title: Drug facilitated sexual assault using an over-the-counter ocular solution containing tetrahydrozoline (Visine).
abstract: Drug facilitated sexual assault (DFSA) has been defined as sexual activity occurring where consent is invalid or absent due to the effects of drugs and or alcohol. We report the use of a commonly available over-the-counter drug to induce an obtunded compliant victim with no memory of the period during the sexual assault. An adult male repeatedly used tetrahydrozoline to induce a comatose state in an adult female and four female children for the purposes of sexual assault. It may be warranted to include imidazoline derivatives in the testing for cases of DFSA.
authors.affiliation: Kentucky Regional Poison Center, Louisville, KY, USA. henry.spiller@nortonhealthcare.org
authors.forename: Henry A
authors.initials: HA
authors.lastname: Spiller
authors.forename: Jacqualine
authors.initials: J
authors.lastname: Rogers
authors.forename: Tama S
authors.initials: TS
authors.lastname: Sawyer
mesh_terms: D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage / Q000494:pharmacology; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage* / Q000494:pharmacology; D048288:Imidazolines / Q000008:administration & dosage / Q000494:pharmacology; D008297:Male; D004366:Nonprescription Drugs; D009883:Ophthalmic Solutions / Q000008:administration & dosage* / Q000494:pharmacology; D011902:Rape; D013997:Time Factors
chemical_list: D000316:Adrenergic alpha-Agonists; D007093:Imidazoles; D048288:Imidazolines; D004366:Nonprescription Drugs; D009883:Ophthalmic Solutions; C005810:tetrahydrozoline