Rapidly acting emetic agent
Derived from the<unk> uanha plant
Often abused by adults with eating disorders
Occasionally seen used in Munchausen by proxy
Vomiting
Immediate: direct irritation of gastric mucosa
Delayed: absorption, stimulation of chemoreceptor trigger zone
Inhibition of protein synthesis in skeletal muscle
Immediate: direct irritation of gastric mucosa
Delayed: absorption, stimulation of chemoreceptor trigger zone
Acute
As little as 10 mL of the potent fluid extract can cause death
120 mL of syrup of<unk>  unlikely to cause severe toxicity
Chronic
Slow elimination of emetine causes cumulative toxicity
Daily ingestion of 90-120 mL of syrup for several months can cause cardiomyopathy and death
As little as 10 mL of the potent fluid extract can cause death
120 mL of syrup of<unk>  unlikely to cause severe toxicity
Slow elimination of emetine causes cumulative toxicity
Daily ingestion of 90-120 mL of syrup for several months can cause cardiomyopathy and death
Ipecac toxicity
ACS/MI
Methanol toxicity
Boerhaave's
Nicotine toxicity
DKA
Caffeine toxicity
Intracranial Hemorrhage