Benzhexol Overdose

  • Benzhexol, aka Trihexyphenidyl, is a centrally acting muscarinic antagonist used for the treatment of Parkinsonism and drug-induced extrapyramidal disorders.
  • Its toxicity is due to both peripheral and central anticholinergic effects.
  • It has a wide therapeutic window. In humans, doses up to 300 mg (5 mg/kg) have been ingested without fatalities or complications.
  • However, death has been reported following co-ingestion of benzhexol overdosages with other CNS-depressant agents.
  • Benzhexol blood concentrations associated with the fatalities ranged from 0.03 to 0.80 mg/l.
  • Trihexyphenidyl is . . .

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