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Open AccessJournal ArticleDOI

2,4-Dinitrophenol (DNP): A Weight Loss Agent with Significant Acute Toxicity and Risk of Death

TLDR
The pattern and pathophysiology of DNP toxicity is described, the previous fatalities associated with exposure to DNP are summarised and the current and previous fatalities related to exposure are summarized.
Abstract
2,4-Dinitrophenol (DNP) is reported to cause rapid loss of weight, but unfortunately is associated with an unacceptably high rate of significant adverse effects. DNP is sold mostly over the internet under a number of different names as a weight loss/slimming aid. It causes uncoupling of oxidative phosphorylation; the classic symptom complex associated with toxicity of phenol-based products such as DNP is a combination of hyperthermia, tachycardia, diaphoresis and tachypnoea, eventually leading to death. Fatalities related to exposure to DNP have been reported since the turn of the twentieth century. To date, there have been 62 published deaths in the medical literature attributed to DNP. In this review, we will describe the pattern and pathophysiology of DNP toxicity and summarise the previous fatalities associated with exposure to DNP.

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References
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TL;DR: The general approach to the Poisoned Patient Introduction and Initial Evaluation and Supportive Care.
Book

Clinical management of poisoning and drug overdose

TL;DR: Part I: General Introduction: Emergency Management of Poisoning, Pediatric Resuscitation and Fluid Management, Laboratory Diagnosis and Drug Screening and Principles of Pharmacology for the Clinician.
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Mitochondrial targets of drug toxicity.

TL;DR: The significance is further underscored by the recent identification of bioenergetic control points for cell replication and differentiation and the realization that mitochondria play a determinant role in cell signaling and apoptotic modes of cell death.
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Mitochondrial uncoupling as a target for drug development for the treatment of obesity.

TL;DR: Mitochondrial proton cycling is responsible for a significant proportion of basal or standard metabolic rate, so further uncoupling of mitochondria may be a good way to increase energy expenditure and represents a good pharmacological target for the treatment of obesity.
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