The Indian Journal of Pediatrics

, Volume 80, Issue 4, pp 343–344

Dexmedetomidine in a Child with Methylphenidate Intoxication

  • Dayanand N. Bagdure
  • Girija R. Bhoite
  • Pamela D Reiter
  • Emily L. Dobyns
Clinical Brief

DOI: 10.1007/s12098-012-0757-1

Cite this article as:
Bagdure, D.N., Bhoite, G.R., Reiter, P.D. et al. Indian J Pediatr (2013) 80: 343. doi:10.1007/s12098-012-0757-1

Abstract

Methylphenidate intoxication, due to accidental ingestion, is a common occurrence in pediatrics. Symptoms of extreme agitation are typically controlled with benzodiazepines or barbiturates. There is, however, a legitimate risk of mechanical ventilation due to respiratory depression with increasing doses of benzodiazepines. The authors describe a case of 7-y-old girl with methylphenidate toxicity where dexmedetomidine was successfully used to manage agitation and cardiovascular stimulation without respiratory compromise.

Keywords

IntoxicationPsychostimulantManagement

Copyright information

© Dr. K C Chaudhuri Foundation 2012

Authors and Affiliations

  • Dayanand N. Bagdure
    • 1
  • Girija R. Bhoite
    • 2
  • Pamela D Reiter
    • 3
  • Emily L. Dobyns
    • 1
  1. 1.Pediatric Intensive Care Unit, Section of Critical Care MedicineChildren’s Hospital ColoradoAuroraUSA
  2. 2.Union Memorial HospitalBaltimoreUSA
  3. 3.Department of Pharmacy, Center for Pediatric MedicineChildren’s Hospital, ColoradoAuroraUSA