RT Journal Article SR Electronic T1 Hyperchloraemic metabolic acidosis JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 613 OP 613 DO 10.1136/emj.2008.059923 VO 25 IS 9 A1 F S Y Fan A1 K M Chow A1 C C Szeto A1 P K T Li YR 2008 UL http://emj.bmj.com/content/25/9/613.abstract AB Cholestyramine carries a risk of hyperchloraemic metabolic acidosis. Being cognisant of this drug-induced adverse event may reduce diagnostic delays. Emergency physicians should be alert about this condition, in particular among patients with pre-existing chronic kidney disease, or who are taking spironolactone.