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Clinical Toxicology Volume 57, 2019 - Issue 1
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Poison Centre Research

Physostigmine is superior to non-antidote therapy in the management of antimuscarinic delirium: a prospective study from a regional poison center

Sean P. BoleyDepartment of Emergency Medicine, United Hospital, Minneapolis, MN, USA; ;Minnesota Poison Control System, Minneapolis, MN, USA; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0003-1340-6416View further author information
ORCID Icon,
Travis D. OlivesMinnesota Poison Control System, Minneapolis, MN, USA; ORCID Iconhttp://orcid.org/0000-0003-4330-1391View further author information
ORCID Icon,
Stacey A. BanghMinnesota Poison Control System, Minneapolis, MN, USA; View further author information
,
Samuel FahrnerDepartment of Entomology, University of Minnesota, Saint Paul, MN, USAView further author information
&
Jon B. ColeMinnesota Poison Control System, Minneapolis, MN, USA; ORCID Iconhttp://orcid.org/0000-0002-7714-8826View further author information
ORCID Icon
Pages 50-55 | Received 26 Mar 2018, Accepted 29 May 2018, Published online: 29 Jun 2018

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Matthew S. Correia & Robert G. Hendrickson. (2023) Improvement in delirium and visuospatial function after rivastigmine in antimuscarinic toxicity: a case report. Toxicology Communications 7:1.
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Kevin Baumgartner, Michelle Doering and & Michael E. Mullins. (2022) Dexmedetomidine in the treatment of toxicologic conditions: a systematic review and review of the toxicology investigators consortium database. Clinical Toxicology 60:12, pages 1356-1375.
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Articles from other publishers (16)

Spencer C. Greene. (2023) Rivastigmine Use in the Treatment of Antimuscarinic Delirium. Journal of Medical Toxicology 19:3, pages 284-287.
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James D. Whitledge, Pelayia Soto, Kieran M. Glowacki, Erin R. Fox & Maryann Mazer-Amirshahi. (2023) Shortages of agents used to treat antimuscarinic delirium. The American Journal of Emergency Medicine 67, pages 163-167.
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Jason Seebaluck, Michael A. Downes, Jared Brown, Keith Harris, Katherine Z. Isoardi & Betty S. Chan. (2022) Case series profile of olanzapine post‐injection delirium/sedation syndrome. British Journal of Clinical Pharmacology 89:2, pages 903-907.
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Mohamed Farah Yusuf Mohamud & Mohamud Mire Waberi. (2022) Pheniramine induced supraventricular tachycardia resistant to adenosine: A case report and review. Annals of Medicine and Surgery 78, pages 103621.
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Sophie Gosselin & Robert S. Hoffman. (2022) The Management of Agitated Toxidromes. Emergency Medicine Clinics of North America 40:2, pages 223-235.
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Michael E. Mullins. (2021) Physostigmine should be used more readily for antimuscarinic toxicity: CON. British Journal of Clinical Pharmacology 88:1, pages 61-63.
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Nathan Kunzler & Timothy B. Erickson. 2022. History of Modern Clinical Toxicology. History of Modern Clinical Toxicology 271 278 .
Mohamed Serhan Hamam & Andrew Bissonette. (2021) Evaluation and Management of Toxicological Causes of Delirium. Current Emergency and Hospital Medicine Reports 9:3, pages 55-63.
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Mitchell Zekhtser, Erin Carroll, Molly Boyd & Shashikanth Ambati. (2021) The Role of Dexmedetomidine in Pediatric Patients Presenting with an Anticholinergic Toxidrome. Case Reports in Critical Care 2021, pages 1-5.
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Wilmarie Cidre Serrano & Jose Maldonado. (2021) The Use of Physostigmine in the Diagnosis and Treatment of Anticholinergic Toxicity After Olanzapine Overdose: Literature Review and Case Report. Journal of the Academy of Consultation-Liaison Psychiatry 62:3, pages 285-297.
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I Plaetinck, J Heerman, S Van De Velde, S Allaert & A.F. Kalmar. (2022) Anticholinergic symptoms in a patient with a bupropion overdose successfully managed with physostigmine: a case report. Acta Anaesthesiologica Belgica 72:1, pages 49-52.
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Laura M. Tormoehlen. 2021. Emergency Neurology. Emergency Neurology 373 401 .
A.F. Kalmar, I Plaetinck, J Heerman, S Van De Velde & S Allaert. (2022) Anticholinergic symptoms in a patient with a bupropion overdose successfully managed with physostigmine: a case report. Acta Anaesthesiologica Belgica 71:3, pages 137-140.
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Nicole M Acquisto, Giles W Slocum, Matthew H Bilhimer, Nadia I Awad, Stephanie Baker Justice, Gregory F Kelly, Therese Makhoul, Asad E Patanwala, Gary D Peksa, Blake Porter, Donna M Shuler Truoccolo, Cierra N Treu, Kyle A Weant & Michael C Thomas. (2020) Key articles and guidelines for the emergency medicine clinical pharmacist: 2011-2018 update. American Journal of Health-System Pharmacy 77:16, pages 1284-1335.
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Raghad Saadi & Kristin Bohnenberger. (2020) Physostigmine for Antimuscarinic Toxicity. Journal of Emergency Nursing 46:1, pages 126-128.
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Sean P. Boley & Samuel J. Stellpflug. (2019) A Comparison of Resource Utilization in the Management of Anticholinergic Delirium Between Physostigmine and Nonantidote Therapy. Annals of Pharmacotherapy 53:10, pages 1026-1032.
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