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June 1988, Vol 142, No. 6 >
Article | June 1988

The Case for Ipecac Syrup FREE

WILLIAM BANNER, MD, PHD; JOSEPH C. VELTRI, PHARMD
Am J Dis Child. 1988;142(6):596. doi:10.1001/archpedi.1988.02150060030020.
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Methods of gastric decontamination have generated controversy among physicians treating toxin-related emergencies. A number of methods of decontamination exist, including induced emesis (by ipecac syrup, mild detergents, or apomorphine), nasogastric or orogastric lavage, and oral activated charcoal. No distinct advantages in effectiveness have been attributed to any of these methods in particular.

Charcoal is currently experiencing a resurgence of support in some publications1 and has been suggested by some authors as a replacement for emesis as a method of decontamination for nonacute poisonings. This may contribute to confusion by some practitioners and consumers who are concerned about the appropriate role of emesis in the management of poisoned patients. In some situations the characteristics of activated charcoal may make it the most appropriate mode of decontamination. Intoxication with a substance that has a rapid onset of toxicity and for which emesis would be contraindicated

REFERENCES

1 +
Greensher J, Mofenson H, Caraccio T:  Ascendency of the black bottle (activated charcoal) . Pediatrics 1987;;80:949-950.
2 +
Grbcich PA, Lacouture PG, Woolf A:  Administration of charcoal in the home , abstracted. Vet Hum Toxicol 1987;;29:458.
3 +
Litovitz T, Martin T, Schmitz B:  1986 Annual Report of the American Association of Poison Control Centers National Data Collection System . Am J Emerg Med 1987;;5:405-445.
4 +
Malloy MH, Rhoads GG:  Syrup of ipecac: The case for distribution from physicians' offices . AJDC 1988;;142:640-642.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Greensher J, Mofenson H, Caraccio T:  Ascendency of the black bottle (activated charcoal) . Pediatrics 1987;;80:949-950.
2 +
Grbcich PA, Lacouture PG, Woolf A:  Administration of charcoal in the home , abstracted. Vet Hum Toxicol 1987;;29:458.
3 +
Litovitz T, Martin T, Schmitz B:  1986 Annual Report of the American Association of Poison Control Centers National Data Collection System . Am J Emerg Med 1987;;5:405-445.
4 +
Malloy MH, Rhoads GG:  Syrup of ipecac: The case for distribution from physicians' offices . AJDC 1988;;142:640-642.

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