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May S.O.I. R.I.P. (May Syrup of Ipecac Rest in Peace)

Posted: March 30th, 2010 | Tags: , , , , | 1 Comment »

By Tony, and guest blogger Lisa Klodnicki

During the past 10-15 years, the use of syrup of ipecac (SOI) to induce vomiting as a treatment for poisoning has fallen out of favor.  The American Academy of Pediatrics recommends that SOI “should no longer be used routinely as a poison treatment intervention in the home” and that everyone should safely dispose of any SOI currently in their homes.  The American Association of Poison Control Centers (AAPCC) similarly published a position statement which recommended SOI use only under very limited, restricted circumstances.  This change of direction has come about for several reasons, including the fact that no studies demonstrate beneficial outcomes from its use, the risk for serious complications if SOI is given for the wrong indication, and the potential for serious toxicity with chronic misuse and abuse by patients with bulimia or other appetite disorders.  Statistics compiled by the AAPCC reveal that SOI was administered in 15% of all poisonings reported in 1985, while the incidence of its use has dramatically declined to 0.0484% in 2008. Read more »