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Case Reports in Emergency Medicine
Volume 2015, Article ID 213874, 3 pages
Case Report

Herbal Weight Loss Pill Overdose: Sibutramine Hidden in Pepper Pill

1Ankara Ataturk Training and Research Hospital, Bilkent Yolu 3. Km., Ankara, Turkey
2Department of Emergency Medicine, Faculty of Medicine, Kocaeli University, Umuttepe Kampüsü, Kocaeli, Turkey
3Bilecik State Hospital, Gazipaşa Mahallesi Tevfikbey Caddesi No. 4, Bilecik, Turkey

Received 21 November 2014; Accepted 27 February 2015

Academic Editor: Ching H. Loh

Copyright © 2015 Gul Pamukcu Gunaydin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Supposedly herbal weight loss pills are sold online and are widely used in the world. Some of these products are found to contain sibutramine by FDA and their sale is prohibited. We report a case of a female patient who presented to the emergency department after taking slimming pills. 17-year-old female patient presented to the emergency room with palpitations, dizziness, anxiety, and insomnia. She stated that she had taken 3 pills named La Jiao Shou Shen for slimming purposes during the day. Her vital signs revealed tachycardia. On her physical examination, she was restless, her oropharynx was dry, her pupils were mydriatic, and no other pathological findings were found. Sibutramine intoxication was suspected. She was given 5 mg IV diazepam for restlessness. After supportive therapy and observation in emergency department for 12 hours there were no complications and the patient was discharged home. Some herbal pills that are sold online for weight loss have sibutramine hidden as an active ingredient, and their sale is prohibited for this reason. For people who use herbal weight loss drugs, sibutramine excessive intake should be kept in mind at all times.