Case Report: Delirium and complications resulting from the abuse of compound liquorice tablets - Scorecard - MDSpire

Case Report: Delirium and complications resulting from the abuse of compound liquorice tablets

  • By

  • Xiwen Tian

  • Liu Liu

  • Liyao Huang

  • Jubo Yin

  • Yanjuan Zeng

  • Yao Chen

  • Shanghao Yang

  • Xuhui Zhou

  • July 6, 2026

  • 0 min

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Clinical Scorecard: Case Study: Delirium and Adverse Effects Associated with the Misuse of Compound Liquorice Tablets

At a Glance

CategoryDetail
ConditionSubstance Use Disorder due to Compound Liquorice Tablets
Key MechanismsOpioid dependence and withdrawal symptoms
Target PopulationIndividuals using compound liquorice tablets for cough relief
Care SettingAddiction Medicine Center

Key Highlights

  • Patient developed delirium after discontinuing compound liquorice tablets.
  • Withdrawal symptoms included confusion, hallucinations, and severe hypokalemia.
  • Management included benzodiazepines, antidepressants, and antipsychotics.
  • Successful withdrawal led to resolution of symptoms and stabilization.
  • Emerging risk of abuse associated with compound liquorice tablets noted.

Guideline-Based Recommendations

Diagnosis

  • ICD-10 criteria for opioid-induced mental and behavioral disorders.

Management

  • Benzodiazepine tapering regimen for withdrawal symptoms.
  • Use of antidepressants and antipsychotics for mood and psychotic symptoms.

Monitoring & Follow-up

  • Active management of hypertension and correction of hypokalemia.

Risks

  • Potential for addiction and severe adverse effects from misuse.

Patient & Prescribing Data

29-year-old male with a history of COVID-19 and self-medication.

Gradual increase in dosage led to dependence and severe withdrawal symptoms.

Clinical Best Practices

  • Educate patients on the risks of misuse of compound liquorice tablets.
  • Implement stricter prescription controls for medications with addiction potential.
  • Conduct thorough assessments for patients presenting with altered mental status and substance use history.

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