A new medication, a new toxidrome - A case report of anticholinergic wipe toxicity due to improper medication use.

Abstract

We describe a case of a young female who presented to the emergency department with 4 days of progressive myopia, dry mouth, anhidrosis and urinary hesitancy due to overuse of a new topical anticholinergic wipes, glycopyrronium tosylate (GT). In the United States medication misuse accounts for nearly 10% of pediatric emergency visits with 65% of these visits considered to be preventable [1]. Being familiar with new medications and their side effect profiles can prevent unnecessary or harmful interventions.

• Authors: Tarr Michael, Chambers Paul
• Journal: The American journal of emergency medicine (Am J Emerg Med) Vol. 46 Pg. 797.e1-797.e2 (08 2021) ISSN: 1532-8171 [Electronic] United States
• PMID: 33583621 (Publication Type: Case Reports)
• Copyright: Copyright © 2021 Elsevier Inc. All rights reserved.

Chemical References

• Cholinergic Antagonists
• glycopyrronium tosylate
• Glycopyrrolate

Topics

• Administration, Topical
• Adolescent
• Axilla
• Cholinergic Antagonists (administration & dosage, toxicity)
• Emergency Service, Hospital
• Female
• Glycopyrrolate (administration & dosage, toxicity)
• Hoarseness (chemically induced)
• Humans
• Hyperhidrosis (drug therapy)
• Mydriasis (chemically induced)
• Urinary Incontinence (chemically induced)