Mepiquat Poisoning – Report of a Patient with Mepiquat Poisoning Presenting with Bradycardia and Hypoglycemia

Authors

  • Smitesh Gutta
  • Ramya I
  • Karthik Gunasekaran
  • Arun Jose

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15979

Keywords:

Mepiquat, Bradycardia, hypoglycemia, nicotinic effects , muscarininc effects, Giberrelic acid inhibitors, organophosphorus mimics

Abstract

Mepiquat chloride is a quaternary ammonium salt which is used as a plant growth regulator. We report
the case of 18 year old tribal girl who had consumed Mepiquat chloride (5%) in an attempt of deliberate
self-harm. The patient had symptomatic bradycardia and hypoglycaemia at presentation both resolved with
supportive treatment. Unlike Chlormequat which can be fatal in humans when ingested mepiquat which
lacks the choline subunit and has only a weak effect on the muscarinic and nicotinic receptors in the human
body causing only mild bradycardia and hypoglycemia. Patient has been followed up for 1 year and she
doing well with no sequelae.

Author Biographies

Smitesh Gutta

Postgraduate in Medicine, Department of Medicine, Christian Medical College, Vellore, Tamilnadu, India

Ramya I

Professor of Medicine, Department of Medicine, Christian Medical College, Vellore, Tamilnadu, India

Karthik Gunasekaran

Associate Professor, Department of Medicine, Christian Medical College, Vellore, Tamilnadu, India

Arun Jose

Professor of Biochemistry , Department of Biochemistry, Christian Medical College, Vellore, Tamilnadu, India

Published

2021-05-17

How to Cite

Gutta, S. ., Ramya I, Gunasekaran, K. ., & Jose, A. (2021). Mepiquat Poisoning – Report of a Patient with Mepiquat Poisoning Presenting with Bradycardia and Hypoglycemia. Indian Journal of Forensic Medicine & Toxicology, 15(3), 4385-4389. https://doi.org/10.37506/ijfmt.v15i3.15979