Gergaud S, Lermite E, Butel F, Soltner C, Lasocki S. [Extensive mesenteric ischemia related to naratriptan overuse associated with grapefruit juice absorption].
ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2012;
31:472-474. [PMID:
22465646 DOI:
10.1016/j.annfar.2012.01.022]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2011] [Accepted: 01/04/2012] [Indexed: 05/31/2023]
Abstract
We reported the case of a 61-year-old woman, who has been hospitalized in ICU because of an extensive mesenteric ischaemia, involving the small bowel, secondary to a naratriptan overuse. This mesenteric ischaemia was complicated by multiple organ failure and was responsible for extensive small bowel resection and left colectomy. A concomitant abundant absorption of grapefruit juice, a well-known P450 inhibitor, may have enhanced this naratriptan toxicity. This case underscore that an abdominal pain occurring in the context of headache treatment may be related to a mesenteric ischaemia.
Collapse