Hallucinations with Zolpidem and Fluoxetine in an Impaired Driver

    Volume 49, Issue 2 (March 2004)

    ISSN: 0022-1198

    CODEN: JFSOAD

    Published Online: 4 February 2004

    Page Count: 2


    Coleman, DE
    Toxicology Laboratory, Sacramento, CA

    Ota, K
    Toxicology Laboratory, Sacramento, CA

    (Received 12 May 2003; accepted 28 September 2003)

    Abstract

    A 54-year-old malewas observed driving erratically. The subject displayed both horizontal and vertical nystagmus and poor balance on field sobriety tests (FST's). Further observations included slow movements, breathing, and speech, extremely poor coordination, lack of convergence, and pupils with slow reaction to light. The subject related he was seeing roadway lines doubled and felt a hallucinogenic effect. Breath alcohol results were negative. Blood tests found zolpidem and fluoxetine in addition to hydrocodone at therapeutic levels. This case is presented as an example of hallucinogenic effects from the combination of zolpidem and serotonin reuptake inhibitors.


    Paper ID: JFS2003171

    DOI: 10.1520/JFS2003171

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    Author
    Title Hallucinations with Zolpidem and Fluoxetine in an Impaired Driver
    Symposium , 0000-00-00
    Committee E30