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Pain Relief for a Presumed Accidental Use of Haloperidol

Year 2015, Volume: 5 Issue: 3, 203 - 205, 28.04.2015

Ahmet Güven Ali Kaya Mehmet Oflaz Fatih Bolat Utku Aygüneş Fatma Duksal Füsun İçağasıoğlu

https://doi.org/10.16899/ctd.70831

Abstract

Haloperidol is a typical antipsychotic drug, that is frequently used in psychosis, Tourette syndrome and severe agitations and has anticholinergic effects and extrapyramidal signs in case of intoxication. The present paper reports a case of hemidystonia and green color vision caused by mistaken haloperidol ingestion as an analgesic agent in a 12 years old boy. Herein we would like to emphasise that the dystonia might be misdiagnosed as convulsion in emergency rooms and phonetic similarities of the brand names of the drugs may mislead the physician and cause for delay of the appropriate therapy, so to ask the family about the ingestion of drugs that are ended with "-dol" (EndolTM, indomethacine) for differential diagnosis. 

 

Keywords

Analgesic dystonia haloperidol

References

  • Ramirez-Montealegre D, Mink WJ. Dystonia. In: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, Behrman RE, eds. Nelson Textbook of Pediatrics (19th ed.). Philadelphia: WB Saunders; 2011. p.2058-59.
  • Piña-Garza JE. Movement Disorders. Fenichel’s Clinical Pediatric Neurology (7th ed.). Philadelphia: WB Saunders; 2013. p.282-89.
  • van Harten PN, Hoek HW, Kahn RS. Acute dystonia induced by drug treatment. BMJ 1999; 319: 623-26.
  • DeMaso DR, Walter HJ. Psychologic Treatment of Children and Adolescents. In: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, Behrman RE (eds). Nelson Textbook of Pediatrics (19th ed.). Philadelphia: WB Saunders; 2011. p.60-66.
  • Tunçok Y, Kalyoncu Nİ. Antipsikotik İlaçlarla Zehirlenmeler. T.C. Sağlık Bakanlığı Zehirlenmeler Tanı ve Tedavi Rehberleri, Ankara: Yücel Ofset Matbaacılık, 2007, s 43-47.
  • Taketomo CK, Hodding JH, Kraus DM (eds). Haloperidol. Pediatric Dosage Handbook (12th ed). Canada, Lexi-Comp; 2005: 623-624.
  • Haddad PM, Anderson IM. Antipsychotic-related QTc prolongation, torsade de pointes and sudden death. Drugs. 2002; 62: 1649-1671.
  • Isbister GK, Balit CR, Kilham HA. Antipsychotic poisoning in young children: a systematic review. Drug Saf. 2005; 28: 1029-1044.
  • Yoshida I, Sakaguchi Y, Matsuishi T, et al. Acute accidental overdosage of haloperidol in children. Acta Paediatr. 1993; 82: 877-880.
  • Satar S, Yilmaz HL, Gokel Y, Toprak N. A case of child abuse: haloperidol poisoning of a child caused by his mother. Eur J Emerg Med. 2001; 8: 317-319.

Yanlışlıkla Analjezik Amaçlı Kullanılan Haloperidol

Year 2015, Volume: 5 Issue: 3, 203 - 205, 28.04.2015

Ahmet Güven Ali Kaya Mehmet Oflaz Fatih Bolat Utku Aygüneş Fatma Duksal Füsun İçağasıoğlu

https://doi.org/10.16899/ctd.70831

Abstract

Haloperidol, psikoz, Tourette Sendromu ve ağır ajitasyonlarda sıkça kullanılan ve intoksikasyon durumunda antikolinerjik etkiler ve ekstrapiramidal belirtilerin görülebildiği tipik antipsikotik bir ilaçtır. Babası tarafından ağrı kesici olarak bir adet haloperidol (©Nörodol 20 mg) tablet verildikten 8 saat sonra intoksikasyon bulguları (yeşil renkli görme ve hemidistoni) ortaya çıkan 12 yaşındaki erkek hastayı bildiriyoruz. Biz bu olgumuzla, distoninin yanlışlıkla konvülziyon olarak değerlendirilebileceğini ve haloperidolün tek dozunda bile intoksikasyon belirtilerinin ortaya çıkabileceğini, ayrıca piyasada bulunan ve hastanın anamnezini alan hekimi yanıltabilecek sonu '–dol' ile biten ağrı kesicilerle (©Endol vb.) son ek olarak isim benzerliği gösteren haloperidolün (©Nörodol) acil değerlendirme gereken durumlarda karışıklıklara yol açabileceğini vurgulamak istedik.

Keywords

Analjezik distoni haloperidol

References

  • Ramirez-Montealegre D, Mink WJ. Dystonia. In: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, Behrman RE, eds. Nelson Textbook of Pediatrics (19th ed.). Philadelphia: WB Saunders; 2011. p.2058-59.
  • Piña-Garza JE. Movement Disorders. Fenichel’s Clinical Pediatric Neurology (7th ed.). Philadelphia: WB Saunders; 2013. p.282-89.
  • van Harten PN, Hoek HW, Kahn RS. Acute dystonia induced by drug treatment. BMJ 1999; 319: 623-26.
  • DeMaso DR, Walter HJ. Psychologic Treatment of Children and Adolescents. In: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, Behrman RE (eds). Nelson Textbook of Pediatrics (19th ed.). Philadelphia: WB Saunders; 2011. p.60-66.
  • Tunçok Y, Kalyoncu Nİ. Antipsikotik İlaçlarla Zehirlenmeler. T.C. Sağlık Bakanlığı Zehirlenmeler Tanı ve Tedavi Rehberleri, Ankara: Yücel Ofset Matbaacılık, 2007, s 43-47.
  • Taketomo CK, Hodding JH, Kraus DM (eds). Haloperidol. Pediatric Dosage Handbook (12th ed). Canada, Lexi-Comp; 2005: 623-624.
  • Haddad PM, Anderson IM. Antipsychotic-related QTc prolongation, torsade de pointes and sudden death. Drugs. 2002; 62: 1649-1671.
  • Isbister GK, Balit CR, Kilham HA. Antipsychotic poisoning in young children: a systematic review. Drug Saf. 2005; 28: 1029-1044.
  • Yoshida I, Sakaguchi Y, Matsuishi T, et al. Acute accidental overdosage of haloperidol in children. Acta Paediatr. 1993; 82: 877-880.
  • Satar S, Yilmaz HL, Gokel Y, Toprak N. A case of child abuse: haloperidol poisoning of a child caused by his mother. Eur J Emerg Med. 2001; 8: 317-319.
There are 10 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Ahmet Güven

Ali Kaya This is me

Mehmet Oflaz This is me

Fatih Bolat This is me

Utku Aygüneş This is me

Fatma Duksal This is me

Füsun İçağasıoğlu This is me

Publication Date April 28, 2015
Published in Issue Year 2015 Volume: 5 Issue: 3

Cite

APA Güven, A., Kaya, A., Oflaz, M., Bolat, F., et al. (2015). Pain Relief for a Presumed Accidental Use of Haloperidol. Çağdaş Tıp Dergisi, 5(3), 203-205. https://doi.org/10.16899/ctd.70831
AMA Güven A, Kaya A, Oflaz M, Bolat F, Aygüneş U, Duksal F, İçağasıoğlu F. Pain Relief for a Presumed Accidental Use of Haloperidol. J Contemp Med. October 2015;5(3):203-205. doi:10.16899/ctd.70831
Chicago Güven, Ahmet, Ali Kaya, Mehmet Oflaz, Fatih Bolat, Utku Aygüneş, Fatma Duksal, and Füsun İçağasıoğlu. “Pain Relief for a Presumed Accidental Use of Haloperidol”. Çağdaş Tıp Dergisi 5, no. 3 (October 2015): 203-5. https://doi.org/10.16899/ctd.70831.
EndNote Güven A, Kaya A, Oflaz M, Bolat F, Aygüneş U, Duksal F, İçağasıoğlu F (October 1, 2015) Pain Relief for a Presumed Accidental Use of Haloperidol. Çağdaş Tıp Dergisi 5 3 203–205.
IEEE A. Güven, “Pain Relief for a Presumed Accidental Use of Haloperidol”, J Contemp Med, vol. 5, no. 3, pp. 203–205, 2015, doi: 10.16899/ctd.70831.
ISNAD Güven, Ahmet et al. “Pain Relief for a Presumed Accidental Use of Haloperidol”. Çağdaş Tıp Dergisi 5/3 (October 2015), 203-205. https://doi.org/10.16899/ctd.70831.
JAMA Güven A, Kaya A, Oflaz M, Bolat F, Aygüneş U, Duksal F, İçağasıoğlu F. Pain Relief for a Presumed Accidental Use of Haloperidol. J Contemp Med. 2015;5:203–205.
MLA Güven, Ahmet et al. “Pain Relief for a Presumed Accidental Use of Haloperidol”. Çağdaş Tıp Dergisi, vol. 5, no. 3, 2015, pp. 203-5, doi:10.16899/ctd.70831.
Vancouver Güven A, Kaya A, Oflaz M, Bolat F, Aygüneş U, Duksal F, İçağasıoğlu F. Pain Relief for a Presumed Accidental Use of Haloperidol. J Contemp Med. 2015;5(3):203-5.