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Updated: Oct 21, 2025

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A probable case of collapse due to hyoscine patch.

Pramol Ale1, Asif Munaf2, Timothy Kemp3

  • 1Acute Medicine, Royal Stoke University Hospital, Stoke-on-Trent, Staffordshire, UK mrg_pramol@hotmail.com.

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Hyoscine patches can cause serious side effects, masking diagnoses. A detailed drug history is crucial for accurate medical diagnosis and patient safety.

Keywords:
contraindications and precautionsmedical managementunwanted effects / adverse reactions

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Area of Science:

  • Pharmacology
  • Clinical Toxicology

Background:

  • Hyoscine (scopolamine) is commonly used for motion sickness and postoperative nausea.
  • Transdermal patches offer prolonged drug delivery, potentially leading to sustained systemic exposure.

Observation:

  • A case report details how a hyoscine patch led to misdiagnosis.
  • The innocuous appearance of the patch can mislead both patients and clinicians.

Findings:

  • Hyoscine can manifest serious adverse effects, mimicking other conditions.
  • Thorough patient drug history is essential for identifying iatrogenic causes of symptoms.

Implications:

  • Increased awareness of hyoscine's potential side effects is critical for healthcare providers.
  • Patients using hyoscine, via oral or transdermal routes, must be informed about associated risks.