Causes and Risks:

• diphenoxylate
• atropine

Where Found:

• Lomotil
• Diphenatol
• Lofene
• Logen
• Lomanate
• Lonox
• Lo-Trol
• Nor-Mil

Symptoms:

• respiratory
  • slow breathing
• eyes, ears, nose, and throat
  • pinpoint pupils
  • rapid side to side eye movement
• gastrointestinal
  • constipation
• heart and blood vessels
  • rapid heartbeat
• nervous system
  • drowsiness
  • loss of desire to do anything
  • coma

Home Treatment: The normal treatment is to induce emesis (vomiting) unless the patient is unconscious or experiencing convulsions; however, before inducing emesis, contact Poison Control to verify that is the correct treatment.

If instructed to induce emesis, proceed as follows or as otherwise instructed:

Give the usual dose of ipecac syrup: 15 milliliters (ml) or 1 TABLEspoonful for children and 30 ml (2 TABLEspoonsful) for an adult. Follow with 1/2 glass or 4 ounces (oz.) of water for children or 8 to 12 oz. of water for adults. Repeat 1 more time in 1/2 hour if emesis has not occurred.

Before Calling Emergency: Determine the following information:

• the patient’s age, weight, and condition
• the name of the product (ingredients and strengths if known)
• the time it was swallowed
• the amount swallowed
• if the medication was prescribed for the patient

Call Poison Control: They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.

What To Expect: Some or all of the following procedures may be performed:

• Induce emesis.
• Use gastric lavage.
• Administer activated charcoal.
• Administer a laxative.
• Administer a narcotic counteracting drug (antagonist) on a regular basis, approximately every 30 minutes.

A fatal dose is 0.2 grams in adults and much less in children. Fatalities can occur in children despite ipecac and charcoal therapy. Patients will normally recover with treatment and 24 hours of monitoring.