Dangers of cocaine and adrenaline paste

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7027.381 (Published 10 February 1996) Cite this as: BMJ 1996;312:381
  1. K E A Morrisa,
  2. J E G Rogersa
  1. Senior registrar Department of Anaesthesia, Southampton General Hospital, Southampton SO9 4XY
  2. Senior registrar Department of Anaesthesia, Royal Devon and Exeter Hospital, Exeter EX2 5DW

    EDITOR,—Martin Burton and Richard Marks are correct in emphasising that recommended doses of cocaine should not be exceeded during nasal surgery.1 However, adding adrenaline to cocaine paste (as opposed to a 10% solution) increases the unpredictability of the absorption of cocaine, and this was why we condemned this particular combination in our article. …

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