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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2018 ; 97
(15
): e0334
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Over-the-counter analgesic powder use in patients presenting with intracerebral
hemorrhage: A case series
#MMPMID29642171
Raza SA
; Durm LB
; Mahmoud GA
; Rahman H
; Henriquez L
; Davis B
; Nahab F
Medicine (Baltimore)
2018[Apr]; 97
(15
): e0334
PMID29642171
show ga
INTRODUCTION: Over-the-counter (OTC) analgesics including aspirin-containing
powder formulations (BC Powder, Goody's Powder) (ACPFs) are commonly utilized in
the United States. While the ACPFs have been associated with upper
gastrointestinal bleeding, we describe a case series of patients presenting with
intracerebral hemorrhage (ICH) within 24?hours of ingestion. METHODS: We reviewed
all ICH patients presenting to a comprehensive stroke center from September 1,
2014 through June 30, 2016 to identify patients who reported taking BC Powder or
Goody's Powder within 7 days of their stroke. Baseline characteristics,
medication use, stroke risk factors, clinical imaging, and laboratory testing
were reviewed retrospectively. RESULTS: Of 334 patients admitted with ICH during
the study period, 6 (2%) reported use of OTC analgesic powders within 1 week of
their index stroke. All had consumed at least 1 packet within 24?hours of their
ICH. All patients were African American and all except 1 patient were females.
Three patients had no identified traditional stroke risk factors and 3 other
patients had evidence of mild hypertension history. CONCLUSIONS: Over-the-counter
analgesic powders containing high doses of aspirin including BC Powder and
Goody's Powder may contribute to ICH in patients with no or minimal risk factors.
Providers should inquire about the use of these powders in ICH patients
particularly among African Americans.