Carbamazepine overdose after exposure to simethicone: a case report
2008

Carbamazepine Overdose Linked to Simethicone Use: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Guneysel Ozlem, Onur Ozge, Denizbasi Arzu, Saritemur Murat

Primary Institution: Marmara University, School of Medicine, Department of Emergency Medicine, Istanbul, Turkey

Hypothesis

Can simethicone cause carbamazepine toxicity in patients using both medications?

Conclusion

Simethicone and carbamazepine, when taken together, may lead to carbamazepine toxicity.

Supporting Evidence

  • The patient had a serum carbamazepine level of 34.2 μg/ml, indicating overdose.
  • After stopping simethicone, the patient's carbamazepine levels returned to normal.
  • The Naranjo scale indicated a probable cause of toxicity due to simethicone.

Takeaway

If someone takes carbamazepine and then uses simethicone, it might make the carbamazepine too strong and cause problems.

Methodology

Case report of a patient experiencing carbamazepine overdose after using simethicone.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

A 45-year-old man with a history of epilepsy.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-242

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