Fortunately, methanol poisoning is quite rare in the UK. Because it’s rare, it’s not worth it for most hospitals labs to maintain the ability to test for it, so when it does happen the sample typically has to be sent by courier to one of five or six labs in the country that can do it

Because ethanol blocks its metabolism, while you still have booze in your system you don’t suffer any toxicity. So if you’ve had a Big Night, it will be hours later (once the ethanol is out of your system) that you know anything is wrong - and often this will be when you’re sleeping the booze off

Next year, I’m going as incorrect or missing units

I cannot find anyone who said “my patient ingested 42 g camphor”, but that is consistently quoted as the highest survived dose

People have tried nutmeg to get high. My understanding is that both the taste of the large quantities needed and the hallucinations themselves are unpleasant

Not very permanent

4) although this situation is safer than the others, the presence of lead deposits anywhere can cause raised lead levels, particularly if the granuloma around the fragment is later disturbed (e.g. by trauma) or migrates to a higher risk area; therefore
5) any lead in the body is potentially an issue

1) lots of fluid moving over the fragment promoting dissolution
2) lots of bone turnover; as a large 2+ ion, lead looks similar to calcium to a lot of body processes
3) many small fragments have a higher surface area than one larger piece

Which, to be clear, I am happy to do and I know it can be quite intimidating when you have a lot of them - but it’s quite funny

Argyria! The silver deposits under the skin (gets oxidised or somehow fixed by sunlight? Or do all tissues get pigmented?) turning it this silver-blue colour

**Not Montelukast, but ranitidine, valsartan, and others

Your breathy bois are safe! My memory is not

bsky.app/profile/natk...

To be clear, apart from a specific few old batches of tetracycline, there have been no cases of toxicity from out-of-date medications and the highest risk remains that the medication has degraded and no longer works.

As it turns out, I should have checked my sources. I was thinking of this story www.chemistryworld.com/news/address... and somehow has linked Montelukast in with the affected drugs in my mind. Montelukast remains low risk

I would guess it comes down to cost again. A few pence per lorry/shipping container vs a few pence per box or blister pack are very different calculations. Would be useful though, particularly for heat where the blister packs are not necessarily good barriers