Camphor toxicity: Difference between revisions

(Text replacement - "==Treatment==" to "==Management==")
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*FDA limits over the counter preparations to 11%<ref>United States Food and Drug Administration. Proposed rules: external analgesic drug products for over-the-counter human use; tentative final monograph. Fed Reg 1983</ref>
*FDA limits over the counter preparations to 11%<ref>United States Food and Drug Administration. Proposed rules: external analgesic drug products for over-the-counter human use; tentative final monograph. Fed Reg 1983</ref>
*Highly lipophilic, widely and rapidly distributed, symptom onset 5-15 minutes
*Highly lipophilic, widely and rapidly distributed, symptom onset 5-15 minutes
*CNS Stimulant when ingested
*CNS stimulant when ingested


==Clinical Features==
==Clinical Features==

Revision as of 19:23, 6 September 2017

Background

  • Common topical agent for pain relief, wart removal, osteoarthritis, cold sores
  • FDA limits over the counter preparations to 11%[1]
  • Highly lipophilic, widely and rapidly distributed, symptom onset 5-15 minutes
  • CNS stimulant when ingested

Clinical Features

  • Nausea, vomiting, abdominal pain
  • Oral burning, headache
  • Vertigo, confusion, agitation
  • Seizure, respiratory depression, coma
  • Hepatitis and liver failure

Management

  • Aggressive supportive care[2]
  • Benzodiazepines for seizure
  • Intubation and mechanical ventilation as needed
  • Charcoal not likely effective

See Also

Toxicology

References

  1. United States Food and Drug Administration. Proposed rules: external analgesic drug products for over-the-counter human use; tentative final monograph. Fed Reg 1983
  2. American Academy of Pediatrics Policy Statement. Camphor Revisited: Focus on Toxicity (RE9422). Pediatrics 1994;94:127-128