CASE REPORT article

Front. Neurosci.

Sec. Neuropharmacology

Volume 19 - 2025 | doi: 10.3389/fnins.2025.1570726

Mixed drug overdose involving clonazepam, alprazolam, and olanzapine in a 72-year-old male with parkinson's disease: a case report Runing title: Clonazepam, Alprazolam, and Olanzapine Overdose

Provisionally accepted
Wei  ZhangWei Zhang1Mao-Shui  WangMao-Shui Wang2Jianguo  ZhangJianguo Zhang1*Chunhai  GaoChunhai Gao1*
  • 1Linyi People's Hospital, Linyi, Shandong Province, China
  • 2Shandong Public Health Clinical Center, Jinan, China

The final, formatted version of the article will be published soon.

This case report discusses a 72-year-old male patient with Parkinson's disease, depression, and somatization disorder, presenting to the emergency department after a suspected overdose of clonazepam. The patient was discovered unconscious approximately 2.5 hours after ingestion of over 30 tablets of clonazepam, in combination with an overdose of alprazolam and olanzapine.Despite initial challenges with gastric lavage, subsequent treatment involved supportive care, 2 management of complications such as pneumonia, and renal replacement therapy, ultimately leading to recovery. This case highlights the complexities of managing overdoses, particularly those involving drugs with long half-lives, and highlights the challenges of treating elderly patients and the importance of supportive care in recovery.

Keywords: elderly patient, Clonazepam, Overdose, Renal Replacement Therapy, Pneumonia

Received: 05 Feb 2025; Accepted: 19 May 2025.

Copyright: © 2025 Zhang, Wang, Zhang and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Jianguo Zhang, Linyi People's Hospital, Linyi, Shandong Province, China
Chunhai Gao, Linyi People's Hospital, Linyi, Shandong Province, China

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