Central nervous system manifestations of an ibuprofen overdose reversed by naloxone.
Ibuprofen overdose is usually characterized by GI upset, dizziness, and mild sedation. On rare occasions, severe complications such as respiratory failure, metabolic acidosis, renal failure, coma, and death have been reported in both adults and children. Presently, treatment of acute ibuprofen intoxication with complications requires supportive therapy until the symptoms resolve over 24 to 48 hours. We report the case of an 11-month-old female infant with a depressed level of consciousness after ingestion of ibuprofen whose mental status markedly improved with administration of naloxone.
Easley
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RB
Department of Child Health, University of Missouri-Hospital and Clinics, Columbia 65212, USA. rbeasley99@yahoo.com
Altemeier
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WA
D000138:Acidosis / Q000139:chemically induced; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000506:poisoning*; D000931:Antidotes / Q000494:pharmacology / Q000627:therapeutic use*; D002490:Central Nervous System / Q000187:drug effects*; D002493:Central Nervous System Diseases / Q000139:chemically induced / Q000188:drug therapy; D062787:Drug Overdose / Q000188:drug therapy; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000506:poisoning*; D007223:Infant; D009270:Naloxone / Q000494:pharmacology / Q000627:therapeutic use*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000931:Antidotes; D009270:Naloxone; D007052:Ibuprofen