John W. Downs MD MPH Profile picture
Internist, #OccEnvMed physician, and medical toxicologist ☠️. Army doc. No exposure➡️No effect. Opinions my own.
Jul 18, 2019 15 tweets 5 min read
1/ Ever heard of the “brain supplement” PHENIBUT? It’s available online and reports of toxicity and withdrawal have popping up over the last decade. Here’s a #tweetorial to help inform our colleagues. @AdamRodmanMD @medpedshosp @ToxAndHound 2/ First, a poll. Which of the following medications does phenibut’s chemical structure most resemble?
Jun 13, 2019 13 tweets 6 min read
1/ Toxicologists are familiar with loperamide toxicity, but this hasn’t spread as much to other specialities. Thus, my 1st attempt at #tweetorial for #medtwitter . H/T to @jmmarraffa & @DavidJuurlink & @Pete_Wu for their earlier writings. Thxs to @officialdrk12 for the idea 2/ First a poll: Loperamide is/can be: