Article Text

Unusual association of diseases/symptoms
Over-the-counter kaolin and morphine: two hazards in one
  1. Alison Boland1,
  2. Gavin Jonathan Tunnard2,
  3. Rohit Bazaz3
  1. 1Harrogate District Hospital, Respiratory, Lancaster Park Road, Harrogate HG2 7SX, UK
  2. 2University Hospital Lewisham, Emergency, Lewisham High Street, London SE13 6LH, UK
  3. 3St James Hospital, Infectious Diseases, Beckett Street, Leeds LS9 7TF, UK
  1. Correspondence to Alison Boland, alison{at}


A 56-year-old woman, who was admitted with hypokalaemia, hypertension and metabolic alkalosis, was found to be dependent on kaolin and morphine, a common agent used for the treatment of diarrhoea. This case report highlights the problems of an over-the-counter (OTC) medicine such as kaolin and morphine when it can be purchased in large quantities.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.