There is a lack of literature on the formation of methaemoglobin MH in the blood after the intake of poppers amyl nitrite. Poppers are a popular aphrodisiac agent.
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Case description: A year-old diabetic called an ambulance after using poppers in a brothel with subsequent associated acrocyanosis, confusion and headache. The paramedics reported tachycardia and blood glucose of 3. MH levels decreased rapidly without antidotal therapy. The patient was discharged the next day free of symptoms.
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Discussion: This case illustrates the potential risks of taking poppers. A wide spectrum of symptoms were present in our patient.
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For the differential diagnosis of acquired MHB, poppers should be considered. Cyanosis that does not respond to oxygen supplementation should raise the suspicion of MHB. The symptoms can vary from mild nonspecific symptoms to death. Poppers, short-acting potent vasodilators amyl nitritewere used therapeutically in the past for angina pectoris.
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Since the s, they have become a popular aphrodisiac. Their use supposedly le to increased sexual pleasure and prolonged orgasm and is legal in Switzerland.
[poppers at top: alkyl nitrites use in france]. - abstract - europe pmc
Only a few cases of MHB induced by poppers are documented. He presented to the paramedics with acrocyanosis, tachycardia, dizziness, coordination problems and headache. On admission, the pooppers was disoriented. Acrocyanosis that did not respond to oxygen administration was noted on physical examination.
Further, a 2 mm anisocoria with non-light-reacting pupils was found. The remaining physical examination was unremarkable. Arterial blood gas analysis showed mild non-anion gap metabolic acidosis with inadequate respiratory compensation pH 7.
Glucose was slightly lower 3. Electrocardiogram was normal. Due to an observed anisocoria, a neurological consultation and a cranial computed tomography angiogram were performed. Some people niteites that poppers also makes their erections stronger, and their orgasms more intense.
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Although the high from poppers is over in a few minutes, you may feel dizzy or sick after taking them — and you may get a headache. The risks Physical health risks Swallowing poppers can be fatal.
Sniffing poppers is potentially dangerous for anyone with heart problems, anaemia or glaucoma an eye disease. Sniffing poppers can make your blood pressure drop. Users can also die from injury to red blood cells and reduced oxygen supply to vital organs, but this is very rare.
Testing of alkyl nitrite 'poppers'
Poppers may lead to you losing consciousness and choking on your vomit. Using poppers with alcohol can increase this risk. Because of this, poppers have been linked to people catching sexually transmitted diseases and injuring themselves during sex. Poppers are highly flammable and can cause chemical burns on the skin, leading to rashes around the nose and mouth. ❶Further, a 2 mm anisocoria with non-light-reacting pupils was found.
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Poppers may lead to you losing consciousness and choking on your vomit. Cyanosis that does not respond to oxygen supplementation should raise the suspicion of MHB. An incorrect history or a particular vulnerability due to a cytochrome b5 deficiency are possible explanations. The diffusion of oxygen from the alveoli to blood plasma mostly determines the PO2 value and is not impaired by MHB. For the differential diagnosis of acquired MHB, poppers should be considered.
Figure 1 click to enlarge Figure 1: MB reduction.
The remaining physical examination was unremarkable. Sniffing poppers is potentially dangerous for anyone with heart problems, anaemia or glaucoma an eye disease. Mixing poppers with Viagra or other erectile dysfunction medication is dangerous as they all affect blood pressure. A wide spectrum of symptoms were present in our patient. Moos et al. The patient was a regular consumer of poppers and had never reported any complaints associated with their use.|Spooning after sex.
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