Unveiling the Health Consequences of a 55-Year-Old with Nubain, Alcohol, and Smoking Abuse

Authors

  • Juliana B. Tejada University of Tabuk, Duba branch, Kingdom of Saudi Arabia
  • Richard Jeric I. Bitchara STI College Cubao

DOI:

https://doi.org/10.37506/30snwy39

Keywords:

Nubain injection, alcohol, smoking, health risks, substance abuse.

Abstract

The case study describes a high-risk substance user adult patient with Nubain, smoking, and alcohol abuse. This research study tries to find out the effect of substance abuse on the patient's health and social functioning. Initially, the patient started with marijuana for fun with friends, which further led to Nubain injections, alcohol intake, and smoking. Due to prolonged consumption, the patient's body eventually developed an intolerance to these substances, resulting in severe health complications.

The patient was admitted to a nearby hospital in  emergency with sudden severe abdominal pain. The patient was diagnosed with  CBC, ultrasound, and x-ray to identify his condition. The complications were so serious that the patient needed the attention of a specialized doctor, including very low hemoglobin levels and melena.

Despite all these admissions and other medical interventions, there was no improvement in the patient’s condition. The patient ultimately died due to substance use. This study identifies early intervention and comprehensive care as important in improving health and social outcomes. It points to the dangerous and lethal effects of substance abuse, hence the importance of prevention and timely medical interventions.

Author Biographies

  • Juliana B. Tejada, University of Tabuk, Duba branch, Kingdom of Saudi Arabia

    Lecturer ,Faculty of Medical Laboratory Technology ,University of Tabuk, Duba branch, Kingdom of Saudi Arabia

  • Richard Jeric I. Bitchara, STI College Cubao

    Assistant Principal ,Senior High School Department STI College Cubao

References

Nubain (Nalbuphine hydrochloride): Uses, Dosage, Side Effects, Interactions, Warning [Internet]. RxList. [cited 2021 Apr 19]. Available from: https://www.rxlist.com/nubain-drug.htm#description

Tymko VG, Tsapko GV, Filipenko VA, Khvysiuk OM, Kovalova KV, Kuznetsov IE. A randomized, double-blind study to compare the efficacy and safety of nalbuphine nasal spray and injectable solution in patients after orthopedic interventions and traumatological procedures. British Journal of Clinical Pharmacology. 2024 Apr 22;90(7):1728–40.

Williams H, Remedios A, Rooney J, Hanstock R. Nalbuphine dependence: a brief report from the UK. Irish Journal of Psychological Medicine. 2000 Mar 1;17(1):20–1.

Thepsoparn M., Intira Ruangkree. Nalbuphine: A Collective Review. Thai Journal of Anesthesiology [Internet]. 2022 [cited 2025 Jan 6];48(1):59-66. Available from: https://he02.tci-thaijo.org/index.php/anesthai/article/view/255842

Williams H, Remedios A, Rooney J, Hanstock R. Nalbuphine dependence: a brief report from the UK. Irish Journal of Psychological Medicine. 2000 Mar 1;17(1):20–1.

Daily Med: NALBUPHINE HCI injection, solution [Internet]. Nih.gov. 2020 [cited 2025 Jan 6]. Available from: a1c9c

Singh A. Alcohol Interaction with Cocaine, Methamphetamine, Opioids, Nicotine, Cannabis, and γ-Hydroxybutyric Acid. Biomedicines [Internet]. 2019 Mar 7;7(1):16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466217/

Jalali Z, Khademalhosseini M, Soltani N, Esmaeili Nadimi A. Smoking, alcohol, and opioids effect on coronary microcirculation: an updated overview. BMC Cardiovascular Disorders. 2021 Apr 15;21(1).

Frobel W, Grafe N, Meigen C, Vogel M, Hiemisch A, Kiess W, et al. Substance use in childhood and adolescence and its associations with quality of life and behavioral strengths and difficulties. BMC Public Health. 2022 Feb 10;22(1).

Weston A. Nalbuphine and Addiction: From the Basic Science to Clinical Set [Internet]. Journal of Clinical Research in Anesthesiology. Asclepius Open LLC, 2019 [cited 2025 Jan 6]. Available from: https://bit.ly/3AY5x5H.

Freda PJ, Moore JH, Kranzler HR. The phenomics and genetics of addictive and affective comorbidity in opioid use disorder. Drug and Alcohol Dependence. 2021 Apr; 221:108602.

Child-Pugh Score for Chronic Liver Disease and Cirrhosis [Internet]. Healthline. 2018. Available from: https://www.healthline.com/health/child-pugh-classification

How to Understand Your MELD Score [Internet]. Verywell Health. Available from: https://www.verywellhealth.com/meld-score-4783410

Downloads

Published

2025-03-28

How to Cite

Unveiling the Health Consequences of a 55-Year-Old with Nubain, Alcohol, and Smoking Abuse. (2025). Indian Journal of Forensic Medicine & Toxicology, 19(2), 14-20. https://doi.org/10.37506/30snwy39