Andelić Sladana
Gradski zavod za hitnu medicinsku pomoć, Beograd.
Vojnosanit Pregl. 2003 May-Jun;60(3):361-4. doi: 10.2298/vsp0303361a.
A case of an by digoxin under unusual circumstances is reported. An 80-year-old man, previously on long-term digoxin treatment, started consuming St John's wort herbal tea (2,000 ml/daily) because of frequent episodes of depression. After the cessation of consuming herbal tea containing Hypericum perforatum, digoxin poisoning developed in our patient. Electrocardiography revealed nodal bradicardia 36/min and bigeminy. Manifested symptoms were the consequence of interaction between digoxin and Hypericum perforatum which were consumed simultaneously, and the cessation of consuming St John's wort herbal tea afterwards. Therapy was the same as in the standard digitalis poisoning. Consumers of St John's wort combined with medical products are advised not to discontinue tea consumption on their own, without consulting their physician.
报告了一例在不寻常情况下服用地高辛的病例。一名80岁男性，此前长期接受地高辛治疗，因频繁出现抑郁发作而开始饮用圣约翰草茶（每日2000毫升）。在停止饮用含有贯叶连翘的草药茶后，我们的患者发生了地高辛中毒。心电图显示结性心动过缓，心率36次/分钟，并有二联律。出现的症状是地高辛与同时服用的贯叶连翘相互作用的结果，之后停止饮用圣约翰草茶也导致了症状出现。治疗方法与标准洋地黄中毒相同。建议同时服用圣约翰草和药品的消费者，在未咨询医生的情况下，不要自行停止饮用该茶。
