title: Amphetamine lacing of an Internet-marketed neutraceutical.
abstract: A 25-year-old woman presented with abdominal pain after taking an imported herbal weight-loss product. A urinary toxicology screen was positive for amphetamine, which the patient denied taking. On further investigation, the neutraceutical was found to contain an amphetamine derivative banned by the US Food and Drug Administration (FDA). Although the patient had discontinued use of the supplement before hospitalization and her symptoms steadily improved with appropriate treatment, a report was made to the FDA. Similar reports from cities across the United States prompted the FDA to confiscate shipments of the product before it could be distributed further nationally while they investigate claims against the product.
authors.affiliation: Department of Internal Medicine, Santa Clara Valley Medical Center, 751 S Bascom Ave, San Jose, CA 95128, USA. Minh.Nguyen1@hhs.co.santa-clara.ca.us
authors.forename: Minh H
authors.initials: MH
authors.lastname: Nguyen
authors.forename: Tom
authors.initials: T
authors.lastname: Ormiston
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kurani
authors.forename: Denise K
authors.initials: DK
authors.lastname: Woo
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000662:Amphetamines / Q000009:adverse effects* / Q000652:urine; D003937:Diagnosis, Differential; D019587:Dietary Supplements / Q000009:adverse effects* / Q000600:supply & distribution; D004340:Drug Contamination; D005260:Female; D006801:Humans; D020407:Internet; D008517:Phytotherapy / Q000009:adverse effects*; D010936:Plant Extracts / Q000009:adverse effects*; D014481:United States; D014486:United States Food and Drug Administration; D015431:Weight Loss
chemical_list: D000662:Amphetamines; D010936:Plant Extracts