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Coma after low-dose mirtazapine

Year: 2025

Type: article

Abstract: In this case report, an 84-year-old male was admitted to the emergency department due to a decreased level of consciousness of unknown cause. Due to respiratory insufficiency, he was intubated and admitted to the ICU, where he was placed on mechanical ventilation. This corrected his hypercapnia but did not reverse the comatose condition. After extensive diagnostic testing, including urine toxicology, CT scans and a lumbar puncture, low-dose mirtazapine was revealed as the most likely cause of coma. Within 24 hours, he made a rapid and full recovery.

Source: Ugeskrift for Læger

DOI: 10.61409/v10240677

Authors: Emil Osman Thybo Karanfil, Emilie Stokholm Bækgaard, Jacqueline Møller Mistry, Jakob Mynster Blüdnikow, David Levarett Buck

Institutions: Copenhagen University Hospital, Holbæk Sygehus

Language: English

Topic: Poisoning and overdose treatments

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411185534