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Related Experiment Videos

Poisoning with amitraz.

Alex T Proudfoot1

  • 1National Poisons Information Service (Birmingham Centre), City Hospital, Birmingham, UK.

Toxicological Reviews
|April 10, 2004
PubMed
Summary
This summary is machine-generated.

Amitraz poisoning, primarily in children, has increased recently. While amitraz (an insecticide) causes specific toxic effects like impaired consciousness and respiratory depression, its toxicity is hard to separate from solvents. Most patients recover with intensive care.

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Area of Science:

  • Veterinary Toxicology
  • Clinical Toxicology
  • Pharmacology

Background:

  • Amitraz, an insecticide and veterinary medicine, has been available globally since 1974.
  • Recent years have seen a rise in reported amitraz poisoning cases, predominantly affecting children in Turkey.
  • Distinguishing amitraz toxicity from its hydrocarbon solvent carriers remains challenging.

Purpose of the Study:

  • To review the clinical features and outcomes of amitraz poisoning.
  • To understand the toxicological mechanism of amitraz.
  • To explore potential antidotes for amitraz toxicity.

Main Methods:

  • Review of human poisoning cases and animal studies.
  • Analysis of clinical manifestations and treatment outcomes.

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  • Examination of pharmacological actions, specifically alpha 2-adrenoceptor stimulation.
  • Main Results:

    • Amitraz poisoning presents with central nervous system depression, respiratory depression, bradycardia, hypotension, hypothermia, and hypoglycemia.
    • The majority of human cases involve children and occur in Turkey.
    • Intensive care is effective, with only one suspected fatality documented.
    • Animal studies suggest alpha 2-adrenoceptor antagonists (yohimbine, atipamezole) may reverse toxicity.

    Conclusions:

    • Amitraz toxicity is characterized by alpha 2-adrenoceptor agonism.
    • Most human amitraz poisoning cases are severe but survivable with intensive care.
    • Alpha 2-adrenoceptor antagonists show promise as antidotes but require human clinical trials.