Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Sympathomimetic vs Anticholinergic Toxicity

Meghan Spyres, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
00:00
18:02
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Sympathomimetic and Anticholinergic toxicity have many clinical similarities. In this piece Dr. Spyres outlines the different causes of each syndrome as well as their distinct clinical presentations that can help the clinician diagnose and treat each appropriately.

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Mary Susan C. -

We all have patients that we wish we would’ve managed better. This episode reminded me of one particularly resistant patient I attempted to convince diphenhydramine 150mg (sometimes titrating more for effect) nightly “for months” was responsible for his sleep disturbances. My collaborative was indifferent. I’m sure I could’ve handled it better but maybe not-never underestimate psychological addiction. I just felt powerless to help. Hopefully, even though he was in denial, I planted a seed.

On a broader but related issue,, I’ve also had little impact when trying to convince elderly and parents combination products for sleep (Tylenol PM, Advil PM-multi symptom cold products) can be dangerous-even though over the counter. Urgent Care arms me with statistics for shared decision making. Like you, I’m learning more and more effective strategies. Any suggestions for patients who are entrenched and in denial about such dangers?

Mike W., MD -

Thx for the comments, yes, this is super tough. In the end, explaining risks and benefits w compassion is the best we can do. Sitting down when talking. Documenting discussion well... in the end we are there to give advice and up to the pt to accept or reject... but this is tough

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Disabilities Matter Full episode audio for MD edition 197:35 min - 93 MB - M4AHippo Urgent Care RAP - August 2019 Written Summary 403 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate