TY - JOUR PY - 2010// TI - Blood cocaine and metabolite pharmacokinetics after cardiac arrest in a body-packer case JO - Human and experimental toxicology A1 - de Prost, Nicolas A1 - Megarbane, Bruno A1 - Questel, Frank A1 - Bloch, Vanessa A1 - Cantin Bertaux, Delphine A1 - Pourriat, Jean Louis A1 - Rabbat, Antoine SP - 49 EP - 53 VL - 29 IS - 1 N2 - Introduction: Cocaine body packing, the internal concealment of cocaine for transportation between countries, may expose to life-threatening intoxications. No data is currently available on the pharmacokinetics of cocaine and its metabolites when a packet rupture occurs in a body packer. Case report: We report the first pharmacokinetic data associated with a severe cocaine intoxication in a body packer, resulting in cardiac arrest. Massive concentrations of cocaine (observed maximal concentration: 1.66 mg/L, 1 hour after the cardiac arrest) were measured in plasma up to about 15 hours, suggesting a prolonged absorption due to a slow-release in the gastrointestinal tract despite surgical extraction of the packets. Apparent cocaine elimination half-life was 7.6 hours. Conclusion: A prolonged apparent cocaine elimination half-life has been observed. Further pharmacokinetic studies are needed to understand better the pathophysiology of acute cocaine intoxication in body packers.
Language: en
LA - en SN - 0960-3271 UR - http://dx.doi.org/10.1177/0960327109354940 ID - ref1 ER -