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Re: A new one for meFrom: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)Tue Jul 22 11:49:18 2003
Vaginal absorption of many drugs is good. I remember some work years ago (possibly S American) on using OCP vaginal to avoid problems of diarrhoea and vomiting. Especially with alcohol one should be aware that this route would presumably produce higher levels of blood (and breath) alcohol as it will avoid first pass (liver) breakdown. The girls though won't smell of beer, wine, whisky, gin or whatever on their breath! Malcolm Griffiths Clinical Director & Consultant O&G -----Original Message----- From: eleibner [mailto:eleibner@cox.net] Sent: 22 July 2003 17:10 To: Multiple recipients of list OB-GYN-L Subject: Re: A new one for me I'm a lurker on the list, as my wife is an OB/Gyn and subscribes. I have never heard of this happening, but alcohol is excreted in the breath in relation to it's concentration in the blood. Therefore, no matter how it is ingested, a breathalyzer will be positive. Unsure how much can be absorbed through the vagina but it is probably a reasonably efficient method. I had a patient when I was a resident who had stuffed a large quantity of cocaine in her vagina to prevent the police from finding it. She presented with severe cocaine toxicity - marked hypertension, seizures, tachycardia and altered mental status. She also sustained severe ischemic sloughing of the mucosa which required surgical debridement. -Evan Evan C. Leibner, MD, FACEP Emergency Medicine Chandler, AZ
>----- Original Message ----- From: DMECNM@aol.com <mailto:DMECNM@aol.com> To: Multiple <mailto:ob-gyn-l@dns.obgyn.net> recipients of list OB-GYN-L Sent: Wednesday, July 16, 2003 10:31 AM Subject: A new one for me College aged woman came in yesterday to ask me a question. Apparently many of her sorority sisters have taken up a new method of getting a buzz from alcohol. They are soaking tampons in Vodka or another beverage of their choice and inserting these saturated tampons into their vaginas. They claim that they get the same effect as when they drink the alcohol but they don't have alcohol on their breath and will not fail a breath analyzer this way. I asked the MD on call if she had heard of such a thing. She had not. Have any of you come across this activity? Will the vagina absorb the alcohol into the bloodstream? How much? My husband, a homicide prosecutor, is checking into this as well. He is wondering how much the vagina can absorb. At what rate? etc. I told him I doubt that there has been much research in this area but I would ask if anyone else had heard of such a thing. What will they think of next? Denise, CNM So Cal
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