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A 16-year-old boy developed metabolic acidosis, hypoglycaemia and severe muscle pain after ingesting an overdose of niacin.
The boy, who had a history of tetrahydrocannabinol (THC) use, ingested four niacin 500mg tablets every 4 hours for 2 days in an attempt to mask his THC use in an upcoming urine drug screen. On the third day, he developed dizziness, vomiting, sweats, palpitations and chest and abdominal pain. His symptoms rapidly worsened and he was taken...
