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Case report
peer-reviewed

Rhabdomyolysis in a Patient Taking Both Oxandrolone for Bodybuilding and Methamphetamine



Abstract

Nonprescription drug use is increasingly prevalent in the United States. We report a case of a 31-year-old male who presented with hallucinations and was found to have rhabdomyolysis. He was consuming oxandrolone for six weeks and ingested methamphetamine the night prior to presentation. With supportive treatment, including intravenous hydration, the patient’s mental status returned to baseline and rhabdomyolysis resolved. Our case illustrates the need to understand the interaction between different illicit substances. More research needs to be done to further understand the reactions between different medications as patients consume different combinations of substances.



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Case report
peer-reviewed

Rhabdomyolysis in a Patient Taking Both Oxandrolone for Bodybuilding and Methamphetamine


Author Information

Michael Krzyzak Corresponding Author

Medicine, Staten Island University Hospital

Natarajan Elangovan

Department of Psychiatry, Staten Island University Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


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Case report
peer-reviewed

Rhabdomyolysis in a Patient Taking Both Oxandrolone for Bodybuilding and Methamphetamine

Michael Krzyzak">Michael Krzyzak , Natarajan Elangovan">Natarajan Elangovan

  • Author Information
    Michael Krzyzak Corresponding Author

    Medicine, Staten Island University Hospital

    Natarajan Elangovan

    Department of Psychiatry, Staten Island University Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: November 13, 2017

    DOI

    10.7759/cureus.1843

    Cite this article as:

    Krzyzak M, Elangovan N (November 13, 2017) Rhabdomyolysis in a Patient Taking Both Oxandrolone for Bodybuilding and Methamphetamine. Cureus 9(11): e1843. doi:10.7759/cureus.1843

    Publication history

    Received by Cureus: October 25, 2017
    Peer review began: November 02, 2017
    Peer review concluded: November 10, 2017
    Published: November 13, 2017

    Copyright

    © Copyright 2017
    Krzyzak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Nonprescription drug use is increasingly prevalent in the United States. We report a case of a 31-year-old male who presented with hallucinations and was found to have rhabdomyolysis. He was consuming oxandrolone for six weeks and ingested methamphetamine the night prior to presentation. With supportive treatment, including intravenous hydration, the patient’s mental status returned to baseline and rhabdomyolysis resolved. Our case illustrates the need to understand the interaction between different illicit substances. More research needs to be done to further understand the reactions between different medications as patients consume different combinations of substances.



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Create a free account to continue reading this article.

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Michael Krzyzak

Medicine, Staten Island University Hospital

For correspondence:
mkrzyzakmd@outlook.com

Natarajan Elangovan

Department of Psychiatry, Staten Island University Hospital

Michael Krzyzak

Medicine, Staten Island University Hospital

For correspondence:
mkrzyzakmd@outlook.com

Natarajan Elangovan

Department of Psychiatry, Staten Island University Hospital