenylbutazone / Q000008:administration & dosage / Q000009:adverse effects*; D013276:Stomach Ulcer / Q000139:chemically induced; D013607:Tablets
chemical_list: D013607:Tablets; D010653:Phenylbutazone