Hypokalaemia in ibuprofen and codeine phosphate abuse


*Professor Brian G. Gazzard, St
Stephen's Centre,
369 Fulham Road, London SW10 9TH, UK
Tel.: 020 8746 8239
Fax.: 020 8746 5611
Email: eileen.witney@chelwest.nhs.uk


Ibuprofen abuse may be more prevalent than generally considered. Although normally benign, serious complications have been documented. We report an unusual presentation of hypokalaemia and its associated symptoms as a result of Nurofen Plus® (200 mg ibuprofen + 12.8 mg codeine phosphate) abuse. Ibuprofen is generally not included in a standard toxicology screen, but should be considered as a rare cause of hypokalaemia.