title: [Suicide attempt with antidepressants ordered from the Internet].
abstract: BACKGROUND
  Since its launch, the Internet has developed into a mass medium with 1.6 billion people using it worldwide. Due to anonymity, its wide reach and the infinite stream of information from the Internet, almost anything can be found on it. This includes medicines that can normally only be acquired by way of a doctor's prescription.
  
  
  METHODS
  A 27-year-old man made a suicide attempt using psychoactive drugs he got from an illegal website in India. This caused him to develop status epilepticus, rhabdomyolysis, renal insufficiency and pulmonary oedema for which he had to be admitted to intensive care. The patient was treated with medicine, cardioversion, ventilation and haemofiltration and recovered. He was referred to a psychiatric centre.
  
  
  CONCLUSIONS
  The number of illegal online pharmaceutical websites on the Internet has increased drastically in the last decade. These websites sell medicines without prescription to consumers and the traditional doctor/patient consultation does not therefore take place. Many medicines that are delivered contain the wrong concentration or the wrong active ingredient and are often contaminated with other substances. The ease with which this life-threatening medicine can be ordered online without a doctor's supervision is a possible risk to public health.
authors.affiliation: Sint Franciscus Gasthuis, Rotterdam, Afd. Intensive Care, the Netherlands. m.burger@sfg.nl
authors.forename: Michael
authors.initials: M
authors.lastname: Burger
authors.forename: Margriet S
authors.initials: MS
authors.lastname: Bosma
authors.forename: Johan M
authors.initials: JM
authors.lastname: van der Klooster
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000008:administration & dosage / Q000600:supply & distribution*; D004335:Drug and Narcotic Control; D006801:Humans; D020407:Internet; D007885:Legislation, Pharmacy; D008297:Male; D055553:Prescription Drugs / Q000008:administration & dosage / Q000600:supply & distribution*; D013406:Suicide, Attempted
chemical_list: D000928:Antidepressive Agents; D055553:Prescription Drugs