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Toxin Induced Altered Level of Consciousness Causes
Aka: Toxin Induced Altered Level of Consciousness Causes, Drug Induced Altered Level of Consciousness Causes- See Also
- Risk factors: Medication induced Altered Level of Consciousness
- Age over 60 years old
- Medications: Neuro-Psychopharmacologic Agents
- Anticholinergics (e.g. Atropine)
- Anticonvulsants
- Delirium or Confusion
- Cognitive Impairment
- Amnesia
- Barbiturates
- Delirium or Confusion
- Incoordination
- Barbiturate withdrawal related signs
- Benzodiazepines (esp. high dose longer acting agents)
- Cognitive Impairment
- Amnesia
- Sedation
- Pseudo-Dementia
- Incoordination
- Benzodiazepine Withdrawal (e.g. Delirium)
- Higher risk with shorter acting Benzodiazepines
- Tricyclic Antidepressants (e.g. Elavil, Doxepin)
- Delirium
- Confusion
- Impaired Memory
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Decreased concentration
- Confusion associated with SIADH
- Antipsychotics
- Effects
- Delirium or confusion
- Cognitive Impairment
- Amnesia
- High risk
- Chlorpromazine
- Thioridazine
- Clozapine
- Low risk
- Effects
- Lithium
- Organic brain syndrome
- Zolpidem (Ambien)
- Memory Impairment
- Hallucinations
- Medications: Analgesics
- Salicylate Poisoning
- NSAIDs (especially Indomethacin)
- Delirium or confusion
- Cognitive Impairment
- Delirium
- Narcotic Analgesics (esp. Demerol, Fentanyl Patch)
- Delirium or confusion
- Cognitive Impairment
- Medications: Drugs of Abuse and Toxins
- See Cholinergic Toxicity (e.g. Organophosphate Poisoning)
- Alcohol
- Opiates (See Analgesics above)
- Hallucinogens (LSD, PCP, Cocaine)
- Carbon Monoxide
- Cyanide
- Heavy metals
- Medications: CardioPulmonary agents
- Beta Blockers
- Confusion
- Cognitive Impairment
- Calcium Channel Blockers
- Cognitive decline
- Acetazolamide (Diamox)
- Confusion
- Digoxin
- Confusion or Delirium
- Disopyramide (Norpace)
- Psychosis (Anticholinergic related)
- Ethacrynic Acid
- Confusion
- Nitroprusside
- Confusion or Delirium
- Procainamide
- Quinidine
- Confusion
- Psychosis
- Theophylline
- Beta Blockers
- Medications: Infectious Disease Agents
- Beta lactam antibiotics
- Confusion
- Fluoroquinolones
- Neurologic stimulation
- Confusion
- Acyclovir
- Confusion
- Mefloquine
- Confusion
- Psychosis
- Trimethoprim-Sulfamethoxazole (Bactrim, Septra)
- Beta lactam antibiotics
- Medications: Antihistamines
- See Anticholinergic Medications
- See Anticholinergic Toxicity
- H1 blocker
- Effects
- Decreased attention
- Decreased Concentration
- High risk: Sedating Antihistamine
- Low risk: Fexofenadine, Loratadine
- Effects
- H2 Blocker (esp. Cimetidine)
- Delirium or confusion
- Medications: Miscellaneous
- Corticosteroids (Prednisone at doses above 60 mg)
- Confusion of Delirium
- Memory Impairment
- Baclofen
- Cyclobenzaprine (Flexeril)
- Delirium or confusion
- Cyclosporine
- Confusion
- Fenfluramine
- Confusion
- Interferon alpha
- Confusion
- Memory Impairment
- Omeprazole (Prilosec)
- Confusion
- Agitation
- Memory Impairment
- Corticosteroids (Prednisone at doses above 60 mg)
- References