J Korean Soc Clin Toxicol.
2013 Jun;11(1):23-27.
A Case of Mental Change in a Patient Who Received a Zoletil Injection
- Affiliations
-
- 1Department of Emergency Medicine, Konyang University College of Medicine, Korea.
- 2Department of Emergency Medicine, Chungnam National University Hospital, Korea. gardenjun@naver.com
Abstract
- Zoletil is a non-opioid, non-barbiturate animal anesthetic and proprietary combination of two drugs, a dissociative anesthetic drug, tiletamine, with the benzodiazepine anxiolytic drug, zolazepam. Zoletil has greater potency than ketamine. Zoletil is abused for recreational purposes, especially by people with easy access to medicine. However, in Korea, it is available over-the-counter. Here we report on a case of an 83-year-old woman who received injection of seven vials of "Zoletil 50" by her daughter and presented with an altered mental change. Her mental state was stupor and vital sign was hypotension, bradycardia. Her blood tests indicated metabolic and respiratory acidosis and hyperkalemia. She was treated with intravenous naloxone and flumazenil but was not responsive. She was admitted to the ICU and treated with supportive therapy. Her mental state showed transient recovery, however, her clinical manifestation worsened and she expired.
Keyword
MeSH Terms
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Intravenous zoletil administration for the purpose of suicide
- A Case of Zoletil, Veterinary Anesthetic Poisoning
- A comparative study on intraocular pressure under various anesthetics in cynomolgus monkeys (Macaca fascicularis)
- Corneal Endothelial Change After Intravitreal Bevacizumab Injection
- Effects of a fentanyl-propofol mixture on propofol injection pain: a randomized clinical trial
