Opinions expressed by Forbes Contributors are their own. She had suffered from PTSD attributed to domestic abuse, he said. Stop using Visine and call your doctor at once if you have: ongoing or worsening eye redness; eye pain; changes in your vision; A few eyedrops in someone's drink can apparently leave him sitting on the toilet for the rest of the evening with a nasty case of "the runs.". Find patient medical information for tetrahydrozoline ophthalmic (eye) on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. If you or a loved one drank eyedrops or nasal decongestant sprays by accident or on purpose, do not wait for symptoms to occur. In general, overdoses are common situations in the emergency departments. If you are uncertain, call your veterinarian or an . You should call if you have any questions about poisoning or poison prevention. Of all the Visine poisoning cases studied by medical observers, we found none that mentioned diarrheal output brought about by the drug. It may be mild in some and severe in others. The UF College of Dentistry is the only public-funded dental school in Florida and is recognized as one of the top U.S. dental schools for the quality of its educational programs, oral health research enterprise and commitment to patient care and service. Your eyes may be bigger than your stomach, but these body parts are just not the same. It then grabs onto the surface of your cat's red blood cells in the spots normally used to carry oxygen to the tissues. Automobile fluids. Yet it is not only toddlers who risk central nervous system shutdown or other dire results if they swallow Visine, as demonstrated by the following examples: Revenge seekers still not quite convinced that a Visine mickey finn won't produce the diarrheal results they crave, or that the drinking of such a potion could potentially result in a life-threatening medical crisis in the object of their prank, should consider one final fact: the act of secreting noxious substances in ingestibles for the purpose of bringing harm to others is called poisoning. While the end result of this prank created a funny and memorable dinner party scene, the poisonous effects of eye drops are much more serious in real life. A typical bottle of eye drops contains anywhere from 15 to 30 milliliters of solution. Hannah Kirby. In: Aronson JK, ed. Before we move further to the symptoms of poisoning and analyze the tests required for its treatment, it's essential to understand the causes and risk factors that can lead to poisoning. A 33-year-old Pennsylvania woman could spend the rest of her life in prison after admitting to police that she repeatedly poisoned her boyfriend with Visine eye drops for more than three years in . "Woman Accused of Trying to Kill Husband." Symptoms of an overdose of tetrahydrozoline include drowsiness, slow breathing or absence of breathing, slow heartbeat, hypothermia and possibly even coma. Jacob L. Heller, MD, MHA, Emergency Medicine, Emeritus, Virginia Mason Medical Center, Seattle, WA. If swallowed,the medication can cause illness and even death. It is important for physicians to be familiar with the adverse effects of these ingestions and to be aware of the potential therapies for management. 2003 Oct;25(3):297-302. Tetrahydrozoline is a form of a medicine called imidazoline, which is found in over-the-counter eye drops and nasal sprays. Putting two drops in both eyes six times a day would only equal about one milliliter of fluid. Also in June 2006, Kristine Anzalone served her roommate, Joseph Gentissi Jr., an iced tea spiked with Visine. Butin real life, the prank is no laughing matter. . More than 100 of these products contain an ingredient, tetrahydrozoline, that is similar to a commonly used blood pressure-lowering medication called clonidine. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. or. Milwaukee Journal Sentinel. Many of these types of OTC products do not have child-resistant closures, so they should be stored out of the reach of children. Jennings later told investigators that the woman had ingested about five bottles worth of Visine that day. New York Eye and Ear Infirmary of Mount Sinai, The Blavatnik Family Chelsea Medical Center, Heart - Cardiology and Cardiovascular Surgery, Mount Sinai Center for Asian Equity and Professional Development, Preparing for Surgery and Major Procedures, Changes in blood pressure (high at first, low later), The name of the product (ingredients and strengths if known), ECG (electrocardiogram, or heart tracing), Fluids through the vein (intravenous or IV). TETRAHYDROZOLINE (tet-ra-hye-DROZ-oh-leen) is a decongestant. The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. The College of Public Health & Health Professions (PHHP) is dedicated to providing excellent educational programs that prepare graduates to address the multifaceted health needs of populations, communities and individuals. As the North Carolina Department of Insurance (NCDOI) indicated, these circumstances led to an investigation by the NCDOI, the Gaston County (NC) Police Department, and Homeland Security Investigations (HSI) that then resulted in allegations of fraudulent life insurance claims. One thing tetrahydrozoline has not been known to do is to cause sudden onset bouts of severe diarrhea. Symptoms of Imidazoline Poisoning in Dogs The amount of imidazoline your dog ingested will determine the severity of the symptoms and how quickly they manifest. Sightings: In an episode of television's CSI ("Revenge Is Best Served Cold," original air date 26 September 2002), a drink spiked in this fashion caused a death when the eye drops initiated a fatal reaction with chocolate the victim had eaten. If the cause is not obvious or not minor, see your doctor as soon as possible, especially if there are accompanying symptoms such as loss of vision or the presence of a harpoon. As the two cases demonstrated, even relatively small amounts can be toxic. Tomassoni, A. J. Tetryzoline. This material may not be reproduced without permission. Topic 16258 Version 15.0, November 2020. A Franklin woman allegedly stole thousands of dollars from a family friend she was caring for, fatally poisoned her with eyedrops, and staged the scene to . The smaller the body size, the less thats needed to cause major problems and even be life threatening. All local poison control centers in the United States use this national number. Flynn, George. Lowering body temperature to dangerous levels, Making breathing difficult, or even halting it entirely, Elevating and then dropping blood pressure, In 1995 an adult customer at a Whole Foods market (a retail chain of natural and organic foods) had his wheat-grass smoothie spiked with a bottle of Visine by a clerk intent upon playing a practical joke. You should call if you have any questions about poisoning or poison prevention. In June 2006, five Wisconsin high school students trying to pull the Visine prank poured about a quarter of a bottle of the eyedrops into a classmate's water. Less than a mother later, the stepmother required medical help for similar symptoms. University of Florida Health knows how important ongoing medical learning is to health care providers and the community. Then theres the case of Joshua Lee Hunsucker, a former paramedic in North Carolina, whos been charged with first degree murder, as described by Mark Price for the Charlotte Observer. Loosen tight clothing such as a collar, tie, belt or waistband. In February 2013, a Pennsylvania court sentenced 33-year-old Vickie Jo Mills to two to four years in prison for putting eyedrops into her boyfriend's drinking water 10 to 12 times, causing him to suffer from nausea, vomiting, blood pressure problems and breathing trouble before blood tests revealed the presence of tetrahydrozoline in his system. Your membership is the foundation of our sustainability and resilience. Constricting blood vessels in your eyes is how they get the red out., The FDA considers the risk for these products to be low as they are labeled for external use only and are clearly marked keep out of reach of children.. You let him suffer for three days., I did impulsively put the Visine in Stevens drink, but I just did it to make him uncomfortable, Ms. Clayton said in court, referring to a common eye drop, according to The Associated Press. Aronson JK. Tetrahydrozoline is a form of a medicine called imidazoline, which is found in over-the-counter eye drops and nasal sprays. Foreign objects like batteries and toys. Eye drops like Visine, Murine Plus,and Clarine are marketed as ways for you to get the red out of your eyes. The person may receive: Survival past 24 hours is usually a good sign that the person will recover. Tetrahydrozoline Poisoning can be prevented by: It is important to give your healthcare provider a complete list of prescription and non-prescription medications that are being currently taken. All local poison control centers in the United States use this national number. The teen could have faced 10 years in prison if she were to go to trial and found guilty. Updated by: Jacob L. Heller, MD, MHA, Emergency Medicine, Emeritus, Virginia Mason Medical Center, Seattle, WA. A 19-year-old Wyoming woman accused of poisoning her stepmother with eye drops has pleaded no contest to an aggravated assault charge. Also offered on campus is an American Society of Health-System Pharmacists-accredited pharmacy residency program at Shands Jacksonville. Journal of forensic sciences, 57(3), 835-838. Because tetrahydrozoline ingestion can cause significant toxicity in young children, it is very important for parents and caregivers of young children to be aware of this potentially very dangerous poison. Associated Press. 25.1K subscribers Lana Sue Clayton used Visine eye drops to poison her husband, Steven Clayton. WPMT-TV [York, PA]. This symptom is a precursor to difficulty speaking. Dont crash weddings to hook up with strangers. The Houston Chronicle. When consumed orally, tetrahydrozoline passes quickly through the gastrointestinal tract, rapidly reaching the blood and the central nervous system, the article said. The chemical can also cause tremors and seizures." It appears the recent Visine poisoning in California was not intended to be fatal, but experts also warn that the common prank can turn deadly. Reports of significant toxicity from tetrahydrozoline ingestion are unusual but have occured primarily in small children after unintentional ingestion (3-63, 6). Program completed entirely in Jacksonville. The mouth may have a metallic taste and the breath emits a garlic type of odor. The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Whileeye dropscan be dangerous if swallowed, experts say the chemical used to get the red out of your eyes is safe when used correctly. His wife claimed he had succumbed to a fatal fall. We present a case of tetrahydrozoline ingestion in an adult who presented with chest pain, bradycardia, mental status depression, miosis, and other signs and symptoms of imidazole compound poisoning. In June 2014, a 22-year-old woman named Samantha Elizabeth Unger was arrested in Thurmont, Maryland, and charged with aggravated assault and endangering the welfare of children. Swenson K. His wife said he died falling down the stairs. In 2001, a 22-year-old college student from Wisconsin was jailed for 90 days for repeatedly pouring eye drops into her roommates water after seeing the prank in the comedy Wedding Crashers. Her husband, Stephen Clayton, ended up passing away after three days. Most cases of tetrahydrozoline exposure occur in adults, but more than one-fourth of all exposures occur in toddlers (1-2 years of age). It should never be ingested for the consequences can even be fatal The amount will vary, even a small amount can be lethal. Acetaminophen. Together we discover. is among the first to achieve this important distinction for online health information and services. You dont want them putting even a few milliliters of the stuff into their mouths. It is commonly found in drops that are intended to relive irritation and get the red out. The products are safe when used as directed, by narrowing blood vessels, the Food and Drug Administration says. These courses share the latest in medical knowledge, teach new patient-relationship skills and help providers deal with relevant current issues. 539-540). The defendant initially pleaded not guilty to the charge, but had a change of heart this week. Johnson & Johnson, the maker of Visine, said in a statement on Friday: Using tetrahydrozoline (active ingredient in Visine) on the surface of the eye has been demonstrated to be safe for self-use for over 50 years. A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). The former Veterans Affairs nurse and South Carolina resident had pleaded guilty of putting Visine eye drops in her husbands drink. 52 VANDERBILT AVE, NEW YORK, NY 10017 USA: INFORMA HEALTHCARE. "Airman Sentenced to Life in Prison." Eye drops designed to treat rednessare not intended to be consumed orally. In exchange, prosecutors have agreed to recommend a sentence of up to four years in the Wyoming Women's Center. I never thought it would kill him.. Approved by: Krish Tangella MD, MBA, FCAP. But the agency has warned that if ingested, the chemical, and others like it that narrow blood vessels, may cause serious and life-threatening adverse events.. The victim spent several days in the hospital recovering from reactions to the poisoning that included a dangerously low heart rate and blood pressure. To use the sharing features on this page, please enable JavaScript. Drinking it can (and has) caused severe depression of the central nervous system. That same month, an autopsy by Waukesha County Medical Examiner Linda Biedrzycki showed that Hernan had a fatal dose of tetrahydrozolinethe main ingredient in over-the-counter eye dropsin . It's easy to see that ingesting it is in fact poisoning. Tetrahydrozoline, a derivative of imidazoline, is widely used for the symptomatic relief of conjunctival and nasal congestion; however, intentional or unintentional high doses can result in toxicity manifested by hypotension, tachycardia, and CNS depression. We report a case of unintentional tetrahydrozoline ingestion with cardiovascular . That's when detectives told Kurczewski about the tetrahydrozoline the . Take the container with you to the hospital, if possible. The comments below have not been moderated, Tragedy as high school track athlete dies after being hit by a discus during competition, Father and daughter plunge hand-in-hand to their deaths from bridge while holding their pet Chihuahua, Ken Bruce finishes his 30-year tenure as host of BBC Radio 2, Insane moment river of rocks falls onto Malibu Canyon in CA, Pavement where disabled woman gestured at cyclist before fatal crash, Pro-Ukrainian drone lands on Russian spy planes exposing location, 'Buster is next!' Intentionally or accidentally drinking eye drops can lead to toxic blood levels. General information: Symptoms of poisoning may even occur after several hours; therefore medical observation for at least 48 hours after the accident. Visine side effects. In young children, serious adverse events can occur from ingesting only a small amount (1 to 2 mL, or several drops) of tetrahydrozoline. Standard operative procedures and auditing for poisoning cases in India. In February, a 33-year-old Pennsylvania woman was sentenced to four years in prison after admitting that she had put the medicine into her boyfriend's drinking water a dozen times since 2009. Swallowing eye drops containing tetrahydrozoline is harmful and potentially life-threatening. Visit MyUFHealth to get an estimate for your cost for the most common medical procedures. 1995 - 2023 by Snopes Media Group Inc. WRIC-TV [Richmond]. Alexis Jennings, of Natrona County, entered the plea Thursday . If you or someone you are with has an exposure, call the local emergency number (such as 911), or the local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. J Emerg Med. The departments criminal investigations unit had received a complaint from a family member because of the insurance claim and that is why we investigated it, he said. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. "Crater Lake Worker Called Visine Poisoning a 'Harmless Prank.' Tetryzoline (also known as tetrahydrozoline) is a drug used in some over-the-counter eye drops and nasal sprays. This is not an all-inclusive list. This article is for information only. Wahi, M. M., Stone, K. V., Chance, M., & Miller, C. E. (2017). She was a manager at Pizza Hut in 2011, when a disgruntled co-worker spiked her soda with eye drops. Pl drop the argument as it. 16th ed. DO NOT use it to treat or manage an actual poison exposure. Meyler's Side Effects of Drugs. Learn about UF clinical research studies that are seeking volunteers. If needed, administer mouth-to-mouth resuscitation and cardiopulmonary resuscitation (CPR). Take the container with you to the hospital, if possible. Tetrahydrozoline poisoning Tetrahydrozoline is a form of a medicine called imidazoline, which is found in over-the-counter eye drops and nasal sprays. 1 August 1998 (p. 373). A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Next got in a car accident and died. Clinical effects from ingestion of tetrahydrozoline have included drowsiness, coma, respiratory depression, bradycardia, hypotension, hypotonia, muscle flaccidity and hypothermia ( 3-6, 9-11 ). Visine eye drops are a commonly used topical drug for irritation of the eye. Alexis Jennings, of Natrona County, entered the plea Thursday in state district court. 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