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Clonidine poisoning in children: a recent experience
1Department of Clinical Pharmacology, Royal Children's Hospital, Melbourne, Victoria, Australia.
Insights
Clonidine poisoning in children led to significant illness, with many requiring intensive care. Educating parents about the dangers of clonidine overdose is crucial for prevention.
Area of Science:
- Pediatric Toxicology
- Clinical Pediatrics
- Public Health
Background:
- Clonidine is prescribed for various conditions, including attention-deficit hyperactivity disorder (ADHD).
- Accidental ingestion or overdose of clonidine in children can lead to serious adverse events.
Purpose of the Study:
- To identify and analyze cases of clonidine poisoning in children presenting to a tertiary pediatric hospital.
- To investigate trends in presentation, outcomes, and prevention strategies for clonidine poisoning.
- To explore public health implications related to clonidine use in pediatric populations.
Main Methods:
- Retrospective review of clonidine poisoning cases at Royal Children's Hospital from 1997 to 2001.
- Data extraction from coded medical records for analysis.
Main Results:
- Twenty-four cases of clonidine poisoning were identified over five years.
- Impaired consciousness and bradycardia were the most frequent symptoms.
- Half of the affected children required intensive care, with three needing mechanical ventilation.
Conclusions:
- This study represents the largest series of pediatric clonidine poisoning in Australia, highlighting considerable morbidity.
- There is a significant need for enhanced parental education regarding the risks of clonidine overdose.
- Preventive measures should focus on safe storage and awareness of potential dangers to children.
Objectives:
To identify cases of clonidine poisoning presenting to a tertiary paediatric hospital and to investigate trends in presentation, outcome and prevention. Furthermore, any public health implications of the use of clonidine in children are to be explored.
Methods:
Cases of clonidine poisoning presenting to Royal Children's Hospital were reviewed over the period from 1997 to 2001 (inclusive), with significant data obtained from coded medical records.
Results:
Twenty-four cases of clonidine poisoning were identified over the 5-year period. Nine patients ingested their own medication, which was prescribed for attention-deficit hyperactivity disorder. Clonidine was prescribed for a child in 16 cases (67%). Impaired conscious state and bradycardia were the most common presenting features. Activated charcoal was given in 14 cases and volume expansion in six. There were 12 children (50%) who required admission to intensive care for monitoring, including three who received mechanical ventilation. The average length of stay was 25.7 h with no long-term complications.
Conclusions:
This is the largest series of clonidine poisoning in children recorded in Australia, with morbidity considerable. Emphasis needs to be placed on educating parents of clonidine's dangers in overdose to their own children as well as others.
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