Hemorrhagic stroke in young healthy male following use of sports supplement Jack3d

Mil Med. 2012 Dec;177(12):1450-4. doi: 10.7205/milmed-d-11-00342.

Abstract

A 26-year-old male was presented to a military treatment facility in Afghanistan shortly after taking a weight-lifting supplement called Jack3d with a severe headache and was subsequently found to have suffered a Dejerine-Roussy variant right thalamic hemorrhagic stroke. Jack3d active ingredients include geranamine, schizandrol A, caffeine, beta-alanine, creatine monohydrate, and L-arginine alpha-ketoglutarate. A literature search revealed case reports suggesting some of the constituent ingredients may predispose to stroke and hemorrhage and also revealed a substantial paucity of data existed regarding schizandrol A, a herb used in traditional eastern medicine. The product has no readily apparent disclaimer or warning regarding the risks or lack of data regarding the components. Jack3d is sold as a nutritional supplement and is therefore not subject to same FDA regulation and scrutiny that a pharmaceutical receives. The potential adverse effect was reported to the FDA via MedWatch in accordance with the recently passed Dietary Supplement and Nonprescription Drug Consumer Protection Act.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amines / adverse effects
  • Amines / analysis
  • Dietary Supplements / adverse effects*
  • Humans
  • Intracranial Hemorrhages / chemically induced*
  • Intracranial Hemorrhages / diagnosis
  • Male
  • Military Personnel
  • Stroke, Lacunar / chemically induced*
  • Stroke, Lacunar / diagnosis
  • Sympathomimetics / adverse effects
  • Sympathomimetics / analysis
  • Thalamic Diseases / chemically induced
  • Tomography, X-Ray Computed

Substances

  • 1,3-dimethylamylamine
  • Amines
  • Sympathomimetics