title: [The intoxication with cyclizin in infancy and adult age (Experiences of a contamination-information-central office) (author's transl)].
abstract: Epidemiological, clinical and therapeutic aspects obtained from 38 cases of intoxication with the antiemetic drug "cyclizine" in children and adults are discussed. The relative frequency of accidentally or purposely performed overdosage shows a decreasing tendency. The introduction of regulations after the prescription of cyclizine compounds, leaving a limited dose available without prescription and the introduction of a safety package to prohibit misuse by children are reported in their relationship with the epidemiologic data. A toxic dose of 5 mg/kg body weight, a minimal lethal dose (MLD) of about 80 mg/kg are evaluated and compared with previous published data. Differences of age in the development of the clinical picture of the cyclizine-intoxication with a disposition for the evolvement of convulsions in children compared to the total lack of convulsions in adults have to be pointed out. The management of overdoses follows general principles of treatment like gastric lavage, supporting care and includes the specific treatment with the antidote "physostigmin-salicylate", which causes a shortening of the time of recovery.
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003501:Cyclizine / Q000506:poisoning*; D005751:Gastric Lavage; D006801:Humans; D007223:Infant; D010830:Physostigmine / Q000627:therapeutic use; D011039:Poison Control Centers; D012640:Seizures / Q000139:chemically induced
chemical_list: D010830:Physostigmine; D003501:Cyclizine
vernacular_title: Die Intoxikation mit Cyclizin im Kindes- und Erwachsenenalter (Erfahrungen einer Vergiftungsinformationszentrale).