Literature DB >> 3132492

Propylene glycol-induced side effects during intravenous nitroglycerin therapy.

H E Demey1, R A Daelemans, G A Verpooten, M E De Broe, C M Van Campenhout, F V Lakiere, P J Schepens, L L Bossaert.   

Abstract

Propylene glycol, an alcohol frequently used as a solvent in medical preparations, is considered non-toxic. We found that this solvent, used in a commercially available IV nitroglycerin solution, may cause hyperosmolality, hemolysis and lactic acidosis. The influence of kidney function as the main determinant in causing accumulation of this solvent and consequently hyperosmolality is emphasized. A review of the literature dealing with propylene glycol is given. The possible mechanisms of neurological disturbances occurring during IV nitroglycerin therapy are discussed.

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Year:  1988        PMID: 3132492     DOI: 10.1007/bf00717993

Source DB:  PubMed          Journal:  Intensive Care Med        ISSN: 0342-4642            Impact factor:   17.440


  34 in total

1.  Intracranial hypertension caused by nitroglycerin.

Authors:  R L Gagnon; M L Marsh; R W Smith; H M Shapiro
Journal:  Anesthesiology       Date:  1979-07       Impact factor: 7.892

2.  Acute and subacute coronary insufficiency.

Authors:  P WOOD
Journal:  Br Med J       Date:  1961-06-24

3.  Propylene glycol: a potentially toxic vehicle in liquid dosage form.

Authors:  G Martin; L Finberg
Journal:  J Pediatr       Date:  1970-11       Impact factor: 4.406

4.  Propyleneglycol intoxication due to intravenous nitroglycerin.

Authors:  H Demey; R Daelemans; M E De Broe; L Bossaert
Journal:  Lancet       Date:  1984-06-16       Impact factor: 79.321

Review 5.  Current concepts. Serum osmolality. Uses and limitations.

Authors:  F J Gennari
Journal:  N Engl J Med       Date:  1984-01-12       Impact factor: 91.245

6.  Acute Wernicke's encephalopathy after intravenous infusion of high-dose nitroglycerin.

Authors:  J Shorey; N Bhardwaj; J Loscalzo
Journal:  Ann Intern Med       Date:  1984-10       Impact factor: 25.391

7.  Central nervous system toxicity associated with ingestion of propylene glycol.

Authors:  K Arulanantham; M Genel
Journal:  J Pediatr       Date:  1978-09       Impact factor: 4.406

8.  Propylene glycol as a cause of lactic acidosis.

Authors:  M J Kelner; D N Bailey
Journal:  J Anal Toxicol       Date:  1985 Jan-Feb       Impact factor: 3.367

9.  Intravenous nitroglycerin-induced intracranial hypertension.

Authors:  J M Ohar; A A Fowler; J B Selhorst; F L Glauser
Journal:  Crit Care Med       Date:  1985-10       Impact factor: 7.598

10.  Intracranial pressure during nitroglycerin-induced hypotension.

Authors:  J E Cottrell; B Gupta; H Rappaport; H Turndorf; J Ransohoff; E S Flamm
Journal:  J Neurosurg       Date:  1980-09       Impact factor: 5.115

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  11 in total

1.  Propylene glycol produces excessive apoptosis in the developing mouse brain, alone and in combination with phenobarbital.

Authors:  Karen Lau; Brant S Swiney; Nick Reeves; Kevin K Noguchi; Nuri B Farber
Journal:  Pediatr Res       Date:  2012-01       Impact factor: 3.756

2.  Synergism and antagonism induced by three carrier solvents with t-retinoic acid and 6-aminonicotinamide using FETAX.

Authors:  J R Rayburn; D J Fort; R McNew; J A Bantle
Journal:  Bull Environ Contam Toxicol       Date:  1991-04       Impact factor: 2.151

3.  Hyperosmolality related to propylene glycol in an infant treated with enoximone infusion.

Authors:  I Huggon; I James; D Macrae
Journal:  BMJ       Date:  1990-07-07

4.  Increase in venous complications associated with etomidate use during a propofol shortage: an example of clinically important adverse effects related to drug substitution.

Authors:  Logan Kosarek; Stuart R Hart; Lucy Schultz; Neil Digiovanni
Journal:  Ochsner J       Date:  2011

5.  Experimental exposure to propylene glycol mist in aviation emergency training: acute ocular and respiratory effects.

Authors:  G Wieslander; D Norbäck; T Lindgren
Journal:  Occup Environ Med       Date:  2001-10       Impact factor: 4.402

Review 6.  Pharmacologically-induced metabolic acidosis: a review.

Authors:  George Liamis; Haralampos J Milionis; Moses Elisaf
Journal:  Drug Saf       Date:  2010-05-01       Impact factor: 5.606

Review 7.  Haemodynamic monitoring. Problems, pitfalls and practical solutions.

Authors:  L L Bossaert; H E Demey; R De Jongh; L Heytens
Journal:  Drugs       Date:  1991-06       Impact factor: 9.546

8.  Persistent lactic acidosis after chronic topical application of silver sulfadiazine in a pediatric burn patient: a review of the literature.

Authors:  Monte S Willis; Bruce A Cairns; Ashley Purdy; Andrey V Bortsov; Samuel W Jones; Shiara M Ortiz-Pujols; Tina M Schade Willis; Benny L Joyner
Journal:  Int J Burns Trauma       Date:  2013-01-24

9.  Pharmacokinetics of propylene glycol after rectal administration.

Authors:  W J Kollöffel; L E Weekers; P B Goldhoorn
Journal:  Pharm World Sci       Date:  1996-06

10.  Salvinorin A: A Mini Review of Physical and Chemical Properties Affecting Its Translation from Research to Clinical Applications in Humans.

Authors:  Edward Orton; Renyu Liu
Journal:  Transl Perioper Pain Med       Date:  2014
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