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An Unusual Outbreak of Hypoglycemia
To the Editor: The off-label use of drugs for the enhancement of sexual performance in persons without erectile dysfunction is a phenomenon that is increasingly recognized.1 These drugs are available in illegal forms, including counterfeit versions of brand-name drugs for the treatment of erectile dysfunction and purported herbal remedies containing synthetic phosphodiesterase type 5 inhibitors.2 We describe an outbreak of severe hypoglycemia in Singapore; this outbreak was associated with contamination of illegal sexual-enhancement drugs with glyburide.Between January 1 and May 26, 2008, a total of 150 nondiabetic patients with severe hypoglycemia were admitted to the five public hospitals in . . .
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Get Free Access Now Subscribe For Full AccessShih Ling Kao, M.B., B.S., M.R.C.P.
National University Hospital, Singapore 119074, Singapore
Cheng Leng Chan, B.Sc. (Pharm.)
Belinda Tan, B.Sc. (Pharm.)
Health Sciences Authority, Singapore 138667, Singapore
C.C. Tchoyoson Lim, F.R.C.R., M.Med.
National Neuroscience Institute, Singapore 308433, Singapore
Rinkoo Dalan, M.R.C.P.
Tan Tock Seng Hospital, Singapore 308433, Singapore
Daphne Gardner, M.B., B.S., M.R.C.P.
Singapore General Hospital, Singapore 169608, Singapore
Edward Pratt, B.Sc., M.R.C.P.
Changi General Hospital, Singapore 529889, Singapore
Marilyn Lee, M.B., B.S., M.R.C.P.
Alexandra Hospital, Singapore 159964, Singapore
Kok Onn Lee, M.D.
National University Hospital, Singapore 119074, Singapore
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