Midwakh (pipe) and seizure: The overlooked link

Eid, Mustafa Mahmood

doi:10.34172/jept.2021.16

Document Type : Case Report

Author

Mustafa Mahmood Eid

Emergency Department, Al Ain Hospital, Al Ain, United Arab Emirates

https://doi.org/10.34172/jept.2021.16

Abstract

Objective: Numerous drugs and medications from various pharmacological classes can lead to seizures as an unwanted side effect. Midwakh is a pipe commonly used to smoke tobacco blend in small quantities. Midwakh use is increasing, especially among young people.
Case Presentation: A 17-year-old patient with a history of seizures was provoked by smoking midwakh, despite having no previous disease history.
Conclusion: Although the patient had a negative workup for epilepsy, midwakh should be classified as an epileptogenic drug. More studies need to be conducted on the effects of midwakh on the neurological system

Keywords

Main Subjects

Emergency medicine

References

1. Chen HY, Albertson TE, Olson KR. Treatment of druginduced seizures. Br J Clin Pharmacol 2016;81(3):412-419. doi:10.1111/bcp.12720

2. Vupputuri S, Hajat C, Al-Houqani M, Osman O, Sreedharan J, Ali R, et al. Midwakh/dokha tobacco use in the Middle East: much to learn. Tob Control 2016;25(2):236-241. doi:10.1136/tobaccocontrol-2013-051530

3. Al-Houqani M, Ali R, Hajat C. Tobacco smoking using Midwakh is an emerging health problem--evidence from a large cross-sectional survey in the United Arab Emirates. PLoS One 2012;7(6):e39189. doi:10.1371/journal. pone.0039189

4. Shaikh RB, Abdul Haque NM, Abdul Hadi Khalil Al Mohsen H, Abdul Hadi Khalil Al Mohsen A, Haitham Khalaf Humadi M, Zaki Al Mubarak Z, et al. Acute effects of dokha smoking on the cardiovascular and respiratory systems among UAE male university students. Asian Pac J Cancer Prev 2012;13(5):1819-1822. doi:10.7314/ apjcp.2012.13.5.1819

5. Elsayed Y, Dalibalta S, El Kouche M. Chemical characterization and safety assessment of dokha: an emerging alternative tobacco product. Sci Total Environ 2018;615:9-14. doi:10.1016/j.scitotenv.2017.09.255

6. Mahboub B, Mohammad AB, Nahlé A, Vats M, Al Assaf O, Al-Zarooni H. Analytical determination of nicotine and tar levels in various dokha and shisha tobacco products. J Anal Toxicol 2018;42(7):496-502. doi:10.1093/jat/bky029

7. Mohammad AB, Mohammad SHK, Mohammad MK, Khan AS, Al-Hajjaj MS. Quantification of trace elements in different dokha and shisha tobacco products using EDXRF. J Anal Toxicol 2019;43(4):e7-e22. doi:10.1093/jat/bky095

8. Alsaadi T, Alkaddour AR, Shahrour TM, Shakra M, Turkawi L, Shatila A. Midwakh-induced seizures: case series from UAE. Epilepsy Behav 2014;39:85-87. doi:10.1016/j. yebeh.2014.08.132

Journal of Emergency Practice and Trauma

Midwakh (pipe) and seizure: The overlooked link

References

References

Volume 7, Issue 2
July 2021
Pages 140-142

Midwakh (pipe) and seizure: The overlooked link

References

References

Volume 7, Issue 2July 2021Pages 140-142

Volume 7, Issue 2
July 2021
Pages 140-142