TY - JOUR ID - 17983 TI - Clonidine Poisoning in A Child-A case report JO - Asia Pacific Journal of Medical Toxicology JA - APJMT LA - en SN - 2322-2611 AU - K, Jagadishkumar AU - Ramesh, Sneha AU - Roshan, Mohammed AU - H C, Krishnakumar AD - Professor and head of pediatrics,JSS MEDICAL COLLEGE,MYSORE,INDIA AD - RESIDENT IN PEDIATRICS,JSS MEDICAL COLLEGE,JSSAHER,MYSORE AD - RESIDENT INPEDIATRICS,JSS MEDICAL COLLEGE,MYSORE,INDIA AD - ASSISTANT PROFESSOR OF PEDIATRICS,JSS MEDICAL COLLEGE, MYSORE Y1 - 2021 PY - 2021 VL - 10 IS - 1 SP - 33 EP - 34 KW - Clonidine KW - Toxicity KW - Drowsiness KW - Hypotension KW - Respiratory Depression DO - 10.22038/apjmt.2021.17983 N2 - Introduction: Clonidine is among the drugs that are in a list of ‘one pill can kill’ drugs. We are reporting a child with clonidine toxicity with classical manifestations who recovered completely.Case Report: A 3 year and 2 months old ADHD girl presented with drowsiness for 30 minutes.  Her mother gave the history of accidental consumption of 3/4th clonidine 100 mcg tablet 45 minutes prior. On the examination, the child was drowsy with Glasgow Coma Score (GCS) 12/15. Her heart rate was 82 /minute with low volume pulse, respiratory rate 22 /minute, systolic blood pressure was 80 mm of Hg, and diastolic BP was not recordable. Immediately normal saline bolus was administered and her pulse volume improved and BP was 94/60 mm of Hg. After an hour, GCS was 9/15 and the respiration was shallow. After 4 hours, her sensorium improved (GCS 15/15). By 6 hours of ingestion, the child showed complete recovery.Discussion: Most of the clonidine poisoning children were younger than 6 years according to the NSWPIC database. Among them, 60% developed symptoms, most commonly lethargy (80%), bradycardia (17%), hypotension (15%), and respiratory depression (5%). Symptoms usually develop within 30-60 minutes and resolve within 24-48 hours. In our case, classical symptoms like drowsiness, hypotension, meiosis occurred within 30 minutes of ingestion and her consciousness deteriorated along with shallow respiration by the next 2 hours. By 6 hours of ingestion, the child showed complete recovery.Conclusion: While prescribing clonidine caution should be exercised regarding the side-effects. When calculating the dose, extra vigilance should be ensured and drug needs to be kept out of the reach of children. UR - https://apjmt.mums.ac.ir/article_17983.html L1 - https://apjmt.mums.ac.ir/article_17983_922c024d9fd4022919735bf1dcdc2ef3.pdf ER -