• J Addict Dis · Jan 2006

    Case Reports

    Complicated hypertension related to the abuse of ephedrine and caffeine alkaloids.

    • Jeffrey A Berman, Arathi Setty, Matthew J Steiner, Kenneth R Kaufman, and Christine Skotzko.
    • Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, 125 Patterson St, Suite 2200, New Brunswick, NJ 08901, USA. naadltc@aol.com
    • J Addict Dis. 2006 Jan 1; 25 (3): 45-8.

    AbstractEphedra containing products (ECPs), which most often contain additional sources of caffeine alkaloids, may be an under-recognized cause of hypertension. ECPs, especially when used in combination or at higher than recommended doses, can cause life-threatening cardiovascular and neurological complications. We present a case of hypertensive encephalopathy with new onset generalized tonic-clonic seizure secondary to concomitant use of two OTC supplements containing a mixture of ephedrine and caffeine alkaloids.

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