![]() 1 – 8 We are not aware of any reports of deliberate self poisoning with suicidal intent using Epsom salts. Dialysis should be considered when life threatening features or renal impairment are present.Ī number of cases reporting accidental toxicity and death from Epsom salts either orally or rectally have been documented in the literature as far back as the early 1900s. Although clinical severity does not always correlate with serum magnesium values, risk of cardiac arrest occurs with concentrations >6 mmol/l. Hypermagnesaemia is unusual in patients with normal renal function. There was no significant response to calcium gluconate, so haemodialysis was urgently arranged. Clinical features included limb weakness, vomiting and confusion, with a subsequent rapid deterioration in level of consciousness and bradydysrhythmia. We present a case of deliberate self poisoning with a large quantity of Epsom salts, resulting in a toxic serum magnesium concentration of 9.7 mmol/l (0.70–1.0 mmol/l). There are potential serious toxic effects, including cardiac arrest, when the serum concentration rises above therapeutic values. Epsom salts contains the active compound magnesium sulfate and is used most commonly as a laxative. ![]()
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