Diphenhydramine-Induced Antimuscarinic Delirium Treated with Physostigmine and Transdermal Rivastigmine.
James D WhitledgeC James WatsonMichael SimpsonAzza BakkarLeora BoussiMichael ScottKatherine L BoylePublished in: Journal of medical toxicology : official journal of the American College of Medical Toxicology (2022)
Transdermal rivastigmine may be a useful treatment alternative or adjunct during physostigmine shortage for antimuscarinic delirium and has a long duration of action without aspiration risk. Muscarinic toxicity was not observed.