Summary
The ability of redox drugs and chemicals to induce methaemoglobinaemia is well recognised. Phenazopyridine, a commonly used urinary analgesic, is one such drug which occasionally causes methaemoglobinaemia. Most cases have occurred following overdose, or in patients with impaired renal function (Cohen and Borasso, 1971; Nathanet al, 1977; Sand and Edelman, 1961; Greenberg and Wong, 1964; Crawfordet al, 1951; Randazzoet al, 1975; Jefferyet al, 1982). 1982). We report a case of life-threatening methaemoglobinaemia due to phenazopyridine overdose, in a young woman who denied drug ingestion.
References
Cohen, B. L., Borasso, G. J. 1971. Acquired methaemoglobinaemia and haemolytic anaemia following excessive phenazopyridine ingestion. Clin. Pediatr. 10, 537–540.
Crawford, S. E., Moon, Ae., Panos, T. C. 1951. Methaemoglobinaemia associated with pyridium administration: report of a case. JAMA 146, 24–5.
Darling, R. C., Roughton, S. J. 1942. Effects of methaemoglobinaemia on equilibrium between oxygen and haemoglobin. Am. J. Physiol. 137, 56–62.
Greenberg, M. S., Wong, H. 1964. Methaemoglobinaemia and Heinz body haemolytic anaemia due to phenazopyridine hydrochloride. N. Engl. J. Med. 271, 431–5.
Jeffery, W. H., Zelicoff, A. P., Hardy, W. R. 1982. Acquired methaemoglobinaemia after usual
Johnson, W. J., Chartrand, A. 1976. The metabolism and excretion of Phenazopyridine Hydrochloride in animals and man. Toxicology and Applied Pharmacology 37, 371–376.
Nathan, D. M., Siegal, A. J., Bunn, H. F. 1971. Acute methaemoglobinaemia and haemolytic anaemia with phenazopyridine ingestion. Clin. Pediatr. 10, 537–540.
Randazzo, G. P., Ford, E. A., Glauser, F. L. 1975. Methaemoglobinaemia caused by acute overdose of phenazopyridine. West J. Med. 122, 427–9.
Sand, R. S., Edelman, C. M. Jr. 1961. Pyridiuminduced methaemoglobinaemia: report of a case. J. Pediatr. 58, 845–8.
Wendel, W. B. 1937. Use of methylene blue in methaemoglobinaemia from sulphonamide poisoning. JAMA 109, 1216.
Author information
Authors and Affiliations
Additional information
We thank Dr. P. Collins, Department of Biochemistry, Royal College of Surgeons of Ireland, for the phenazopyridine assay.
Rights and permissions
About this article
Cite this article
O’Mahony, S., Finucane, P. & Hinds, D. Phenazopyridine — induced methaemoglobinaemia. I.J.M.S. 154, 433–434 (1985). https://doi.org/10.1007/BF02937219
Issue Date:
DOI: https://doi.org/10.1007/BF02937219