Scopolamine als bestanddeel van een magistrale bereiding als zeldzame oorzaak van visuele hallucinaties

Abstract

Scopolamine as a component of a magistral preparation causing visual hallucinations A 40-year-old patient had a first episode of visual hallucinations caused by the abuse of a magistral preparation containing scopolamine as an active component. The pharmacist used the outdated medicine as an over-the-counter (OTC) product. The patient was not aware of the potential risks in case of overuse. The overdose caused an isolated hallucinosis instead of hallucinations as a consequence of an anticholinergic syndrome. Firstly, it is important that the patient is sufficiently informed by the pharmacist concerning the delivered medication. Secondly, the doctor should actively inquire if the patient uses any OTC or magistral medicines. By doing this, rare clinical diseases caused by misuse of medication can be identified.