Outbreak of Severe Hypoglycemia After Ingestion of a Male Enhancement Supplement - Virginia, August–November 2019

Information on the outbreak of severe hypoglycemia after ingestion of a male enhancement supplement in Virginia, Aug-Nov 2019 is presented. In Aug 2019, the Virginia Poison Center (VPC) and the Blue Ridge Poison Center (BRPC) were contacted concerning patients experiencing repeated episodes of marked hypoglycemia following ingestion of a male enhancement supplement tablet marketed as "V8" in convenience stores in central Virginia. Over the following 3 months, the Virginia Department of Agriculture and Consumer Services (VDACS) and the Virginia Department of Health (VDH) conducted an investigation and identified 17 patients meeting the case definition (severe hypoglycemia within 48 hours of consuming an over-the-counter male enhancement supplement in a man with no history of use of insulin or other medication used to control blood glucose).