Anticholinergic Toxidrome?
Anticholinergic agents block the neurotransmitter acetylcholine (ACh) at muscarinic receptors, leading to inhibition of parasympathetic activity β essentially causing βsympathetic overdriveβ symptoms. π§Ύ Classic Mnemonic "Hot as a hare, Dry as a bone, Red as a beet, Blind as a bat, Mad as a hatter, and Full as a flask." Hot as a hare-Hyperthermia-Loss of sweating (anhidrosis) impairs heat dissipation Dry as a bone-Dry skin & mucous membranes-Blocked sweat and salivary glands Red as a beet-Flushed skin-Vasodilation from heat retention Blind as a bat-Mydriasis (pupil dilation) & blurred vision-Blocked ciliary muscle accommodation Mad as a hatter-Delirium, hallucinations-CNS blockade of acetylcholine Full as a flask-Urinary retention-Inhibition of bladder detrusor contraction (parasympathetic tone suppressed)