Overdose hydroxyzine

Among cases that described the TTO, 15 were reported following an overdose of hydroxyzine and patients experienced adverse events within 1 day. Excluding these 15 reports of overdose, the median TTO was 3 days. Overall, 14 out of the 59 cases (excluding cases with overdose) had a TTO of <7 days; considered a sufficiently long …

Editor’s Note: If you or someone you know is living with an opioid addiction or another substance use disorder, know that help is available. Narcan, also known as Naloxone, is an F...HydrOXYzine hydrochloride tablets, USP contains 10 mg, 25 mg, or 50 mg of hydrOXYzine hydrochloride, USP and are supplied as follows: 10 mg: White to off-white, round, biconvex, bevel edge, film-coated tablets debossed with ‘112’ on one side and plain on the other side.Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of overdosage with hydroxyzine. However, if other agents such as barbiturates have been …CONCLUSIONS: Hydroxyzine is a safe and effective drug, but life-threatening adverse effects can occur with overdose. Symptoms of toxicity are delirium, seizures, tachycardia, and hypotension. High dose of hydroxyzine may cause ARDS and distributive shock. A postmortem analysis of a confirmed hydroxyzine overdose demonstrated severe pulmonary ...a seizure (convulsions). Side effects such as drowsiness and confusion may be more likely in older adults. Common hydroxyzine side effects may include: drowsiness; headache; dry mouth; or. skin rash. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.What happens if I overdose on Vistaril (Hydroxyzine)? Overdose symptoms may include severe drowsiness, nausea, vomiting, uncontrolled muscle movements, or seizure (convulsions).F. ;. A simple high-performance liquid chromatographic method for detection of hydroxyzine in human plasma after overdose. ;. Journal of Pharmacological and ...I've overdosed a lot. It depends on how much you take, and how weak your immune system is, and also their toxicity. Seroquel won't work, it's extremely low toxicity. At least that's what I was told. (I overdosed on over 88 of them when I was younger). 2. Prestigious-Recipe-4. • 3 yr. ago. yes i wanna know too for research purposes only of course.

Hydroxyzine (Oral Route) Before Using - Mayo ClinicHydroxyzine is a medicine used to treat anxiety, itching, nausea, and vomiting. It can also cause drowsiness and affect your heart rhythm. Before using this medicine, you should check with your doctor if you have any medical conditions or allergies that may affect its safety and effectiveness. Learn more about hydroxyzine and how to use it ...Hydroxyzine may cause a condition that affects the heart rhythm (QT prolongation). ... Symptoms of overdose may include: severe drowsiness, seizures. In children, mental/mood changes (such as ...Overdose. Too much hydroxyzine and/or alcohol can put an individual at risk for a drug overdose. The most common symptom of this kind of overdose is ...For controlling anxiety and produce sleep before surgery: Adults—50 to 100 milligrams (mg) per day. Children—Dose is based on body weight and must be determined by your doctor. The dose is usually 0.6 milligram (mg) per kilogram (kg) of body weight per day. For oral dosage forms (Vistaril® capsules or suspension):Hydroxyzine is contra-indicated in patients with prolonged QT-interval or who have risk factors for QT-interval prolongation; Consider the risks of QT-interval prolongation and torsade de pointes before prescribing to patients taking drugs that lower heart rate or plasma-potassium concentration; In children with body-weight up to 40 kg, the ...Hydroxyzine is a prescription antihistamine that treats anxiety by blocking histamine, a natural substance responsible for allergy and anxiety symptoms. It responds quickly and is available as pills, liquids, or injection forms. Hydroxyzine is safe and generally well-tolerated, with only mild side effects. Its dose depends on age, health …buspirone. tricyclic antidepressants. propranolol. pregabalin. hydroxyzine pamoate. Note that not all of the medications listed above are first-line for all anxiety disorders, and some are only ...

Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of overdosage with hydroxyzine. However, if other agents such as barbiturates have been ingested ...Overdose; FAQ; Uses of Hydroxyzine Capsules and Tablets: It is used to treat itching. It is used to treat anxiety. It is used to put you to sleep for surgery. It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Hydroxyzine Capsules and Tablets? If you have an allergy to …Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of overdosage with hydroxyzine. However, if other agents such as barbiturates have been …The use of antihistamines (e.g. hydroxyzine hydrochloride) for their sedative effect in anxiety is not appropriate. Beta-adrenoceptor blocking drugs do not affect psychological symptoms of anxiety, such as worry, tension, and fear, but they do reduce autonomic symptoms, such as palpitation and tremor; they do not reduce non-autonomic …

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Hydroxyzine may cause a condition that affects the heart rhythm ... Symptoms of overdose may include: severe dizziness/drowsiness. Notes . Do not share this medication with others.Hydroxyzine and cetirizine are antihistamines that may interfere with the FPIA assay for TCAs for application on the Abbott AxSYM analyzer. However, neither hydroxyzine nor cetirizine should interfere after recommended low-dose therapy, and such interference is expected with ingestion of higher dose or overdose [76]. Interference of ...dizziness. fainting. fast heartbeat. hives, itching, or skin rash. irregular or slow heart rate. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. trouble breathing. unusual tiredness or weakness. Get emergency help immediately if any of the following symptoms of overdose occur:Hydroxyzine and Zyrtec (Cetirizine) have demonstrable anti-histaminic action in the dog and should be the preferable antihistamine in this species, says the International Task Force on Canine Atopic Dermatitis. For optimal efficacy, antihistamines should be used as preventatives, and they should preferably be given continuously daily. If …

Call your doctor if your symptoms do not improve or if they get worse. Make sure your doctor knows if you are pregnant. Do not use this medicine during the early part of a pregnancy unless your doctor tells you to. This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine ...Hydroxyzine is also used along with other medications in adults and children as a sedative before and after general anesthesia for surgery. Hydroxyzine is in a class of medications called antihistamines. It works by blocking the action of histamine a substance in the body that causes allergic symptoms. It also works by decreasing activity in ...Key takeaways: Hydroxyzine (Vistaril) is a medication used for allergies, itching, and anxiety. It interacts with several medications and alcohol. Opioid pain medications and other antihistamines, such as diphenhydramine (Benadryl), interact with hydroxyzine. Combining them can cause severe drowsiness and raise the chance of …The biggest risk of hydroxyzine for dogs is an overdose. Signs of an overdose of hydroxyzine include: Excessive sleepiness. Hyperexcitability. Loss of coordination or stumbling. Increased body temperature. Passing out. Seizures If you know or suspect your dog has overdosed on hydroxyzine, contact your veterinarian immediately …For controlling anxiety and produce sleep before surgery: Adults—50 to 100 milligrams (mg) per day. Children—Dose is based on body weight and must be determined by your doctor. The dose is usually 0.6 milligram (mg) per kilogram (kg) of body weight per day. For oral dosage forms (Vistaril® capsules or suspension):How to Treat Hydroxyzine Overdose in Dogs. If you suspect hydroxyzine overdose in your pup, the poison control line will offer specific instructions to help. The ASPCA confirms that in cases of antihistamine toxicosis, the response in pups varies greatly depending on the dose. They also confirm that the most common reported side effects …Usual Adult Dose for Sedation. Oral: 50 to 100 mg orally ONCE. Parenteral: 25 to 100 mg IM ONCE. Comment: This drug may potentiate barbiturates and/or meperidine. Uses: Oral: As a sedative when used as premedication or following general anesthesia. Pre-anesthetic adjunctive treatment. Parenteral:poisoning by overdose of substance; poisoning by wrong substance given or taken in error; underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed; Note. The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5. Type 1 Excludes . toxic …Aside from intentional overdose, all cases involved underlying medical conditions or concomitant medications that constituted at least 1 additional risk factor for such events. The combination of cardiovascular disorders plus concomitant treatment of drugs known to induce arrhythmia was identified as the greatest combined risk factor. …Editor’s Note: If you or someone you know is living with an opioid addiction or another substance use disorder, know that help is available. Narcan, also known as Naloxone, is an F...Oct 31, 2016 · Hypotension, though unlikely, may be controlled with intravenous fluids and levarterenol or metaraminol. Do not use epinephrine as hydroxyzine counteracts its pressor action. Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote.

CONCLUSIONS: Hydroxyzine is a safe and effective drug, but life-threatening adverse effects can occur with overdose. Symptoms of toxicity are delirium, seizures, tachycardia, and hypotension. High dose of hydroxyzine may cause ARDS and distributive shock. A postmortem analysis of a confirmed hydroxyzine overdose demonstrated severe …

Hydroxyzine is currently not FDA-approved as a veterinary medication. However, it is readily utilized in the veterinary field, and veterinarians can legally prescribe certain human drugs in animals in certain circumstances. ... You see or suspect an overdose. You have additional questions or concerns about the use of hydroxyzine. …Using FLUoxetine together with hydrOXYzine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these medications.In 1943, as the planet was engulfed in WWII and the United States was officially announcing the end of The Great Depression, the most common modern antihistamine, diphenhydramine, was first synthesized. …General approach to drug poisoning in adults; Initial management of the critically ill adult with an unknown overdose; Organophosphate and carbamate …Get emergency help immediately if any of the following symptoms of overdose occur: Symptoms of overdose. Decreased awareness or responsiveness drowsiness nausea …CONCLUSIONS: Hydroxyzine is a safe and effective drug, but life-threatening adverse effects can occur with overdose. Symptoms of toxicity are delirium, seizures, tachycardia, and hypotension. High dose of hydroxyzine may cause ARDS and distributive shock. A postmortem analysis of a confirmed hydroxyzine overdose demonstrated severe pulmonary ...Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific …Hydroxyzine is a prescription antihistamine that has been shown to help in the treatment of insomnia, similarly to its over-the-counter counterparts. It’s most effective as a short-term solution for those experiencing acute insomnia that’s caused by a stressful life event, family matter, or personal life change.

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Hydroxyzine is a first-generation antihistamine medication with antihistaminic and anxiolytic properties. It is commonly prescribed for the treatment and control of anxiety and allergic conditions and as a sedative. Hydroxyzine operates primarily by blocking the effects of histamine in the body. It exerts its action by antagonizing H1 …Mar 21, 2024 ... The indicators of Hydroxyzine abuse closely mirror those of overdose, and the same applies to Hydroxyzine addiction. Here are some of the ...Signs of an overdose of vitamin D include constipation, confusion, nausea and abnormal heart rhythm, according to WebMD. Vitamin D toxicity is rare, and nearly all instances occur ... At Addiction Group, we believe knowledge is power - and in the realm of addiction recovery, it's also hope, direction, and potential for healing. A foundational part of our mission is to not just harness data, but to share it generously. By making critical addiction data accessible, we empower communities, individuals, and professionals to make ... A hydroxyzine overdose can happen to anybody who uses the drug incorrectly, either by mistake or due to willful ignorance. It is often a sign that an individual has been abusing the substance and has been forced to take higher and higher doses. Taking higher doses occurs with many drugs due to a built-up tolerance or a desire for a …The biggest risk of hydroxyzine for dogs is an overdose. Signs of an overdose of hydroxyzine include: Excessive sleepiness. Hyperexcitability. Loss of coordination or stumbling. Increased body temperature. Passing out. Seizures If you know or suspect your dog has overdosed on hydroxyzine, contact your veterinarian …Caffeine and Sodium Benzoate Injection, USP, may be used to counteract central nervous system depressant effects. Hydroxyzine overdose may cause QT prolongation ...Hydroxyzine (brand names Vistaril, Atarax) is a first-generation antihistamine of the diphenylmethane and piperazine class. It was initially synthesized in 1956 and thereafter marketed in the U.S. by the pharmaceutical juggernaut, Pfizer. Although a relatively ancient medication by today’s standards, hydroxyzine is still commonly prescribed ...HYDROXYZINE (hye DROX i zeen) treats the symptoms of allergies and allergic reactions. It may also be used to treat anxiety or cause drowsiness before a procedure. It works by blocking histamine, a substance released by the body during an allergic reaction. It belongs to a group of medications called antihistamines.Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes. ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of overdosage with hydroxyzine. However, if other agents such as barbiturates have been …CLINICAL FEATURES OF OVERDOSE. Signs of severe toxicity; Range of peripheral and central signs of toxicity; Chronic toxicity; LABORATORY EVALUATION; DIFFERENTIAL DIAGNOSIS; DIAGNOSIS; MANAGEMENT. Airway, breathing, circulation, monitoring; Cardiotoxicity; Agitation, seizures, hyperthermia; Decontamination; Antidotal therapy with physostigmine ...Editor’s Note: If you or someone you know is living with an opioid addiction or another substance use disorder, know that help is available. Narcan, also known as Naloxone, is an F... ….

Like all medications, it is possible to overdose on hydroxyzine. According to the prescribing information (and toxicology information) for hydroxyzine, the most common potential symptoms of over-dosage include: Somnolence. Pupil dilation. Flushing. Fever. Dry mouth. Constipation. Increased heart rate. Mild hypertension.Hydroxyzine is an antihistamine medication that treats the symptoms of allergies and allergic reactions It works by blocking histamine.Overdose from hydroxyzine is most commonly characterized by hypersedation, but may also manifest as convulsions, stupor, nausea, and vomiting. 18 In cases of …Introduction: Exposures to hydroxyzine, a first-generation H1 antihistamine, have increased rapidly over the last two decades. Many assumptions about hydroxyzine poisoning are based on other ... CONCLUSIONS: Hydroxyzine is a safe and effective drug, but life-threatening adverse effects can occur with overdose. Symptoms of toxicity are delirium, seizures, tachycardia, and hypotension. High dose of hydroxyzine may cause ARDS and distributive shock. A postmortem analysis of a confirmed hydroxyzine overdose demonstrated severe pulmonary ... Overdose. Ask your doctor. Q&A. What is hydroxyzine? If you have anxiety, allergies, or a planned surgery, your doctor may prescribe hydroxyzine oral …The biggest risk of hydroxyzine for dogs is an overdose. Signs of an overdose of hydroxyzine include: Excessive sleepiness. Hyperexcitability. Loss of coordination or stumbling. Increased body temperature. Passing out. Seizures If you know or suspect your dog has overdosed on hydroxyzine, contact your veterinarian … Descriptions. Hydroxyzine is used to help control anxiety and tension caused by nervous and emotional conditions. It can also be used to help control anxiety and produce sleep before surgery. This medicine is also used to relieve symptoms of allergic conditions (eg, chronic urticaria and atopic and contact dermatoses). Overdose hydroxyzine, Hydroxyzine is a drug prescribed to treat itching caused by a variety of allergic conditions, nausea, vomiting, and alcohol withdrawal. Common side effects of hydroxyzine are sedation, tiredness, sleepiness, dizziness, disturbed coordination, drying and thickening of oral and other respiratory secretions, and stomach distress. Do not take hydroxyzine if pregnant or breastfeeding., hydroxyzine (hye-drox-i-zeen) Apo-Hydroxyzine, Atarax, Hyzine-50, Multipax, Novohydroxyzin, Vistaril. Classification. Therapeutic: antianxiety agents, antihistamines, sedative/hypnotics + + + Indications + + Treatment of anxiety. Preoperative sedation. Antiemetic. Antipruritic. May be combined with opioid analgesics. + + + Action + + Acts …, Hydroxyzine starts to work in about 15 to 30 minutes but its drowsy effect may last for 4 to 6 hours. Hydroxyzine can reduce itching and redness due to allergy skin tests for up to 4 days. Hydroxyzine is used to relieve anxiety, itching due to allergies, and as a premedication prior to surgery., Among cases that described the TTO, 15 were reported following an overdose of hydroxyzine and patients experienced adverse events within 1 day. Excluding these 15 reports of overdose, the median TTO was 3 days. Overall, 14 out of the 59 cases (excluding cases with overdose) had a TTO of <7 days; considered a sufficiently long …, hydroxyzine (Atarax® or Vistaril®)? • Feeling sleepy or dizzy • Dry mouth, nose, throat • Headache, upset stomach What does hydroxyzine (Atarax® or Vistaril®) do? • It is an antihistamine. Used to treat itching caused by allergies and control the nausea and vomiting caused by a number of conditions, including motion sickness, Hydroxyzine’s sedative and anxiolytic (anxiety-reducing) effects appeal to some individuals seeking relaxation or relief from anxiety-related symptoms. Hydroxyzine can provide a sense of calmness and tranquillity when taken in prescribed doses. However, these same effects can become a source of abuse., Hydroxyzine overdose symptoms are much more severe and require immediate medical attention if they appear and do not go …, Contraindicated. hydroxyzine + pimozide. contraindicated: combo may incr. risk of QT prolongation, cardiac arrhythmias, CNS depression, psychomotor impairment, anticholinergic adverse effects (additive effects) potassium chloride., Hydroxyzine and cetirizine are antihistamines that may interfere with the FPIA assay for TCAs for application on the Abbott AxSYM analyzer. However, neither hydroxyzine nor cetirizine should interfere after recommended low-dose therapy, and such interference is expected with ingestion of higher dose or overdose [76]. Interference of ..., Side effects associated with use of Hydroxyzine, include the following: Dry mouth. Drowsiness (usually transitory and may disappear in a few days of continued therapy or upon reduction of the dose) Involuntary motor activity ( tremor, convulsions) usually with doses considerably higher than those recommended., poisoning by overdose of substance; poisoning by wrong substance given or taken in error; underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed; Note. The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5. Type 1 Excludes . toxic …, Jan 30, 2024 · Overdose; FAQ; Uses of Hydroxyzine Capsules and Tablets: It is used to treat itching. It is used to treat anxiety. It is used to put you to sleep for surgery. It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Hydroxyzine Capsules and Tablets? , In case of emergency/overdose. What other information should I know? Brand names. Why is this medication prescribed? Hydroxyzine is used in adults and children to relieve …, Get emergency help immediately if any of the following symptoms of overdose occur while taking hydroxyzine: Symptoms of overdose. Decreased awareness or responsiveness; drowsiness; nausea; seizures; severe sleepiness; vomiting; Other side effects of Hydroxyzine. Some side effects of hydroxyzine may occur that usually do not need …, Jun 28, 2022 · Hydroxyzine is available as a generic drug and under the brand names Atarax and Vistaril. The common dosage for hydroxyzine depends on the reason it is prescribed: Anxiety: 50-100 mg, four times per day; Skin reactions: 25 mg, 3-4 times per day; Allergies: 25 mg, 3-4 times per day , Hydroxyzine and cetirizine are antihistamines that may interfere with the FPIA assay for TCAs for application on the Abbott AxSYM analyzer. However, neither hydroxyzine nor cetirizine should interfere after recommended low-dose therapy, and such interference is expected with ingestion of higher dose or overdose [76]. Interference of ..., Feb 20, 2023 ... Snorting Hydroxyzine, a prescription antihistamine, poses serious health risks such as damaging nasal passages and overdose. Learn more., What Happens If I Overdose With Hydroxyzine? If an overdose occurs call your doctor or 911. You may need urgent medical care. You may also contact the poison control center at 1-800-222-1222. Symptoms of overdose include severe drowsiness, dry mouth, difficulty urinating, headache, rapid heartbeat, confusion, impaired coordination, slow ... , Overdose Information for Atarax. The most common manifestation of hydroxyzine hydrochloride overdosage is hypersedation. As in the management of overdosage with any drug, it should be borne in mind that multiple agents may have been taken. If vomiting has not occurred spontaneously, it should be induced. Immediate gastric lavage is also ..., Drinking alcohol together with hydroxyzine can increase side effects on the nervous system and reduce mental alertness. In other words, taking both drugs together means that they can amplify each other’s effects, leading to more pronounced side effects like drowsiness or mental impairment. Disclaimer: Â this article does not constitute or ..., Unlike hydroxyzine, Xanax is a controlled substance. Long-term use can lead to dependence and addiction, especially if it is taken incorrectly. It is typically prescribed for short-term use, up to four months. Even within that timeframe, Xanax can lead to withdrawal symptoms or dependence., Overdose; FAQ; Uses of Hydroxyzine Capsules and Tablets: It is used to treat itching. It is used to treat anxiety. It is used to put you to sleep for surgery. It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take Hydroxyzine Capsules and Tablets?, CLINICAL FEATURES OF OVERDOSE. Signs of severe toxicity; Range of peripheral and central signs of toxicity; Chronic toxicity; LABORATORY EVALUATION; DIFFERENTIAL DIAGNOSIS; DIAGNOSIS; MANAGEMENT. Airway, breathing, circulation, monitoring; Cardiotoxicity; Agitation, seizures, hyperthermia; Decontamination; Antidotal therapy with physostigmine ..., Hydroxyzine is used to help control anxiety and tension caused by nervous and emotional conditions. It can also be used to help control anxiety and produce sleep before surgery. ... Get emergency help immediately if any of the following symptoms of overdose occur: Symptoms of overdose. Decreased awareness or responsiveness …, Oct 3, 2023 · A hydroxyzine overdose can happen to anybody who uses the drug incorrectly, either by mistake or due to willful ignorance. It is often a sign that an individual has been abusing the substance and has been forced to take higher and higher doses. Taking higher doses occurs with many drugs due to a built-up tolerance or a desire for a more potent ... , Drugs with anticholinergic action are widely prescribed in the elderly population due to their potential clinical benefits. However, these benefits are limited by adverse effects which may be serious in particular circumstances. This review presents different aspects of the use of anticholinergics in old age with a focus in psychogeriatric ..., For oral dosage form (capsules, tablets, or solution): For anxiety and tension: Adults—50 to 100 milligrams (mg) 4 times a day. Children 6 years of age and older—50 to 100 mg per day given in divided doses. Children younger than 6 years of age—50 mg per day given in divided doses. For management of allergic reactions:, Nov 16, 2023 ... Vistaril (hydroxyzine pamoate) is used to treat anxiety symptoms ... If Vistaril overdose is suspected, immediate medical care is critical., Escitalopram, the (S)-enantiomer of citalopram, is a highly selective serotonin reuptake inhibitor. It is approved by the U.S. Food and Drug Administration (FDA) for treating major depressive disorder in adults and adolescents, as well as generalized anxiety disorder in adults. Escitalopram is sold under the brand names Lexapro and Cipralex., Nov 23, 2014 ... Hydroxyzine Overview ... Hydroxyzine is a prescription medication used to control nausea and vomiting, to relieve itching caused by allergic ..., Side effects associated with use of Hydroxyzine, include the following: Dry mouth. Drowsiness (usually transitory and may disappear in a few days of continued therapy or upon reduction of the dose) Involuntary motor activity ( tremor, convulsions) usually with doses considerably higher than those recommended., Quetiapine is an atypical antipsychotic approved for the treatment of patients with psychotic disorders. Since approvement several case reports about intoxication with quetiapine were linked mainly with tachycardia, QT c-prolongation, somnolence, and hyperglycemia.Here, we present the first case report of an intoxication with an extreme …, Oct 14, 2022 ... ... hydroxyzine or hydroxyzine metabolite, hydroxyzine/cetirizine/meclizine (not distinguished) metabolite, levocetirizine, loratadine ...