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When Too Much Is Enough: Pediatric Cyproheptadine Overdose with Confirmatory Level

Terrance McGovern, Justin McNamee, Steven Marcus and 1 more

Clinical Practice and Cases in Emergency Medicine · 2017

doi:10.5811/cpcem.2017.2.33313 (opens in a new tab)

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Abstract

Cyproheptadine is an H-1 antihistamine with anticholinergic and antiserotonergic effects. Cyproheptadine’s most common use has been in the management cold-induced urticaria. It is often used in primary care for its side effect of appetite stimulation. Recently there has been increasing interest in its use in the treatment of drug-induced serotonin syndrome. Cyproheptadine overdose is uncommonly reported in the medical literature. We report the rare case of a pediatric cyproheptadine overdose with a confirmatory cyproheptadine level.

Abstract licence: CC BY

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