Tetrahydrozoline poisoning
Murine; Visine
Tetrahydrozoline is a form of a medicine called imidazoline, which is found in over-the-counter eye drops and nasal sprays. Tetrahydrozoline poisoning occurs when someone accidentally or intentionally swallows this product.
This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your 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.
Poisonous Ingredient
- Tetrahydrozoline
Where Found
Tetrahydrozoline is sold under the following brand names:
- Eyesine
- Geneye
- Murine Tears Plus
- Optigene 3
- Tyzine
- Visine Original and Advanced Relief
Note: This list may not be all-inclusive.
Symptoms
Symptoms may include:
-
Coma
Coma
Decreased alertness is a state of reduced awareness. A coma is a state of decreased alertness from which a person cannot be awakened. A long-term co...
-
Difficulty breathing
or no breathing
Difficulty breathing
Breathing difficulty may involve:Difficult breathingUncomfortable breathingFeeling like you are not getting enough air
-
Blurred vision
Blurred vision
There are many types of eye problems and vision disturbances, such as: HalosBlurred vision (the loss of sharpness of vision and the inability to see ...
-
Blue lips and fingernails
Blue lips and fingernails
Cyanosis is a bluish color to the skin or mucous membrane that is usually due to a lack of oxygen in the blood.
- Change in pupil size
- Changes in blood pressure (high at first, low later)
- Fast heartbeat
- Headache
- Irritability
- Low body temperature
- Nausea and vomiting
- Nervousness
-
Seizures
Seizures
A seizure is the physical findings or changes in behavior that occur after an episode of abnormal electrical activity in the brain. The term "seizure...
- Tremors (unintentional trembling)
Home Care
Seek immediate medical help. DO NOT make a person throw up unless told to do so by Poison Control or a health care professional.
Before Calling Emergency
The following information is helpful for emergency assistance:
- The patient's age, weight, and condition
- The name of the product (ingredients and strengths if known)
- The time it was swallowed
- The amount swallowed
However, DO NOT delay calling for help if this information is not immediately available.
Poison Control
Your 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. This hotline number will let you talk to experts in poisoning. They will give you further instructions.
Local poison center
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
Take the container with you to the hospital, if possible.
What to Expect at the Emergency Room
The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:
- Activated charcoal
-
Airway support
, including oxygen, breathing tube through the mouth (intubation),and ventilator (breathing machine)
Airway support
CPR stands for cardiopulmonary resuscitation. It is an emergency lifesaving procedure that is done when someone's breathing or heartbeat has stopped...
- Blood and urine tests
- Chest x-ray
- EKG (electrocardiogram, or heart tracing)
- Fluids through the vein (intravenous or IV)
- Laxative
- Medicines to treat symptoms
Outlook (Prognosis)
Survival past 24 hours is usually a good sign that the person will recover.
Review Date: 1/23/2015
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.