Background: The overdose of illicit drugs is not always fatal but can lead to various complications. One of the unusual medical complications is a sensorineural hearing loss (SNHL). There are multiple case reports about this subject. Considering the importance of hearing loss on quality of life, we investigated hearing status in patients with overdose of illicit drugs. Methods: This cross-sectional study was performed in Loghman Hakim hospital in Shahid Beheshti University of Medical Sciences, Tehran, Iran, in 2016-2017. The hearing status of 95 patients with illicit drugs overdose and 44 healthy individuals were assessed using standard pure tone audiometry and distortion product otoacoustic emissions. The patient group was categorized based on hearing status and compared based on some variables. We applied 2 independent t tests, Mann-Whitney, Chi-square, and binary logistic regression tests. All analyses were conducted in Stata 12 (STATA Corp, USA) and significance level was set at less than 0.05. Results: We found higher percentage frequency of SNHL in the patient group than the control group (15.8% vs 2.3%; p=0.021). The frequency of hearing loss was 21.7% in opioid users, 5.3% in stimulant users, and 6.3% in concomitant use of both. There was a significant relationship between SNHL and overdose of illicit drugs (aOR = 14.48, 95% CI = 1.53-136.44; p=0.019) with adjusting age, sex, and smoking. Conclusion: Illicit drugs overdose can potentially affect the hearing system. Opioid drugs, especially methadone and tramadol, have been found to affect the hearing system. Therefore, it is important to conduct longitudinal studies to demonstrate the role of opioid drugs on the hearing system.
Drug and poison information centers have a critical role in fulfillment of rational drug use programs. The Loghman-Hakim Drug and Poison Information Center (LHDPIC) has been established in 2006. The main mission of this center is to provide accurate, unbiased and up-to-date information on medications and poisons for the health care team and the public. This center has received more than 9000 telephone calls since its establishment. The aim of this study was to evaluate the recorded queries in the LHDPIC in the past 3 years. A descriptive analysis was conducted on all recorded inquiries to the center from March 2006 to March 2008. Data such as patient age and sex, identity of the callers, question categories and information resources were obtained from the recorded calls and were analyzed. During the period of evaluation, a total of 9694 telephone calls were recorded. The patients' age ranged between 18-40 years old (49.42%) containing 61% female and 39% male. Most of the recorded calls were from patients' relatives (49%) and then the patients (45.2%) themselves. The most frequent questions were about drug indications (24%), adverse drug reactions (20.14%) and drug evaluation (17.64%). Antidepressants (12.42%), antimicrobials (12%) and analgesics (11.17%) were the most frequent drug classes that were inquired. The LHDPIC has an important role for providing of drug information for the lay public, but more efforts are still needed to encourage health care professionals to utilize services provided by this center.
