36 year old male with PMHx of IDDM and depression was prescribed a new drug by his psychiatrist for psychogenic erectile dysfunction. He presented to the hospital 16 hours after taking 350mg of this drug. He was drowsy and confused on presentation with a BP of 130/80 and HR of 150 with atrial fibrillation, which he had no history of. He was having rigors and retrosternal pain. He had no other co-ingestions. His rectal temperature was 35.5C. He was well-perfused peripherally. His laboratory studies were otherwise unremarkable. He was admitted for altered mental status and for new atrial fibrillation, which spontaneously resolved within 24 hours.
Use in erectile dysfunction:
Other sources used include Goldfrank’s 10th edition, Haddad’s 3rd edition, and The Poison Review (www.thepoisonreview.com)
Authored by: Dr. Michael Mollo M.D.
EM Rotators on Toxicology
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