Abstract
INTRODUCTION AND IMPORTANCE: Amitraz poisoning is a rare poisoning in agricultural and developing countries like Nepal. This case report highlights the clinical presentation and management of Amitraz poisoning. CASE PRESENTATION: A 40-year-old male presented with history of vomiting and epigastric pain after suicidal ingestion of 30 mL of Amitraz (12.5% W/V). Symptoms were similar of α1 and α2 agonist including bradycardia, miosis, and hypotension. Patient required mechanical ventilation support and was given symptomatic treatment. CLINICAL DISCUSSION: Amitraz poisoning is rare but might be misdiagnosed for organophosphate and carbamates poisoning. All symptoms are explained by its α1 and α2 receptor agonist action. CONCLUSION: There is no antidote for this poisoning and treatment is solely based on symptomatic care. Normally symptoms resolve in 24-48 hours.