TY - JOUR
T1 - Intoxication with Fireball Whiskey causing severe lactic acidosis
AU - Ahmed, Moeed
AU - Jagadesh, Sunil K.
AU - Alhajhusain, Mohamad Ali
AU - Mutnuri, Sangeeta
N1 - Funding Information:
The authors acknowledge the contributions of Saad Ur Rahman.
Publisher Copyright:
© Copyright © 2021 Baylor University Medical Center.
PY - 2021
Y1 - 2021
N2 - Propylene glycol is a viscous, colorless liquid that has been approved by the US Food and Drug Administration for use as a preservative in foods and as a solvent in pharmaceuticals. Compared with methanol and ethylene glycol, it is regarded as a relatively safe alcohol. There have been several reports of severe lactic acidosis in the setting of iatrogenic unintentional overdosing of medications that use propylene glycol as a diluent, including lorazepam and diazepam. The laboratory findings may include high metabolic acidosis and high osmolal gap. Propylene glycol is also one of the ingredients used in Fireball Whiskey. We present two cases of severe lactic acidosis in the setting of Fireball Whiskey use.
AB - Propylene glycol is a viscous, colorless liquid that has been approved by the US Food and Drug Administration for use as a preservative in foods and as a solvent in pharmaceuticals. Compared with methanol and ethylene glycol, it is regarded as a relatively safe alcohol. There have been several reports of severe lactic acidosis in the setting of iatrogenic unintentional overdosing of medications that use propylene glycol as a diluent, including lorazepam and diazepam. The laboratory findings may include high metabolic acidosis and high osmolal gap. Propylene glycol is also one of the ingredients used in Fireball Whiskey. We present two cases of severe lactic acidosis in the setting of Fireball Whiskey use.
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U2 - 10.1080/08998280.2021.1906828
DO - 10.1080/08998280.2021.1906828
M3 - Article
AN - SCOPUS:85104271406
VL - 34
SP - 521
EP - 522
JO - Baylor University Medical Center Proceedings
JF - Baylor University Medical Center Proceedings
SN - 0899-8280
IS - 4
ER -