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Clonidine Compounding Error: Bradycardia and Sedation in a Pediatric Patient

Alexander F Barbuto1, Michele M Burns2

  • 1Harvard Medical Toxicology Fellowship, Boston Children's Hospital, Boston, Massachusetts.

The Journal of Emergency Medicine
|May 12, 2020
PubMed
Summary

A pediatric case highlights compounding pharmacy errors. A 12-year-old boy experienced severe sedation and hypotension due to an eightfold overdose of liquid clonidine, emphasizing the need for vigilance in medication preparation.

Keywords:
clonidinecompoundingmedication errorpediatrictoxicity

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