This case highlights the potential for severe adverse effects, including wide-complex tachycardia, associated with the use of multiple dietary supplements.
Presentation of CaseA 61-year-old man was admitted to the hospital because of a wide-complex tachycardia and dyspnea.The patient had been well until one month earlier, when he was assaulted and sustained an orbital fracture, associated with blurred vision. Soon thereafter, in the hope of improving his vision, he began to take dietary supplements identified as bilberry, Ginkgo biloba, alpha lipoic acid, omega-3 fish oil, lecithin, and S-adenosylmethionine, in addition to vitamins E, C, and B complex. Two days before admission, nausea, vomiting, diarrhea, and midepigastric pain developed several hours after dinner. On the following morning, he awoke . . .
Stevenson et al. (Thu,) studied this question.