Benylin dependence, metabolic acidosis and hyperglycaemia.
We describe a patient who had consumed large quantities of a proprietary cough mixture containing diphenhydramine, ammonium chloride and sodium citrate (Benylin expectorant) daily for several months and subsequently presented with confusion, marked metabolic acidosis and non-ketotic hyperglycaemia.
MacRury
S
S
Medical Unit, Glasgow Royal Infirmary, UK.
Neilson
R
R
Goodwin
K
K
D000138:Acidosis / Q000139:chemically induced*; D000368:Aged; D000643:Ammonium Chloride / Q000009:adverse effects; D004155:Diphenhydramine / Q000009:adverse effects*; D005100:Expectorants; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced*; D008297:Male; D019966:Substance-Related Disorders
D005100:Expectorants; D000643:Ammonium Chloride; D004155:Diphenhydramine