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Previous Volume 347:295-296 July 25, 2002 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Visicol has been prescribed more than 210,000 times since its introduction last year. The letter by Mackey et al. (June 27 issue)¹ describes four patients with seizures after the use of Visicol for colonic cleansing and suggests that the risk of seizures may be greater with this product than with other purgatives. We take issue with this suggestion.

All four patients discussed by Mackey et al. had severe hyponatremia, which was the most likely cause of their seizures. Hyponatremia could have resulted from sodium losses through gastrointestinal mechanisms or sweating, excessive free-water ingestion, and excessive secretion of . . . [Full Text of this Article]

Related Letters:

Seizure Associated with the Use of Visicol for Colonoscopy
Mackey A. C., Shaffer D., Prizant R., Rose M., Jacob L. S.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:2095, Jun 27, 2002. Correspondence

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