title: [Life-threatening psychosis caused by using sibutramine-contaminated weight-loss coffee].
abstract: BACKGROUND
  Weight-loss products, which are freely available in some other countries and on the Internet, may be contaminated with ingredients not mentioned on the label.
  
  
  METHODS
  We describe a 43-year-old woman who presented to the emergency ward of our hospital after stabbing herself in the stomach with a knife, because of severe psychosis. A few days after admission her symptoms were completely gone and there were no longer signs of psychosis. The most likely explanation for the psychosis was the use of sibutramine-contaminated weight-loss coffee (Brazil Potent Slimming Coffee).
  
  
  CONCLUSIONS
  Brazil Potent Slimming Coffee and possibly also other weight-loss products may be contaminated with sibutramine and as a result cause severe adverse reactions. It is always important to consider intoxication due to the use of herbal supplements and other OTC products in the differential diagnosis.
authors.affiliation: Isala klinieken, Zwolle.
authors.forename: Daphne
authors.initials: D
authors.lastname: Bertholee
authors.forename: Peter G J
authors.initials: PG
authors.lastname: ter Horst
authors.forename: André
authors.initials: A
authors.lastname: Wieringa
authors.forename: Jan Pieter
authors.initials: JP
authors.lastname: Smit
mesh_terms: D000328:Adult; D001067:Appetite Depressants / Q000009:adverse effects*; D001938:Brazil; D003069:Coffee / Q000009:adverse effects / Q000737:chemistry*; D003503:Cyclobutanes / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005506:Food Contamination; D006801:Humans; D020407:Internet; D011618:Psychotic Disorders / Q000209:etiology*; D015431:Weight Loss
chemical_list: D001067:Appetite Depressants; D003069:Coffee; D003503:Cyclobutanes; C058254:sibutramine