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Hallucinations with zolpidem and
fluoxetine in an impaired driver.
Coleman DE, Ota
K.
California Department of Justice, Toxicology Laboratory,
Sacramento, CA 95820, USA.
A 54-year-old male was 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.
PMID: 15027567 [PubMed - in process]
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