title: Uncommon drug abuse: An anesthetist dilemma.
abstract: Although mephentermine (Termin) and ephedrine are commonly used drugs for the treatment of hypotension during anesthesia but their abuse have markedly increased, especially in the young population due to its stimulant properties. Here, we report a case of 23-year-old man with a history of chronic mephentermine abuse, posted for Achilles tendon repair under spinal anesthesia. During intraoperative period, spinal induced hypotension showed unusual resistance to ephedrine boluses and was managed by using directly acting vasoconstrictor, that is, phenylephrine.
authors.affiliation: Department of Anaesthesiology and Intensive Care, GGS Medical College and Hospital, Faridkot, Punjab, India.
authors.forename: Kewal Krishan
authors.initials: KK
authors.lastname: Gupta
authors.affiliation: Department of Anaesthesiology and Intensive Care, GGS Medical College and Hospital, Faridkot, Punjab, India.
authors.forename: Amanjot
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Anaesthesiology and Intensive Care, GGS Medical College and Hospital, Faridkot, Punjab, India.
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Singh
authors.affiliation: Department of Anaesthesiology and Intensive Care, GGS Medical College and Hospital, Faridkot, Punjab, India.
authors.forename: Shobha
authors.initials: S
authors.lastname: Aggarwal
keywords: Mehentermine abuse; phenylephrine; resistant hypotension; spinal anesthesia