Evidence map›Paper›PMID 42527370›Full record

ArticleBirth defects research2026

Intentional Dexketoprofen Overdose During Pregnancy: Maternal and Fetal Outcomes in Three Cases.

Nusret Uysal, Mesut Gungor, Baris Karadas, Ismail Yilmaz, Yusuf Cem Kaplan

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Article in Birth defects research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nusret UysalDepartment of Medical Pharmacology, Marmara University School of Medicine, Istanbul, Turkey.ORCID 0000-0002-0009-3951
Mesut GungorTERAFAR (Izmir Kâtip Celebi University Teratology Information, Training and Research Center), Izmir, Turkey.
Baris KaradasTERAFAR (Izmir Kâtip Celebi University Teratology Information, Training and Research Center), Izmir, Turkey.
Ismail YilmazTERAFAR (Izmir Kâtip Celebi University Teratology Information, Training and Research Center), Izmir, Turkey.
Yusuf Cem KaplanTERAFAR (Izmir Kâtip Celebi University Teratology Information, Training and Research Center), Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDexketoprofen trometamol is a widely used short-acting nonsteroidal anti-inflammatory drug. Despite its widespread clinical use, pregnancy-specific safety data for dexketoprofen as an individual agent are lacking, and no previous report has described maternal or fetal outcomes following overdose in pregnant women. CASES: We present three cases of intentional dexketoprofen overdose during pregnancy. Case 1 involved a 33-year-old woman at 8 weeks of gestation who ingested dexketoprofen with ibuprofen, pseudoephedrine, and cefuroxime; she delivered a healthy male infant at 37 weeks with no congenital anomalies on follow-up. Case 2 involved a 36-year-old woman at 17 weeks who ingested dexketoprofen with ergotamine tartrate, mecloxamine, caffeine, and paracetamol; she experienced a spontaneous abortion at 20 weeks, complicated by cyst rupture requiring hysterectomy. Case 3 involved a 29-year-old woman at 6 weeks who ingested dexketoprofen, paracetamol, and chlorpheniramine, and underwent elective termination at 10 weeks.

conclusionsThe three cases demonstrated heterogeneous pregnancy outcomes. No congenital anomalies were identified in the single evaluable live-born infant. Multiple co-ingested agents substantially complicate causal attribution, most notably ergotamine tartrate in Case 2. The limited case number and outcome heterogeneity preclude identification of a consistent pattern of fetal adverse effects or definitive conclusions regarding fetal risk. All overdoses were intentional, underscoring the importance of integrating psychiatric assessment into toxicological management during pregnancy. These cases represent the first available observational data on maternal and fetal outcomes following intentional dexketoprofen overdose in pregnancy, highlighting the need for a multidisciplinary approach in this clinical setting.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalDrug OverdoseKetoprofenTromethamineAdultFemaleHumansInfant, NewbornMalePregnancyPregnancy OutcomeAnti-Inflammatory Agents, Non-Steroidaldexketoprofen trometamolKetoprofenTromethaminedexketoprofendrug overdosepregnancyteratology

Identifiers

PMID42527370
PMCPMC13420957

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