A 27-year-old man presents with agitation, tachycardia, dilated pupils and hyperthermia after ingesting an unknown quantity of MDMA (ecstasy). Which i...

Question

A 27-year-old man presents with agitation, tachycardia, dilated pupils and hyperthermia after ingesting an unknown quantity of MDMA (ecstasy). Which is the most appropriate initial pharmacological management?

Accepted Answer

Rapid cooling plus benzodiazepines such as diazepam for agitation and to prevent seizures

Answer

IV haloperidol for agitation

Answer

Beta blockers alone to control tachycardia

Answer

Dantrolene for all cases

Answer

Forced diuresis to enhance drug elimination

au-amc MCQ (SBA): MDMA (ecstasy) toxicity

A 27-year-old man presents with agitation, tachycardia, dilated pupils and hyperthermia after ingesting an unknown quantity of MDMA (ecstasy). Which is the most appropriate initial pharmacological management?