TY - JOUR PY - 2012// TI - Fatal metformin intoxication with markedly elevated blood and liver concentrations JO - Journal of analytical toxicology A1 - Cantrell, F. Lee A1 - Nelson, Craig L. A1 - Gary, Ray D. A1 - McIntyre, Iain M. SP - 657 EP - 659 VL - 36 IS - 9 N2 - Metformin (Glucophage) is a medication used to treat Type 2 diabetes. The highest postmortem metformin concentrations are recorded utilizing a sensitive and specific analytical procedure. The peripheral blood metformin concentration was 240 mg/L, the liver concentration was 240 mg/kg and the gastric concentration was 1,700 mg. Additionally, an antemortem blood sample collected shortly after admission revealed a metformin concentration of 210 mg/L. These data, revealing a liver to peripheral blood ratio of 1.0, provide additional support that metformin is not subject to postmortem redistribution. Intentional self-poisonings with metformin can result in death, despite multiple medical interventions.

Language: en

LA - en SN - 0146-4760 UR - http://dx.doi.org/10.1093/jat/bks076 ID - ref1 ER -