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Pheniramine aminosalicylate overdosage. Reversal of delirium and choreiform movements with tacrine treatment.

Abstract
We describe a case of central anticholinergic syndrome with choreiform movements after an overdose of pheniramine aminosalicylate. The symptoms and signs of the condition were reversed by the intravenous administration of the cholinesterase-inhibitor tetrahydroaminacrine. We also discuss the concept of adrenergic-cholinergic imbalance in relation to this case and recommend the use of centrally acting anticholinesterase agents in the treatment of specific cases of drug overdose.
AuthorsG Mendelson
JournalArchives of neurology (Arch Neurol) Vol. 34 Issue 5 Pg. 313 (May 1977) ISSN: 0003-9942 [Print] United States
PMID856127 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Acridines
  • pheniramine aminosalicylate
  • Pheniramine
  • Tacrine
Topics
  • Acridines (therapeutic use)
  • Adolescent
  • Chorea (chemically induced, drug therapy)
  • Delirium (chemically induced, drug therapy)
  • Female
  • Humans
  • Pheniramine (analogs & derivatives, poisoning)
  • Substance-Related Disorders
  • Tacrine (therapeutic use)

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