Page last updated: 2024-10-25

clonidine and Drug Overdose

clonidine has been researched along with Drug Overdose in 46 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"To describe a patient who experienced a hypertensive crisis and myocardial infarction following a massive dose of parenteral clonidine."7.70Hypertensive crisis and myocardial infarction following massive clonidine overdose. ( Frye, CB; Vance, MA, 2000)
"Glucagon has been used to treat the hypotension associated with calcium channel antagonist poisoning in adult patients."7.69The use of glucagon in nifedipine poisoning complicated by clonidine ingestion. ( Fant, JS; Fiser, RT; James, LP; Kearns, GL, 1997)
"Naloxone was not associated with improved outcomes."5.46Adult clonidine overdose: prolonged bradycardia and central nervous system depression, but not severe toxicity. ( Heppell, SP; Isbister, GK; Page, CB; Ryan, NM, 2017)
" Fifteen minutes later, each group was randomly subdivided into two equal groups and an infusion of bupivacaine or ropivacaine, 3 mg kg(-1) min(-1), was given until cardiac arrest (asystole) occurred."3.72Effects of clonidine pre-treatment on bupivacaine and ropivacaine cardiotoxicity in rats. ( Aydin, Y; Gulec, S; Senturk, Y; Uzuner, K; Yelken, B, 2004)
"To describe a patient who experienced a hypertensive crisis and myocardial infarction following a massive dose of parenteral clonidine."3.70Hypertensive crisis and myocardial infarction following massive clonidine overdose. ( Frye, CB; Vance, MA, 2000)
"Glucagon has been used to treat the hypotension associated with calcium channel antagonist poisoning in adult patients."3.69The use of glucagon in nifedipine poisoning complicated by clonidine ingestion. ( Fant, JS; Fiser, RT; James, LP; Kearns, GL, 1997)
"A patient at a psychiatric hospital with a diagnosis of major depression and polysubstance abuse was administered a clonidine patch for opiate detoxification."3.68Clonidine patch ingestion in an adult. ( Finkelstein, S; Raber, JH; Shinar, C, 1993)
"Clonidine has a narrow therapeutic index, and toxicity can occur with inadvertent double dosing."1.51Clonidine exposures in children under 6 (2004-2017): a retrospective study. ( Brown, JA; Buckley, NA; Cairns, R, 2019)
"We aimed to determine if naloxone administration reversed the effects of clonidine or caused any adverse effects."1.48Naloxone reversal of clonidine toxicity: dose, dose, dose. ( Loden, JK; Seger, DL, 2018)
"Naloxone was not associated with improved outcomes."1.46Adult clonidine overdose: prolonged bradycardia and central nervous system depression, but not severe toxicity. ( Heppell, SP; Isbister, GK; Page, CB; Ryan, NM, 2017)
"Clonidine is an imidazoline derivative antihypertensive medication that is also used as adjunctive therapy for neuropathic pain disorders via topical administration."1.40Dermal exposure to a compounded pain cream resulting in severely elevated clonidine concentration. ( Fantz, CR; Gooden, CE; Morgan, BW; Pomerleau, AC, 2014)
" The amount dispensed was a 30-day supply but the bottle was empty on day 19, leading us to suspect a possible accelerated dosing error."1.35Toxicity from a clonidine suspension. ( Benson, B; Farooqi, M; Johnson, M; Kunkel, S; Seifert, S, 2009)
" This study was designed to determine whether data from the American Association of Poison Control Centers Toxic Exposure Surveillance System (TESS) could be utilized to determine a dose-response relationship for pediatric clonidine exposure."1.33TESS-based dose-response using pediatric clonidine exposures. ( Benson, BE; Spyker, DA; Troutman, WG; Watson, WA, 2006)
"Tizanidine is a centrally acting muscle relaxant with a novel mechanism of action and structurally related to clonidine."1.32Retrospective review of Tizanidine (Zanaflex) overdose. ( Adamson, LA; Bosse, GM; Spiller, HA, 2004)
"Clonidine is a central acting a2-agonist used primarily as an antihypertensive agent."1.31Clonidine toxicity in an adolescent patient. ( Cox, R; Gitter, MF, 2000)
" In dealing with drug toxic states in which the differential diagnosis includes drugs available as transdermal delivery systems, the evaluation should include questions regarding possible dermal exposure and a thorough skin examination."1.30"Cloniderm" toxicity: another manifestation of clonidine overdose. ( Killian, CA; Krenzelok, EP; Roberge, RJ; Stonage, CL, 1997)
"Clonidine overdose is a potentially serious condition, often requiring intensive care management."1.30Clonidine overdose in childhood: implications of increased prescribing. ( Hanson, RM; Hutchins, P; Kappagoda, C; Schell, DN, 1998)

Research

Studies (46)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's18 (39.13)18.2507
2000's16 (34.78)29.6817
2010's11 (23.91)24.3611
2020's1 (2.17)2.80

Authors

AuthorsStudies
Adams, A1
Copley, C1
Seger, DL2
Loden, JK1
Cairns, R1
Brown, JA1
Buckley, NA1
Toce, MS1
Lyons, TW1
Pomerleau, AC1
Gooden, CE1
Fantz, CR1
Morgan, BW1
Sullivan, RW1
Ryzewski, M1
Holland, MG1
Marraffa, JM1
Schmitt, C1
Kervégant, M1
Ajaltouni, Z1
Tauber, M1
Tichadou, L1
de Haro, L1
Macala, K1
Tabrizchi, R1
Guimera, AL1
Kulkarni, D1
Cates, AL1
Wheatley, SM1
Katz, KD1
Isbister, GK1
Heppell, SP1
Page, CB1
Ryan, NM1
Farooqi, M1
Seifert, S1
Kunkel, S1
Johnson, M1
Benson, B1
Johnson, ML1
Visser, EJ1
Goucke, CR1
Suchard, JR1
Graeme, KA1
Gulec, S1
Aydin, Y1
Uzuner, K1
Yelken, B1
Senturk, Y1
Coyne, PJ1
Hansen, LA1
Laird, J1
Buster, P1
Smith, TJ1
Vusirikala, B1
Williams, TA1
Ram, AR1
Spiller, HA2
Bosse, GM1
Adamson, LA1
Benson, BE1
Spyker, DA1
Troutman, WG1
Watson, WA1
Bartlett, D1
Sklerov, JH1
Cox, DE1
Moore, KA1
Levine, B1
Fowler, D1
Klein-Schwartz, W1
Behrman, A1
Goertemoeller, S1
Meyer, C1
Cambray, R1
Whelan, R1
Dearlove, OR1
Henretig, FM1
Raber, JH1
Shinar, C1
Finkelstein, S1
Zarifis, J1
Lip, GY1
Ferner, RE1
Luciani, A1
Brugioni, L1
Serra, L1
Graziina, A1
Ryan, MG1
Pearson, CC1
Bertoli, M1
Roberge, RJ2
McGuire, SP1
Krenzelok, EP2
Hudson, PA1
Rose, JS1
Perera, I1
Killian, CA1
Stonage, CL1
Fant, JS1
James, LP1
Fiser, RT1
Kearns, GL1
Kraft, ME1
Broderick-Cantwell, JJ1
Kappagoda, C1
Schell, DN1
Hanson, RM1
Hutchins, P1
Karnawat, BS1
Chowdhry, BR1
Frye, CB1
Vance, MA1
Gitter, MF1
Cox, R1
Romano, MJ1
Dinh, A1
Wedin, GP1
Richardson, SL1
Wallace, GH1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

5 reviews available for clonidine and Drug Overdose

ArticleYear
Massive clonidine overdose during refill of an implanted drug delivery device for intrathecal analgesia: a review of inadvertent soft-tissue injection during implantable drug delivery device refills and its management.
    Pain medicine (Malden, Mass.), 2011, Volume: 12, Issue:7

    Topics: Analgesics; Clonidine; Drug Delivery Systems; Drug Overdose; Female; Guidelines as Topic; Humans; In

2011
Clonidine toxicity revisited.
    Journal of toxicology. Clinical toxicology, 2002, Volume: 40, Issue:2

    Topics: Adolescent; Adrenergic alpha-Agonists; Adult; Clonidine; Drug Overdose; Female; Humans; Hypertension

2002
Special considerations in the poisoned pediatric patient.
    Emergency medicine clinics of North America, 1994, Volume: 12, Issue:2

    Topics: Acetaminophen; Alcoholic Intoxication; Astemizole; Child; Child, Preschool; Clonidine; Cocaine; Crit

1994
Poisoning with anti-hypertensive drugs: methyldopa and clonidine.
    Journal of human hypertension, 1995, Volume: 9, Issue:10

    Topics: Antihypertensive Agents; Cardiovascular Diseases; Central Nervous System Diseases; Clonidine; Drug O

1995
Self-induced overdose of ADHD medication.
    Journal of paediatrics and child health, 1996, Volume: 32, Issue:3

    Topics: Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Child; Clonidine;

1996

Other Studies

41 other studies available for clonidine and Drug Overdose

ArticleYear
High dose naloxone for acute tizanidine overdose in the emergency department: a case report.
    Clinical toxicology (Philadelphia, Pa.), 2021, Volume: 59, Issue:8

    Topics: Adrenergic alpha-2 Receptor Agonists; Adult; Bradycardia; Clonidine; Drug Overdose; Emergency Servic

2021
Naloxone reversal of clonidine toxicity: dose, dose, dose.
    Clinical toxicology (Philadelphia, Pa.), 2018, Volume: 56, Issue:10

    Topics: Adolescent; Antidotes; Antihypertensive Agents; Child; Child, Preschool; Clonidine; Cohort Studies;

2018
Clonidine exposures in children under 6 (2004-2017): a retrospective study.
    Archives of disease in childhood, 2019, Volume: 104, Issue:3

    Topics: Adrenergic alpha-2 Receptor Agonists; Child Behavior Disorders; Child, Preschool; Clonidine; Drug Ov

2019
Case 1: A Medically Complex 10-month-old Boy with Lethargy.
    Pediatrics in review, 2019, Volume: 40, Issue:2

    Topics: Antihypertensive Agents; Clonidine; Diagnosis, Differential; Drug Overdose; Humans; Infant; Lethargy

2019
Dermal exposure to a compounded pain cream resulting in severely elevated clonidine concentration.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2014, Volume: 10, Issue:1

    Topics: Administration, Cutaneous; Adrenergic alpha-2 Receptor Agonists; Adult; Analgesics; Bradycardia; Clo

2014
Compounded ointment results in severe toxicity in a pediatric patient.
    Pediatric emergency care, 2013, Volume: 29, Issue:11

    Topics: Administration, Cutaneous; Amines; Analgesics; Body Surface Area; Bradycardia; Clonidine; Combined M

2013
[Clonidine poisoning in a child: a case report].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 2014, Volume: 21, Issue:11

    Topics: Adrenergic alpha-2 Receptor Agonists; Albuterol; Antihypertensive Agents; Betaxolol; Blood Pressure;

2014
The effect of fat emulsion on hemodynamics following treatment with propranolol and clonidine in anesthetized rats.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2014, Volume: 21, Issue:11

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic beta-Antagonists; Anesthesia; Animals; Clonidine; D

2014
Altered Mental Status in a 14-Year-Old Girl.
    Pediatrics in review, 2016, Volume: 37, Issue:4

    Topics: Adolescent; Adrenergic alpha-2 Receptor Agonists; Clonidine; Diagnosis, Differential; Drug Overdose;

2016
Clonidine Overdose in a Toddler Due to Accidental Ingestion of a Compounding Cream.
    Pediatric emergency care, 2018, Volume: 34, Issue:4

    Topics: Adrenergic alpha-2 Receptor Agonists; Clonidine; Drug Compounding; Drug Overdose; Female; Fluid Ther

2018
Adult clonidine overdose: prolonged bradycardia and central nervous system depression, but not severe toxicity.
    Clinical toxicology (Philadelphia, Pa.), 2017, Volume: 55, Issue:3

    Topics: Adolescent; Adult; Aged; Antidotes; Antihypertensive Agents; Atropine; Bradycardia; Central Nervous

2017
Toxicity from a clonidine suspension.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2009, Volume: 5, Issue:3

    Topics: Adrenergic alpha-Agonists; Child, Preschool; Clonidine; Drug Compounding; Drug Overdose; Humans; Mal

2009
Pediatric clonidine poisoning as a result of pharmacy compounding error.
    Pediatric emergency care, 2002, Volume: 18, Issue:4

    Topics: Adrenergic alpha-Agonists; Attention Deficit Disorder with Hyperactivity; Child; Clonidine; Drug Com

2002
Effects of clonidine pre-treatment on bupivacaine and ropivacaine cardiotoxicity in rats.
    European journal of anaesthesiology, 2004, Volume: 21, Issue:3

    Topics: Adrenergic alpha-Agonists; Amides; Anesthetics, Local; Animals; Arrhythmias, Cardiac; Blood Pressure

2004
Massive hydromorphone dose delivered subcutaneously instead of intrathecally: guidelines for prevention and management of opioid, local anesthetic, and clonidine overdose.
    Journal of pain and symptom management, 2004, Volume: 28, Issue:3

    Topics: Adult; Analgesics, Opioid; Anesthetics, Local; Clonidine; Drug Overdose; Female; Humans; Hydromorpho

2004
A late presentation of ocular quinine toxicity managed with a combination of vasodilatory treatments.
    Eye (London, England), 2005, Volume: 19, Issue:7

    Topics: Adrenergic alpha-Agonists; Adult; Blindness; Clonidine; Drug Overdose; Female; Humans; Muscle Relaxa

2005
Retrospective review of Tizanidine (Zanaflex) overdose.
    Journal of toxicology. Clinical toxicology, 2004, Volume: 42, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidotes; Charcoal; Child; Child, Preschool; Clonidine;

2004
TESS-based dose-response using pediatric clonidine exposures.
    Toxicology and applied pharmacology, 2006, Jun-01, Volume: 213, Issue:2

    Topics: Accidents; Adrenergic alpha-Agonists; Child, Preschool; Clonidine; Data Interpretation, Statistical;

2006
The vague OD. The symptomatic patient with an unknown exposure.
    JEMS : a journal of emergency medical services, 2006, Volume: 31, Issue:2

    Topics: Adult; Cholinergic Agents; Clonidine; Diagnosis, Differential; Drug Overdose; Education, Continuing;

2006
Tizanidine distribution in a postmortem case.
    Journal of analytical toxicology, 2006, Volume: 30, Issue:5

    Topics: Adrenergic alpha-Agonists; Bile; Clonidine; Drug Interactions; Drug Overdose; Ethanol; Female; Gastr

2006
Reply to clonidine exposures, not toxicity.
    The Journal of pediatrics, 2006, Volume: 149, Issue:2

    Topics: Adrenergic alpha-Agonists; Child; Clonidine; Drug Overdose; Humans; Poison Control Centers; Sleep St

2006
A sticky situation: toxicity of clonidine and fentanyl transdermal patches in pediatrics.
    Journal of emergency nursing, 2007, Volume: 33, Issue:3

    Topics: Accidents; Administration, Cutaneous; Analgesics, Opioid; Antihypertensive Agents; Clonidine; Coma;

2007
One hundred times the intended dose of caudal clonidine in three pediatric patients.
    Paediatric anaesthesia, 2008, Volume: 18, Issue:9

    Topics: Adrenergic alpha-Agonists; Anesthesia, Caudal; Child, Preschool; Clonidine; Drug Overdose; Female; H

2008
Management of clonidine overdose in a child with Tourette syndrome.
    Developmental medicine and child neurology, 1995, Volume: 37, Issue:5

    Topics: Child; Chlorpromazine; Clonidine; Drug Overdose; Humans; Male; Suicide, Attempted; Tourette Syndrome

1995
Clonidine patch ingestion in an adult.
    The Annals of pharmacotherapy, 1993, Volume: 27, Issue:6

    Topics: Administration, Cutaneous; Adult; Clonidine; Depression; Drug Overdose; Humans; Male; Substance-Rela

1993
Sino-atrial and atrio-ventricular node dysfunction in a case of tizanidine overdose.
    Veterinary and human toxicology, 1995, Volume: 37, Issue:6

    Topics: Adult; Atrioventricular Node; Clonidine; Drug Overdose; Female; Humans; Hypnotics and Sedatives; Lor

1995
Attention-deficit disorder with hyperactivity.
    The Medical journal of Australia, 1996, Aug-05, Volume: 165, Issue:3

    Topics: Attention Deficit Disorder with Hyperactivity; Child, Preschool; Clonidine; Drug Overdose; Female; H

1996
Clonidine removal by hemoperfusion in a uremic patient.
    Nephron, 1996, Volume: 72, Issue:1

    Topics: Antihypertensive Agents; Clonidine; Drug Overdose; Hemoperfusion; Humans; Male; Middle Aged; Renal D

1996
Yohimbine as an antidote for clonidine overdose.
    The American journal of emergency medicine, 1996, Volume: 14, Issue:7

    Topics: Adrenergic alpha-Agonists; Adrenergic alpha-Antagonists; Adult; Antidotes; Clonidine; Drug Overdose;

1996
Real-time ultrasound guided internal jugular vein catheterization in the emergency department.
    The American journal of emergency medicine, 1997, Volume: 15, Issue:1

    Topics: Catheterization, Central Venous; Clonidine; Drug Overdose; Emergency Service, Hospital; Female; Huma

1997
What you need to know: addiction--cough mixture.
    Singapore medical journal, 1997, Volume: 38, Issue:3

    Topics: Acute Disease; Adrenergic alpha-Agonists; Antitussive Agents; Chronic Disease; Clonidine; Codeine; D

1997
"Cloniderm" toxicity: another manifestation of clonidine overdose.
    Pediatric emergency care, 1997, Volume: 13, Issue:5

    Topics: Administration, Cutaneous; Antihypertensive Agents; Child; Clonidine; Drug Overdose; Female; Humans

1997
The use of glucagon in nifedipine poisoning complicated by clonidine ingestion.
    Pediatric emergency care, 1997, Volume: 13, Issue:6

    Topics: Adolescent; Antidotes; Antihypertensive Agents; Calcium Channel Blockers; Clonidine; Drug Interactio

1997
A 9-month-old with bradycardia and periodic apnea.
    Journal of emergency nursing, 1998, Volume: 24, Issue:5

    Topics: Antihypertensive Agents; Apnea; Bradycardia; Clonidine; Drug Overdose; Emergency Nursing; Female; Hu

1998
Case study: accidental clonidine patch overdose in attention-deficit/hyperactivity disorder patients.
    Journal of the American Academy of Child and Adolescent Psychiatry, 1999, Volume: 38, Issue:1

    Topics: Administration, Cutaneous; Adolescent; Adrenergic alpha-Agonists; Attention Deficit Disorder with Hy

1999
Clonidine overdose in childhood: implications of increased prescribing.
    Journal of paediatrics and child health, 1998, Volume: 34, Issue:6

    Topics: Adrenergic alpha-Agonists; Attention Deficit Disorder with Hyperactivity; Bradycardia; Child; Child,

1998
Clonidine overdose.
    Indian pediatrics, 1998, Volume: 35, Issue:11

    Topics: Adrenergic alpha-Agonists; Antihypertensive Agents; Child, Preschool; Clonidine; Drug Overdose; Emer

1998
Hypertensive crisis and myocardial infarction following massive clonidine overdose.
    The Annals of pharmacotherapy, 2000, Volume: 34, Issue:5

    Topics: Adrenergic alpha-Agonists; Analgesics, Opioid; Breast Neoplasms; Clonidine; Drug Overdose; Drug Ther

2000
Clonidine toxicity in an adolescent patient.
    Journal of the Mississippi State Medical Association, 2000, Volume: 41, Issue:10

    Topics: Accidents, Home; Antihypertensive Agents; Child; Clonidine; Drug Overdose; Emergency Service, Hospit

2000
A 1000-fold overdose of clonidine caused by a compounding error in a 5-year-old child with attention-deficit/hyperactivity disorder.
    Pediatrics, 2001, Volume: 108, Issue:2

    Topics: Adrenergic alpha-Agonists; Antihypertensive Agents; Attention Deficit Disorder with Hyperactivity; C

2001
Clonidine poisoning in children.
    American journal of diseases of children (1960), 1990, Volume: 144, Issue:8

    Topics: Child, Preschool; Clonidine; Drug Overdose; Emergencies; Humans; Male

1990