A case of toxic hepatitis caused by the chinese diet food / 대한내과학회지

Recently over 500 victims with toxic hepatitis associated with some sort of Chinese diet food for weight reduction were developed in Japan, China, Singapore and Malaysia. These Chinese goods contain several kinds of Chinese herbs and fenfluramine, the well known anti-appetite drug. However, until today, it is not determined which component of the diet food is responsible for the hepatic injury. Nowadays, toxic hepatitis is frequently seen in daily practice, second only to viral origin in Korea. We present a 38-year-old woman who developed mixed cholestatic and hepatocellular injury after 5 week's ingestion of the Chinese diet food. The causality of this agent to the hepatotoxicity was assessed by RUCAM and M and V scale. Herein we described the clinical course and liver pathology of this patient.

Two Cases of Acute Fenfluramine Intoxication

Fenfluramine is an amphetamine-derived substance first developed in the late 1960s for appetite control. Because of its known side effects at therapeutic doses, it is now controlled by the government and has been withdrawn from the market, but the underground market is still big. When over-dosed, it can produce a wide range of neurologic and cardiovascular symptoms, and even death, when a large amount is ingested. We report two cases of acute fenfluramine overdose: a fatal case with generalized seizure and pulseless electrical activity, and a case of relatively mild intoxication.

Effect of Xiangshahewei Pill on secretion in anorectic rat models induced by Fenfluramine / 中成药

AIM:To explore the effect of Xiangshahewei Pill(Radix Aucklandiae,Rhizoma Cyperi,Fructus Amomi,etc.)on secretion in anorectic rat model induced by Fenfluramine.METHODS:Anorectic rat model was induced by Fenfluramine in dose of 15 mg/kg for 8 days.Xiangshahewei Pill was administered orally to the rats also for 8 days.The volume of gastric juice,total gastric acid,mucus,acidity of gastric acid and activity of pepsin of rats were measured.RESULTS:Xiangshahewei Pill could improve the turbulence of gastric secretion in anorectic rat induced by Fenfluramine.Xiangshahewei Pill in dose of 0.75 g/kg(P

Solid phase microextraction for both fenfluramine and amphetamine stimulants / 中国法医学杂志

The present paper reports that the fenfluramine(FA), amphetamine(AP) and methamphetamine(MA) were extracted from the blood by the solid phase microextraction(SPME). The drugs were extracted for 15 min under the condition of 70℃ by a polydimethylsiloxane fiber. d5-methamphetamine(IS) was used as an internal standard. GC/MS was used for analysis with the injection method of derivatization on column. The ions at m/z 268(FA), m/z 240(AP), m/z 254(MA) and m/z 258(IS) in the selected ion minitoring chromatograms were selected for quantitation. Each compound was detectable at least 0 01～0 03 ?g/g. By determination of fenfluramine in poisoning blood, it is proved that this method would be demonstrated to be simple and accurate.