Bilateral pseudoaneurysm secondary to intraarterial tianeptine abuse

İlhan, Gökhan; Ergene, Şaban; Durakoğlugil, Tuğba; Karamustafa, Hakan; Karakişi, Ozan; Bozok, Şahin

doi:10.5152/akd.2013.4856

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…However, it is also possible that such intoxication cases receive an immediate intervention. In such patients with tianeptine abuse admitted to the emergency departments, injection traces were detected in the extremities (14,17). In accordance with the literature, new and old injection traces and small subcutaneous bleeding sites on the traces of vessels were observed in the extremities of both cases.…”

Section: Resultssupporting

confidence: 86%

“…In one case, bilateral pseudoaneurysm developed secondarily to the use of tianeptine. Unlike our cases, the administration in this patient, which did not result in death, was performed directly intravascularly through the intact skin tissue (14). There were cases of intravenous drug injections in literature (18)(19)(20), as in our cases, we did not find a presence of preparatory incision in the literature that would make the femoral vein, which is selected as an application region, visible.…”

Section: Resultsmentioning

confidence: 59%

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Death Due to Tianeptine Injection Through Inguinal Incision: Two Case Reports

et al. 2018

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In recent years, drug use has come to the forefront as one of the most important problems of public health. Tianeptine is an antidepressant that is structurally similar to tricyclic antidepressants and is used for the treatment of depression but is also abused because its pleasing feature has been recognized by drug users. Two forensic cases were autopsied with an interval of 25 days. One case had unilateral unusual inguinal lesions. The other case bilateral unusual inguinal lesions. It was understood that these lesions were preformed, improved surgical catheter incisions in order to facilitate intravenous injections for drug abuse. This application, which was detected in the inguinal region, was found to be interesting. It is aimed to raise the awareness of this application, which is not found in the literature. As a result of the intense human transit, substance abuse habits and methods have also been transferred to citizens...

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Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 59%

Death Due to Tianeptine Injection Through Inguinal Incision: Two Case Reports

et al. 2018

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“… 3 Concomitant intravenous abuse of other medications such as tianeptine (antidepressant) has been reported 3 and may contribute to some of the vascular complications frequently seen in krokodil users. 10 …”

Section: Discussionmentioning

confidence: 99%

A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user

Haskin

Kim²,

Aguh³

2016

JAAD Case Reports

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“…Another case of fluoxetine abuse was of a woman having history of poly-substance abuse, misusing fluoxetine by sucking very low dose through her mouth thus giving stimulant like effect. Paligaro and Paligaro reported a case of patient with history of cocaine or heroin abuse having fluoxetine abuse [32].…”

Section: Selective Serotonin Reuptake Inhibitormentioning

confidence: 99%

"Abuses and Misuses of Benzodiazepines and Antidepressents; A Review"

Arshad¹

2018

MAPP

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Although benzodiazepines and antidepressants are valuable in the treatment of anxiety and depression disorders, they have some potential for abuse and may cause dependence or addiction. It is important to distinguish between addiction to and normal physical dependence on benzodiazepines and antidepressants. Intentional abusers of benzodiazepines usually have other substance abuse problems. Benzodiazepines are usually a secondary drug of abuse used mainly to augment the high received from another drug or to offset the adverse effects of other drugs. Few cases of addiction arise from legitimate use of benzodiazepines and antidepressant. Pharmacologic dependence, a predictable and natural adaptation of a body system long accustomed to the presence of a drug, may occur in patients taking therapeutic doses of benzodiazepines and antidepressant. However, this dependence, which generally manifests itself in withdrawal symptoms upon the abrupt discontinuation of the medication, may be controlled and ended through dose tapering, medication switching, and/or medication augmentation.

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Bilateral pseudoaneurysm secondary to intraarterial tianeptine abuse

Cited by 7 publications

References 5 publications

Death Due to Tianeptine Injection Through Inguinal Incision: Two Case Reports

Death Due to Tianeptine Injection Through Inguinal Incision: Two Case Reports

A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user

"Abuses and Misuses of Benzodiazepines and Antidepressents; A Review"

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