Coronary artery spasm after ingestion of Imodium (loperamide
A 14-year-old boy was in good health with no history of any chronic ailment. He was prescribed loperamide (Imodium) by a general practitioner for acute diarrhea and flatulence that he had for the last 2 days. He took two capsules of Imodium (2 mg/caps) per oral stat. He developed severe acute chest pain at rest 12 h later. There was no previous history of chest pain, dyspnea, respiratory distress, or fever. There was no family history of sudden death at young age, Brugada syndrome, or familial hypercholesterolemia. His electrocardiogram (ECG) showed acute ST segment elevation in leads II, III, AVF, and V3, clearly signifying acute coronary ischemia of inferior and anterior walls...

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