Transdermal fentanyl in deliberate overdose in pediatrics

Pediatric Emergency Care
Mark D LyttleRhian Isaac

Abstract

The use of the fentanyl skin patch to provide pain relief in chronic pain conditions and oncology in adult practice has been common for several years, and an increase in use is now being seen in pediatric practice. Its use in drug misuse and suicide has also increased in recent years. We present the case of an adolescent who deliberately overdosed using fentanyl skin patches and describe the implications for management. This report serves to remind clinicians to consider this method of drug administration in children who display signs of opioid toxicity, where overdose may be subsequent to its use in therapy, recreation, or deliberate self-harm.

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Citations

Sep 2, 2014·The American Journal of Emergency Medicine·Michalis AgrafiotisVenetia Tsara
Sep 1, 2014·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Daniel J CobaughEdward P Krenzelok
Sep 24, 2019·Clinical Pediatrics·Brett SlingsbyChristine E Barron
Jan 20, 2017·American Journal of Clinical Dermatology·Ahuva CicesGiuseppe Micali
Jun 10, 2015·International Journal of Legal Medicine·Marija BakovicDavor Mayer

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