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[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel].

Identifieur interne : 000E80 ( France/Analysis ); précédent : 000E79; suivant : 000E81

[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel].

Auteurs : C. Lacroix [France] ; M. Peureux ; M. Borel ; J. Goulle

Source :

RBID : pubmed:11974447

English descriptors

Abstract

Lidocaine use may lead to methemoglobinemia. Lidocaine is clinically widely used as an anaesthesic drug, however its toxic effect is rare. We report a high methemoglobinemia level of 31.1% following repeated Xylocaine gel oral applications. New metabolic pathways of lidocaine have been reported leading to dimethylphenylhydroxylamine in humans. This metabolism is very similar to the aniline derivative ones, and may explain lidocaine methemoglobinemia effect.

PubMed: 11974447


Affiliations:


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pubmed:11974447

Le document en format XML

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<title xml:lang="en">[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel].</title>
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<nlm:affiliation>Laboratoire de Pharmacocinétique et de Toxicologie Clinique-Groupe Hospitalier B.P. 24-76083 Le Havre, France. clacroix@ch-havre.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire de Pharmacocinétique et de Toxicologie Clinique-Groupe Hospitalier B.P. 24-76083 Le Havre</wicri:regionArea>
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<name sortKey="Peureux, M" sort="Peureux, M" uniqKey="Peureux M" first="M" last="Peureux">M. Peureux</name>
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<name sortKey="Borel, M" sort="Borel, M" uniqKey="Borel M" first="M" last="Borel">M. Borel</name>
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<name sortKey="Goulle, J" sort="Goulle, J" uniqKey="Goulle J" first="J" last="Goulle">J. Goulle</name>
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<term>Lidocaine (administration & dosage)</term>
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<div type="abstract" xml:lang="en">Lidocaine use may lead to methemoglobinemia. Lidocaine is clinically widely used as an anaesthesic drug, however its toxic effect is rare. We report a high methemoglobinemia level of 31.1% following repeated Xylocaine gel oral applications. New metabolic pathways of lidocaine have been reported leading to dimethylphenylhydroxylamine in humans. This metabolism is very similar to the aniline derivative ones, and may explain lidocaine methemoglobinemia effect.</div>
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{{Explor lien
   |wiki=    Wicri/France
   |area=    LeHavreV1
   |flux=    France
   |étape=   Analysis
   |type=    RBID
   |clé=     pubmed:11974447
   |texte=   [Methemoglobinemia induced by repeated abuse of lidocaine viscous gel].
}}

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