Don’t believe social media: DNP is not safe
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The bottom line
DNP is heavily promoted on social media for weight loss and body building. It is not legal or safe, with little difference between suggested and lethal dose. Side effects include headache, weakness, vomiting, lethargy, increased heart and respiratory rate, convulsions, coma, and dangerously high temperature. Death is due to cardiovascular collapse or very high body temperature.
Prevention Tips
Do not use DNP. It is not safe even in small doses. If you do choose to use DNP, store DNP up, away and out of reach of children and where it cannot be accidentally ingested by others.
Do not believe marketing claims that DNP safe to use for weight loss or body building.
Be knowledgeable of signs of DNP toxicity and seek medical attention immediately if these symptoms develop.
This Really Happened
A 20-year-old man ingested a total of 6 grams of DNP over a 2-day period in a suicide attempt. He came to the emergency department 7 hours after the last dose. Initial vital signs showed increased heart rate, respiratory rate, and systolic blood pressure. Even though his temperature was normal, he was started on cold normal saline solution. Despite this treatment, his temperature increased. He was intubated and ventilated, and additional cold normal saline was administered. His temperature continued to increase to 103.8 degrees F and serum potassium increased. He was admitted to the ICU. Cooling pads were applied, and continuous dialysis was initiated to further cool him down. Within 4 hours, his temperature decreased. He was given activated charcoal for gastrointestinal decontamination. His blood pressure dropped and he was treated with vasopressor medications to increase his blood pressure. Continuous dialysis was stopped after for 48 hours. He was extubated on day 5. For the next 3 days he was delirious. He was transferred out of the ICU on day 8 and discharged home on day 10.
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What is DNP (dinitrophenol)?
DNP (dinitrophenol) is a chemical promoted for use as a weight loss agent as well as for body building. It has also been used as a pesticide and herbicide, as well as an intermediate in the production of explosives, dyes and, photographic chemicals. It is banned in the US. There is research on using low doses for overnutrition related diseases, neurodegenerative diseases (Alzheimer’s, Parkinson’s), TBI (traumatic brain injury), diabetes, and fatty liver.
Is DNP safe?
DNP is not safe. There is very little difference between a therapeutic dose and a toxic or lethal dose. Serious or fatal effects can occur even at low doses. There is no antidote.
Is DNP legal?
DNP is not legal, but the chemical is sold illegally on the internet. It is marketed to bodybuilders and for rapid weight loss. Brand names include Aldifen, Chemox, Dinosan, Dnoc, and Solfo Black.
How does DNP work?
Normally, the body produces usable energy in the form of ATP in a process called oxidative phosphorylation. DNP interferes with ATP production by uncoupling (disrupting) oxidative phosphorylation. As a result, the body burns fats and carbohydrates very quickly, releasing energy as heat rather than forming ATP. This increases the metabolic rate, which is harmful to the cardiorespiratory system.
Can you overdose on DNP?
Yes, it is very easy to overdose on DNP. There is almost no difference between a treatment dose and a toxic or lethal dose.
Side effects and health risks of DNP
Side effects of DNP include headache, weakness, vomiting, lethargy, increased heart rate, increased respiratory rate, convulsions, and coma. Body temperature increases to dangerous levels resulting in organ failure and death. Sweating and dehydration also occur. Pulmonary edema, hemolysis (breakdown of red blood cells), and injury to the pancreas, liver, and kidneys can occur. Death is due to cardiovascular collapse or very high body temperature.
Chronic use of DNP can cause cataracts and glaucoma, dermatitis, peripheral neuropathy (numbness, weakness, pins and needles sensation), heart, liver and kidney dysfunction, and bone marrow suppression (decrease in white blood cells, aplastic anemia).
Does DNP interact with other medications or supplements?
Yes, DNP can interact with many medications and supplements.
When DNP is taken with stimulants such as caffeine, ephedrine, synephrine, and yohimbine, dangerous increases in heart rate and body temperature may occur. Seizures may also develop.
Although data are scant, when DNP and some anticonvulsants (such as phenobarbital, carbamazepine, or phenytoin) are taken together, the DNP may cause diminished seizure control or cause toxic levels of the anticonvulsant medication to accumulate in the body.
When taken with antidepressants, especially SSRIs (like Zoloft), SNRIs (like Effexor) and MAOIs (like Nardil), DNP can cause a fatal increase in body temperature, serotonin syndrome, low blood sugar, and organ damage.
If DNP is taken withaspirin or other salicylates, even more uncoupling of oxidative phosphorylation occurs and fatal hyperthermia can result.
Thyroid hormones interact with DNP to disrupt both metabolic regulation and the way the body uses the thyroid hormones. This can cause thyroid hormones to be deactivated and excreted from the body faster and also cause increased body temperature to dangerous levels.
When DNP is combined with alcohol, cardiovascular stress can increase, resulting in high heart rate, dehydration, organ failure and dangerously elevated temperature.
DNP marketing on social media: What to know
DNP is heavily marketed on social media including via forums, user testimonials, and private messaging channels. Fitness enthusiasts and bodybuilders are targeted with promises that DNP will maintain muscle mass while reducing body fat. People with eating disorders are targeted with promises that it will lead to rapid weight loss. It is falsely labeled as safe.
Have more questions about DNP?
If someone swallows DNP, they should go to the emergency room immediately.
If you have a question about using DNP or another weight loss drug, use the webPOISONCONTROL® online tool or call your poison center at 1-800-222-1222. Whether online or by phone, expert guidance is always free, confidential, and available 24 hours a day.
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