Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Hypoglycemic Coma Induced by the Use of Succinic Acid Cibenzoline in Frail Late-stage Elderly Subjects
Yurie HirataShinji KameiFuminori TatsumiMasashi ShimodaAkihito TanabeJunpei SanadaYoshiro FushimiShintaro IrieTomoatsu MuneKohei KakuHideaki Kaneto
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ジャーナル オープンアクセス

2017 年 56 巻 12 号 p. 1527-1529

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抄録

Succinic acid cibenzoline (CZ) is an antiarrhythmic agent often used for the treatment of tachyarrhythmia. However, hypoglycemia should be avoided in the treatment of diabetes. We herein report two late-stage elderly subjects who experienced a severe and prolonged hypoglycemic coma after the usage of CZ. These cases suggest that, when CZ is administered to elderly subjects with renal dysfunction and/or frailty, we should be aware of the possibility that this medicine may induce hypoglycemia and should adjust the dose as appropriate and monitor the concentration of CZ to avoid severe hypoglycemia.

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© 2017 by The Japanese Society of Internal Medicine
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