TY - JOUR PY - 2010// TI - Protracted deep coma after bromazepam poisoning JO - International journal of clinical pharmacology and therapeutics A1 - Lakhal, K. A1 - Pallancher, S. A1 - Mathieu-Daude, J.-c. A1 - Harry, P. A1 - Capdevila, X. SP - 79 EP - 83 VL - 48 IS - 1 N2 - BACKGROUND: Bromazepam intoxication is very common but surprisingly rarely reported. Case description: We describe the case of a 73-year-old woman who suffered from a prolonged coma after acute self poisoning with bromazepam (serum concentration of 2,000 ng/ml at admission, 2 - 10 hours after ingestion of up to 180 mg) and zolpidem (900 ng/ml at admission). Only the former lasted at toxic concentrations. Recovery of consciousness allowed extubation on Day 16. Repeat-dose activated charcoal (25 g every 6 h from Day 14 to 16) resulted in minimal effects on bromazepam grossly estimated kinetics.

CONCLUSION: Despite its relativel low theoretic half-life, bromazepam may induce a prolonged life-threatening coma, even in the absence of renal or hepatic failure. © 2010 Dustri-Verlag Dr. K. Feistle.

Language: en

LA - en SN - 0946-1965 UR - http://dx.doi.org/10.5414/CPP48079 ID - ref1 ER -