Contrast Media Toxicity Case Reports

We have been consulted in numerous interesting cases that demonstrate that even drugs deemed generally safe for use can show serious side effects if certain factors go wrong.

If the drug dosing is incorrect, if the drug is not administered properly, if too much drug is given (overdose), if the patient has a condition in which the drug is contraindicated (not supposed to be used); these all can negatively impact how the drug effect will be seen in the patient and how serious unwanted, toxic side effects can be.

There are two cases that we were asked to provide expert opinions on that showed very significant and debilitating effects of a generally safe class of drugs used for imaging (radiology) procedures. In both cases, the patients experienced medication errors in which they were incorrectly administered contrast agents in their myelography imaging procedures.  

The summaries provided below highlight the acute and long-term complications which developed. Following the summaries, we have provided our interpretations on how these drugs may have caused the injuries and our commentary on medication errors in myelography procedures.

Read the case reports at ℞isk.org

Legal brief addressing a ‘Not Guilty’ by reason of insanity in which psychiatric drug non-compliance was a factor

Compliance, or now more recently called adherence, is a topic well known to clinicians. Lack of taking medications results in the loss of any beneficial effects of any type of chronic (or even acute) drug therapy.

 

The topic was addressed in a recent murder trial in Cook County (Chicago, IL). For those of you who are health care professionals, this may interest you. For the lawyers, and do criminal (and possibly) civil law, the topic of compliance and adherence may be addressed in a variety of cases, not just murder cases.

Read More »

Cannabis and Dentistry

Pharmaconsultant Partner, James J. O’Donnell PhD recently presented a seminar to the Lake County (IL) Dental (Society) on the topic of Marijuana: Considerations in Dental Practice. The PPT presentation provides a thorough review of marijuana pharmacology and toxicology information in general, and specific information relevant to Dentists. Anyone litigating (or using) marijuana may find this information useful and interesting. (PDF, 55 Slides)

Read More »

The Opioid Crisis and What Has Been Learned

The Opioid Epidemic dominated the news for several years; Covid 19 virus pandemic has quieted the news but not the epidemic. We published a short article on the history and lessons learned for your information. Pharmaconsultant experts have consulted and testified extensively in opiate toxicity cases.

Read More »

Beyond Medical Cannabis: Considerations for Updates to Hospital Policies and Procedures

Cannabis (marijuana) is classified as a schedule-I controlled substance, currently not accepted for medical use and with a high potential for abuse. As stated in a previous P&T article, although marijuana remains illegal at the federal level, 33 states have legalized its medical use for certain indications and 10 have legalized its recreational use.
 
Among those states are differing laws that regulate the possession or supply of usable marijuana, with certain states providing more flexibility than others when it comes to using medical marijuana.

Read More »

Regulatory and Legislative Disparities With Cannabis Present Challenges to P&T Committees and Health Care Providers

Over the past several years, the legal status of cannabis has been determined by regulatory changes affecting its use, as well as the use of cannabidiol (CBD). Prior to 2018, CBD, along with all forms of marijuana, was considered a Schedule I controlled substance (CI), indicating that these drugs had no medical use and presented a high potential for abuse. On June 25, 2018, the Food and Drug Administration (FDA) approved Epidiolex (cannabidiol) for the treatment of Lennox-Gastaut and Dravet syndromes. Upon approval, …

Read More »
Tweet
Share
Share