Abstract
A 75-year-old woman with multiple comorbidities presented with altered mental status, bradycardia, and hypotension following the ingestion of tizanidine. Emergency medical services (EMS) promptly initiated pacing and administered vasopressors, leading to the patient's recovery to her baseline condition after receiving supportive care. ECG findings indicated pre-existing cardiac abnormalities. She was admitted to the intensive care unit for further observation and management and was later discharged in stable condition. This case underscores the potential for severe adverse effects of tizanidine and highlights the critical need for timely recognition and intervention.