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Medications and toxins potentially fatal to toddler in one or two doses[1-5]

Medications and toxins potentially fatal to toddler in one or two doses[1-5]
Drug Estimated minimum fatal dose Major effects
Benzocaine (eg, Orajel) <20 mg/kg Methemoglobinemia, seizures
Beta blockers Unclear Seizures, hypoglycemia, bradycardia, hypotension
Calcium antagonists <40 mg/kg Bradycardia, hypotension
Camphor Approximately 50 mg/kg Seizures, CNS depression, respiratory depression
Chloroquine <30 mg/kg Seizures, arrhythmias
Clonidine Unclear Bradycardia, hypotension, CNS depression
Diphenoxylate (eg, Lomotil) 1.2 mg/kg CNS depression, respiratory depression
Imidazoline-derived sympathomimetics (eg, Visine, Afrin) Unclear Lethargy, miosis, hypotension, bradycardia, respiratory depression, shock
Lindane Approximately 6 mg/kg Seizures, CNS depression
Methadone Approximately 5 mg/kg CNS depression, respiratory depression
Methyl salicylate Approximately 200 mg/kg Seizures, acidosis, cardiovascular collapse
Nicotine (liquid)[6] 1 to 3 mg/kg Seizures, coma, respiratory arrest, cardiac arrest
Opioids (eg, methadone, long-acting morphine) Unknown Miosis, CNS depression, respiratory depression
Phenothiazines Approximately 20 mg/kg Seizures, arrhythmias, CNS depression
Phenylpropanolamine Unclear Arrhythmia, intracranial bleed
Quinidine Approximately 50 mg/kg Seizures, arrhythmia, CNS depression
Quinine Approximately 80 mg/kg Seizures, arrhythmias, retinal injury
Sulfonylureas <1 mg/kg Hypoglycemia
Theophylline Approximately 50 mg/kg Seizures, arrhythmias
Tricyclic antidepressants  Approximately 15 mg/kg Seizures, arrhythmias, hypotension 
Toxic alcohols (eg, methanol, ethylene glycol) 0.3 mL/kg CNS depression
Vilazodone[7] 10 mg (1 pill) Seizures, coma, tachycardia
CNS: central nervous system.
References:
  1. Osterhoudt KC. The toxic toddler: Drugs that can kill in small doses. Contemp Pediatr 2000; 17:73.
  2. Liebelt EL, Shannon MW. Small doses, big problems: A selected review of highly toxic common medications. Pediatr Emerg Care 1993; 9:292.
  3. Koren G. Medications which can kill a toddler with one tablet or teaspoonful. J Toxicol Clin Toxicol 1993; 31:407.
  4. Henry K, Harris CR. Deadly ingestions. Pediatr Clin North Am 2006; 53:293.
  5. Michael JB, Sztajnkrycer MD. Deadly pediatric poisons: Nine common agents that kill at low doses. Emerg Med Clin North Am 2004; 22:1019.
  6. Bassett RA, Osterhoudt K, Brabazon T. Nicotine poisoning in an infant. N Engl J Med 2014; 370:2249.
  7. Baumgartner K, Doering M, Schwarz E. Vilazodone poisoning: A systematic review. Clin Toxicol (Phila) 2020; 58:360.
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