Citation

Trombetta D, Vik T, Anand V. S. Dak. J. Med. 2021; 74(8): 372-375.

Copyright

(Copyright © 2021, South Dakota Medical Association)

DOI

unavailable

PMID

34461003

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a commonly encountered diagnosis in the child and adolescent populations, and stimulant medications are often prescribed for their treatment. There are numerous available options in this category, including immediate and extended release formulations. There have been many case reports in the literature involving purposeful overdose on immediate release stimulants, but a relative paucity involving extended release forms. Additionally, they often involve Caucasian and Asian populations. We treated a Native American adolescent who took an overdose of extended-release methylphenidate with the intention of suicide. He developed transient orofacial dyskinesia and upper extremity choreoathetosis as a result which did not abate during his time in the emergency department. Once transferred to our care, he was given a one-time benzodiazepine dose with some benefit. This case report describes objective sequelae of a long-acting methylphenidate overdose as well as treatment for the benefit of treating clinicians with similar patient populations and situations.

Language: en

Keywords

Humans; Child; Male; Adolescent; Methylphenidate; Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Dyskinesias; Upper Extremity