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A probable case of collapse due to hyoscine patch
  1. Pramol Ale1,
  2. Asif Munaf1 and
  3. Timothy Kemp2
  1. 1Acute Medicine, Royal Stoke University Hospital, Stoke-on-Trent, Staffordshire, UK
  2. 2Infectious Disease, Royal Stoke University Hospital, Stoke-on-Trent, Staffordshire, UK
  1. Correspondence to Dr Pramol Ale, Acute Medicine, Royal Stoke Univertisty Hospital, Stoke-on-Trent, UK; mrg_pramol{at}


This case report highlights the potentially serious side effects of hyoscine and how a seemingly innocuous patch may confound patients and doctors alike. It demonstrates how easy it is to miss an obvious diagnosis when in fact a thorough medical history including an exhaustive drug history can easily point us in the direction of the diagnosis fairly quickly. Finally, hyoscine may cause potentially serious side effects and patients who are taking it, either orally or transdermally, should be made aware of these.

  • unwanted effects / adverse reactions
  • medical management
  • contraindications and precautions

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  • Contributors The following members PA (SHO, Acute medicine), AM (Medical Registrar, Acute Medicine) and TK (Consultant, Infectious disease) are involved in preparing case report. TK identified the idea for case report collaborating with PA and AM. All three of them were managing the patient during his stay. PA planned, gained patient’s consent, collected details and data, case history, wrote draft paper, and searched the literature. AM revised the collected data, initial draft paper. TK again revised the paper and searched the literature. PA is the corresponding author and guarantor for the case report. The patient’s next of kin had signed the consent for writing the case report as the patient was not able to do so. She provided the patient’s medical history and background details.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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