Evidence map›Paper›PMID 41314704›Full record

ArticleJACC. Case reports2025

Loperamide-Induced Ventricular Arrhythmia and Seizures.

Azalfa Lateef, Ufuk Vardar, Drew Sanclemente, Bridget Lee, Deepak Pasupula, Andrew S Tseng, Christoffel J van Niekerk

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Azalfa LateefDepartment of Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA. Electronic address: azalfalateef@aol.com.
Ufuk VardarDepartment of Cardiology, Mayo Clinic Florida, Jacksonville, Florida, USA.
Drew SanclementeDepartment of Family Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA.
Bridget LeeDepartment of Cardiology, Mayo Clinic Florida, Jacksonville, Florida, USA.
Deepak PasupulaDepartment of Cardiology, Mayo Clinic Florida, Jacksonville, Florida, USA.
Andrew S TsengDepartment of Cardiology, Mayo Clinic Florida, Jacksonville, Florida, USA.
Christoffel J van NiekerkDepartment of Cardiology, Mayo Clinic Florida, Jacksonville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLoperamide-induced cardiotoxicity can occur when taken at high doses. CASE SUMMARY: A 42-year-old man presented with polymorphic ventricular tachycardia after taking 100 to 200 mg of loperamide daily to self-treat opioid withdrawal. The presenting electrocardiogram showed a wide complex rhythm which spontaneously converted to sinus rhythm with a prolonged QT interval. Implantable cardiac-defibrillator therapies treated polymorphic ventricular tachycardia and ventricular fibrillation. Loperamide was discontinued, and he was treated for opioid use disorder. DISCUSSION: Loperamide can cause cardiotoxic manifestations such as acquired long QT syndrome with associated ventricular arrhythmias and neurologic manifestations such as seizures. TAKE-HOME MESSAGE: Although loperamide is an over-the-counter medication, life threatening cardiotoxicity and neurotoxicity can occur with high doses.

Indexed as

electrocardiogramelectrophysiologyventricular tachycardia

Identifiers

PMID41314704
PMCPMC12714519

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.