• Ned Tijdschr Geneeskd · Jan 2013

    Case Reports

    [Life-threatening psychosis caused by using sibutramine-contaminated weight-loss coffee].

    • Daphne Bertholee, Peter G J ter Horst, André Wieringa, and Jan Pieter Smit.
    • Isala klinieken, Zwolle.
    • Ned Tijdschr Geneeskd. 2013 Jan 1;157(51):A6676.

    BackgroundWeight-loss products, which are freely available in some other countries and on the Internet, may be contaminated with ingredients not mentioned on the label.Case DescriptionWe 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).ConclusionBrazil 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.

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