[Acute glaucine syndrome in the physician's practice: the clinical picture and potential danger]

Klin Med (Mosk). 2006;84(11):68-70.
[Article in Russian]

Abstract

The author describes a clinical symptom complex which appears in some patients as a central nervous system side-effect of conventional doses of glaucine, a non-narcotic antitussive preparation, used in outpatients; the symptom complex is described by the author as acute glaucine syndrome (AGS). Clinical manifestations of AGS are the following: 1) very prominent fatigue, which occurs acutely after taking a conventional dose of glaucine and making any kind of professional activity impossible at the moment; 2) very prominent sleepiness, which occurs acutely together with fatigue and is always combined with it; 3) unusual clear but somewhat estranged perception of the environment: the patient sees and understands everything and is oriented well enough, but cannot take a clear and adequate action, 4) full recovery of the impaired functions after the drug is discontinued; 5) AGS recurrence after the drug is taken again. The hallucination-like effect of glaucine, described earlier by the author of this article, which is manifested by bright and colorful visual images, may be considered a facultative AGS component. The author stresses a potential danger of AGS development in persons who control moving mechanisms or vehicles and adduces some clinical observations.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Disease
  • Adult
  • Antitussive Agents / adverse effects*
  • Antitussive Agents / therapeutic use
  • Aporphines / adverse effects*
  • Aporphines / therapeutic use
  • Cough / drug therapy
  • Female
  • Follow-Up Studies
  • Hallucinations / chemically induced*
  • Hallucinations / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Muscle Fatigue / drug effects*
  • Risk Factors
  • Syndrome

Substances

  • Antitussive Agents
  • Aporphines
  • glaucine