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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 25,
Number 4, May/June 2001, pp. 245-249
Here is where the title stuff goes
Severe
Intoxication with the Veterinary Tranquilizer Xylazine in Humans
U. Hoffmann1,*, C.M. Meister2, K. Golle2, and M. Zschiesche1
1Department of Pharmacology, Ernst-Moritz-Arndt University Greifswald, Friedrich-Loeffler-Str.
23 d, D-17489 Greifswald, Germany and 2Department of Anaesthesiology, Central
Hospital, Wollweber Str. 21, D-17109 Demmin, Germany
Xylazine (Rompun®, Proxylaz®) is a veterinary tranquilizing
agent. A case of self-injection of 1.5 g xylazine by a 27-year-old farmer is
reported. He subsequently became comatose, hypotensive, bradycardic, and mildly
glycemic. An intensive supportive therapy including intubation and ventilation
was required. The patient made a full recovery over the next 30 h. The largest
concentrations measured were 4.6 mg/L in plasma, 446 mg/L in gastric fluid,
and 194 mg/L in urine. The calculated plasma half-life was 4.9 h. Kinetic data
correlated with clinical symptoms. Qualitative and quantitative analyses of
xylazine were done by thin-layer chromatography, gas chromatographymass
spectrometry, and high-performance liquid chromatography. These methods allow
the detection of small amounts substance in stomach, plasma, and urine. Liquidliquid
extraction was used for the isolation of drug. The sensitvity is high, and with
these methods, a rapid analysis is possible. Xylazine intoxications in humans
are rare. We describe the management of acute poisoning and present a review
of xylazine toxicity in humans.
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