Adverse Events, Including Death, Associated with the Use of 1,4-Butanediol

The industrial solvent 1,4-butanediol, when ingested, is rapidly converted to γ-hydroxybutyrate, a neuromodulator with depressant effects, primarily on the central nervous system. γ-Hydroxybutyrate is a metabolite of γ-aminobutyric acid (GABA), which is an inhibitory neurotransmitter (Figure 1). 1,4...

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Veröffentlicht in:The New England journal of medicine 2001-01, Vol.344 (2), p.87-94
Hauptverfasser: Zvosec, Deborah L, Smith, Stephen W, McCutcheon, J. Rod, Spillane, Joe, Hall, Bradley J, Peacock, Elizabeth A
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container_issue 2
container_start_page 87
container_title The New England journal of medicine
container_volume 344
creator Zvosec, Deborah L
Smith, Stephen W
McCutcheon, J. Rod
Spillane, Joe
Hall, Bradley J
Peacock, Elizabeth A
description The industrial solvent 1,4-butanediol, when ingested, is rapidly converted to γ-hydroxybutyrate, a neuromodulator with depressant effects, primarily on the central nervous system. γ-Hydroxybutyrate is a metabolite of γ-aminobutyric acid (GABA), which is an inhibitory neurotransmitter (Figure 1). 1,4-Butanediol and γ-hydroxybutyrate occur endogenously in humans in trace amounts. 1 γ-Hydroxybutyrate was marketed to bodybuilders in the 1980s as a purported aid to muscle building and fat loss. Because of its euphoric and sexual effects, it became a drug of abuse. Reports of the drug's toxicity resulted in warnings about health risks and a federal prohibition of the manufacture, sale, and use of . . .
doi_str_mv 10.1056/NEJM200101113440202
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subjects 1,4-butanediol
Adult
Biological and medical sciences
Butylene Glycols - administration & dosage
Butylene Glycols - adverse effects
Butylene Glycols - analysis
Chemical and industrial products toxicology. Toxic occupational diseases
Dietary supplements
Dietary Supplements - adverse effects
Drug dosages
Fatal Outcome
FDA approval
Female
Food industries
Fundamental and applied biological sciences. Psychology
g-Hydroxybutyric acid
Humans
incontinence
Male
Mass spectrometry
Medical sciences
Patients
Psychomotor Agitation - etiology
Pulmonary Edema - chemically induced
Research and development. New food products, dietetic foods and beverages
Sodium Oxybate - adverse effects
Sodium Oxybate - analysis
Solvents
Substance Withdrawal Syndrome
Substance-Related Disorders
supplements
Toxicology
Unconsciousness - chemically induced
Vomiting - chemically induced
title Adverse Events, Including Death, Associated with the Use of 1,4-Butanediol
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