Abstract
A 69-year-old woman developed Cushing's syndrome after long-term use of Sinatren, an Indonesian over the-counter drug, which was pharmacologically analysed three times before the correct content was discovered. After discontinuation she developed adrenal insufficiency, for which she needed substitution of steroids. Physicians should be aware of the presence of corticosteroids in over-the-counter products, that are not mentioned on the instruction leaflet.
MeSH terms
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Adrenal Cortex Hormones / adverse effects*
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Adrenal Insufficiency / chemically induced*
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Adrenal Insufficiency / diagnosis
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Aged
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Cushing Syndrome / chemically induced*
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Cushing Syndrome / diagnosis
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Eczema / drug therapy*
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Female
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Humans
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Indonesia
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Medical History Taking
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Nonprescription Drugs / adverse effects
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Nonprescription Drugs / chemistry*
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Phytotherapy / adverse effects*
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Plant Extracts / adverse effects
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Plant Extracts / chemistry*
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Self Medication
Substances
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Adrenal Cortex Hormones
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Nonprescription Drugs
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Plant Extracts