TY - CHAP M1 - Book, Section TI - BROMIDES A1 - Gugelmann, Hallam A2 - Olson, Kent R. A2 - Anderson, Ilene B. A2 - Benowitz, Neal L. A2 - Blanc, Paul D. A2 - Clark, Richard F. A2 - Kearney, Thomas E. A2 - Kim-Katz, Susan Y. A2 - Wu, Alan H. B. PY - 2018 T2 - Poisoning & Drug Overdose, 7e AB - Compounds containing bromide ions—including potassium-, sodium-, and ammonium bromide—were once used as sedatives and anticonvulsants, and were a major ingredient in over-the-counter products (eg, Bromo-Seltzer, Dr. Miles' Nervine) until 1975. Bromides are still used to treat epilepsy in dogs. Bromism (chronic bromide intoxication) was once common; 10% of patients admitted to psychiatric hospitals once had measurable bromide levels. Bromism is now rare, but cases continue to be reported worldwide owing to bromide-based medications. Recent examples include: Cordial de Monell, a teething/colic medication recalled because of infant bromism (United States); pipobroman/Vercyte/Amedel, an alkylating agent used for polycythemia vera (UK); and bromovalerylurea/bromisoval, used as an analgesic (Taiwan); several of the aforementioned preparations are still available for purchase online or in certain countries. In 2007, table salt contamination led to the greatest recorded outbreak of bromide poisoning, with 467 officially recognized cases (Angola). Bromide is still found in photographic chemicals, in some well water, in bromide-containing hydrocarbons (eg, methyl bromide, ethylene dibromide, halothane), and in some soft drinks containing brominated vegetable oil. Foods fumigated with methyl bromide may contain some residual bromide, but the amounts are too small to cause bromide toxicity. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1179990884 ER -