J Korean Soc Clin Toxicol.  2009 Jun;7(1):23-25.

A Case of Seizure in Diphenhydramine Overdose

Affiliations
  • 1Department of Emergency Medicine,, College of Medicine, Chungbuk National University, Cheongju, Korea. chopin-park@hanmail.net

Abstract

A 21-year-old woman ingested 1,250 mg of diphenhydramine in a single overdose. Diphenhydramine, a rare ingredient in over-the-counter medication, is used to treat insomnia in Korea. Toxicity is usually limited to anticholinergic symptoms. The standard approach to therapy for the treatment of diphenhydramine overdose is supportive care, including physostigmines and sodium bicarbonates. Here, we review the literature and for the first time report a case of acute diphenhydramine overdosage in Korea, complicated with seizures.

Keyword

Diphenhydramine; Seizure; Physostigmine; Poisoning

MeSH Terms

Bicarbonates
Diphenhydramine
Female
Humans
Korea
Physostigmine
Seizures
Sleep Initiation and Maintenance Disorders
Sodium
Young Adult
Bicarbonates
Diphenhydramine
Physostigmine
Sodium
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