The Perils of Illegitimate Online Pharmacies: Substance-Induced Panic Attacks and Mood Instability Associated With Selegiline and Phenylethylamine

McKean, Alastair J.; Leung, Jonathan G.; Dare, Folabo Y.; Sola, Christopher L.; Schak, Kathryn M.

doi:10.1016/j.psym.2015.05.003

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“…Notably, 7% of the 96 online purchasers of tramadol experienced serious adverse events (life-threatening seizures) versus no seizures in the 349 who purchased tramadol with a prescription at a local pharmacy. Other examples of serious adverse reactions in patients who took self-prescribed medications from the Internet include lithium toxicity from a dietary supplement (Pauzé and Brooks, 2007), severe hypotension from high-dose niacin by a patient with schizophrenia (Mularski et al, 2006), and panic attacks from selegiline and phenylethylamine by a patient with depression (McKean et al, 2015).…”

Section: Discussionmentioning

confidence: 99%