Acute-onset psychosis induced by a therapeutic dose of parenteral hyoscine butylbromide: A case report
Emorinken, Airenakho; Akpasubi, Blessyn Omoye; Izirein, Hannah Olohirere; Oyerinde, Adeola.
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| IMSEAR | ID: sea-222292
Anticholinergic medications are frequently prescribed for gastrointestinal and genitourinary spasms. Psychosis, when present, results from anticholinergic overdose or toxicity. In the literature, anticholinergic-induced psychosis at therapeutic doses in patients with normal cognition is extremely uncommon. Here, we describe the case of a 28-year-old female who presented with auditory and visual hallucinations, stereotypy, and agitation after receiving a single intramuscular injection of 20 mg hyoscine butylbromide for dysmenorrhea. Even though it is rare for a therapeutic dose of hyoscine butylbromide to cause psychosis, clinicians should maintain a high index of suspicion and be cautious when administering or prescribing anticholinergics.
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