Pediatric Visine (tetrahydrozoline) ingestion: case report and review of imidazoline toxicity.
Visine, an over-the-counter, tetrahydrozoline topical ophthalmic decongestant, possesses central and peripheral alpha2-adrenergic properties. We present a case of accidental pediatric oral exposure with resultant neurological and cardiovascular complications. Visine is not marketed in childproof containers, despite the potential severity of an accidental ingestion. Over-the-counter medications with potent pharmacological properties should be stored in areas out of the reach of children, and manufacturers should package these products in childproof containers.
Daggy
Aaron
A
Emergency Medicine Residency Program of the University of Pittsburgh, USA.
Kaplan
Richard
R
Roberge
Raymond
R
Akhtar
Jawaid
J
D002675:Child, Preschool; D003937:Diagnosis, Differential; D062787:Drug Overdose / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D004638:Emergency Treatment; D006801:Humans; D007093:Imidazoles / Q000633:toxicity*; D007262:Infusions, Intravenous; D008297:Male; D009883:Ophthalmic Solutions / Q000633:toxicity*; D012965:Sodium Chloride / Q000008:administration & dosage*
D007093:Imidazoles; D009883:Ophthalmic Solutions; D012965:Sodium Chloride; C005810:tetrahydrozoline