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ARTICLE |

Intravenous Medications and Green Urine

Patricia Bowling; Robert R. Belliveau, MD; Thorne J. Butler, MD
JAMA. 1981;246(3):216. doi:10.1001/jama.1981.03320030014016.
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To the Editor.—  A 48-year-old man was admitted to the emergency room with vomiting, nausea, diarrhea, and abdominal pain. Physical examination, elevated serum and urine amylase values, and a history of alcohol abuse led to the diagnosis of acute pancreatitis. The patient was admitted to the hospital, and at approximately 8 AM on the morning of admission, the patient received intravenous (IV) butorphanol tartrate (Stadol) and IV promethazine hydrochloride (Phenergan). At 8 PM on the day of admission, the patient was first noted to be voiding green urine. At 10:30 PM on the day of admission, the patient was given IV cimetidine, 300 mg. On the second hospital day, the patient was given IV cimetidine, 300 mg at 4 AM, 1 AM, 4 PM, and 10 PM, and at 4 AM on the third hospital day. Thereafter the patient received cimetidine only by the oral route. The patient's urine continued

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