title: Hallucinations with zolpidem and fluoxetine in an impaired driver.
abstract: A 54-year-old male was observed driving erratically. The subject displayed both horizontal and vertical nystagmus and poor balance on field sobriety tests (FST's). Further observations included slow movements, breathing, and speech, extremely poor coordination, lack of convergence, and pupils with slow reaction to light. The subject related he was seeing roadway lines doubled and felt a hallucinogenic effect. Breath alcohol results were negative. Blood tests found zolpidem and fluoxetine in addition to hydrocodone at therapeutic levels. This case is presented as an example of hallucinogenic effects from the combination of zolpidem and serotonin reuptake inhibitors.
authors.affiliation: California Department of Justice, Toxicology Laboratory, Sacramento, CA 95820, USA.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Coleman
authors.forename: Kenji
authors.initials: K
authors.lastname: Ota
mesh_terms: D001334:Automobile Driving; D005473:Fluoxetine / Q000009:adverse effects*; D006212:Hallucinations / Q000139:chemically induced*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011725:Pyridines / Q000009:adverse effects*; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects*; D000077334:Zolpidem
chemical_list: D005473:Fluoxetine; D006993:Hypnotics and Sedatives; D011725:Pyridines; D017367:Selective Serotonin Reuptake Inhibitors; D000077334:Zolpidem