[Methadone-induced central adrenal insufficiency: a case report].

Thi Ngoc Mai Tran, Sylvain Roumeau, Antoine Puravet, Vincent Sapin, Damien Bouvier, Charlotte Oris
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Abstract

Adrenal insufficiency secondary to opioid use remains inadequately acknowledged in medical literature. We present the case of a 33-year-old female patient diagnosed with central adrenal insufficiency (CAI), where methadone use was identified as the underlying cause after ruling out known etiologies. This article aims to enhance awareness among prescribing clinicians and medical professionals regarding the potential occurrence of AI in patients undergoing methadone treatment. This is especially pertinent given the widespread utilization of methadone in France for managing drug withdrawal.

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[美沙酮诱发中枢肾上腺功能不全:病例报告]。
医学文献对继发于阿片类药物使用的肾上腺功能不全仍然认识不足。我们介绍了一例被诊断为中枢性肾上腺功能不全(CAI)的 33 岁女性患者的病例,在排除了已知病因后,该病例被确定为使用美沙酮所致。本文旨在提高开处方的临床医生和医疗专业人员对接受美沙酮治疗的患者可能出现肾上腺功能不全的认识。鉴于美沙酮在法国被广泛用于戒毒治疗,这一点尤为重要。
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