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A General Method for Evaluating Deep Brain Stimulation Effects on Intravenous Methamphetamine Self-Administration
Published on: January 22, 2016
Pharmacologic treatment of acute pediatric methamphetamine toxicity
Anne-Michelle Ruha1, Mark C Yarema
1Department of Medical Toxicology, Banner Good Samaritan Medical Center, Phoenix, AZ 85006-2502, USA. michelle.ruha@bannerhealth.com
Insights
Benzodiazepines and haloperidol effectively sedated pediatric patients with methamphetamine poisoning. This study found no serious adverse effects when using these medications for acute toxicity management.
Area of Science:
- Pediatric Toxicology
- Pharmacology
- Emergency Medicine
Background:
- Acute methamphetamine poisoning in children presents significant management challenges.
- Agitation and altered mental status are common symptoms requiring prompt intervention.
Purpose of the Study:
- To evaluate the safety and efficacy of benzodiazepines and haloperidol for sedating pediatric patients with acute methamphetamine poisoning.
- To report clinical experience with these agents in intensive care settings.
Main Methods:
- Retrospective chart review of 18 pediatric patients admitted for methamphetamine toxicity.
- Analysis of drug dosages, clinical features, and laboratory results.
- Recording of adverse events associated with haloperidol and benzodiazepines.
Main Results:
- Eighteen patients received benzodiazepines with variable dosing.
- Twelve patients were also treated with parenteral haloperidol.
- No complications were observed from the administration of either haloperidol or benzodiazepines.
Conclusions:
- Parenteral benzodiazepines and haloperidol are effective in controlling agitation in pediatric methamphetamine poisoning.
- These agents appear to be safe for short-term use in this patient population.
- Further research may explore optimal dosing and long-term outcomes.
Objective:
To report our experience with the use of benzodiazepines and haloperidol for sedation of pediatric patients with acute methamphetamine poisoning.
Methods:
We performed a retrospective chart review of 18 pediatric patients who were admitted to an intensive care unit for methamphetamine toxicity from January 1997 to October 2004 and treated with benzodiazepines or haloperidol. Clinical features, dose of drug received, and laboratory test results were noted. Adverse effects from the use of haloperidol such as prolonged QTc, dystonic reactions, and torsades de pointes were recorded.
Results:
Eighteen patients received a benzodiazepine, the dose of which varied depending on the agent used. Twelve patients also received parenteral haloperidol. No complications developed from the use of either haloperidol or benzodiazepines.
Conclusions:
In this case series of pediatric patients poisoned with methamphetamine, parenteral benzodiazepines and haloperidol were used to control agitation. No serious adverse effects were observed from the use of these agents.
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