{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:34:51Z","timestamp":1787070891710,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Cough is a protective reflex that allows clearance of secretions from upper respiratory tract. It is not a disease by itself but a symptom of underlying disease. In a majority of cases, it is self-limiting and requires only supportive care. But over-the-counter cough syrups are inadvertently used to relieve cough in Indian settings. We hereby report a case of a 6-year-old girl child who presented to pediatrics emergency services with complaints of loss of consciousness and abnormal body movement after ingestion of dextromethorphan and chlorpheniramine containing cough syrup. All investigations including cerebrospinal fluid examination, neuroimaging, and electroencephalogram revealed no significant abnormality. The child was admitted for 5 days and discharged after that in stable conditions.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_130_24","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T04:02:36Z","timestamp":1731729756000},"page":"5367-5369","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Overzealous over-the-counter cough syrup ingestion leading to serious manifestation in a child \u2013 A case report"],"prefix":"10.4103","volume":"13","author":[{"given":"Dinkar","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunny","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, PGIMS Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapil","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"R1-20250129","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1542\/pir.2018-0116","article-title":"Cough","volume":"40","author":"Kasi","year":"2019","journal-title":"Pediatr Rev"},{"key":"R2-20250129","doi-asserted-by":"crossref","first-page":"158","DOI":"10.32677\/ijch.v9i9.3362","article-title":"Pediatric cough as a symptom:Tips for management","volume":"9","author":"Bavdekar","year":"2022","journal-title":"Indian J Child Health"},{"key":"R3-20250129","first-page":"206","volume":"60","year":"2018","journal-title":"Med Lett Drugs Ther"},{"key":"R4-20250129","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.JAA.0000541487.41149.71","article-title":"Identifying and treating patients with synthetic psychoactive drug intoxication","volume":"31","author":"Brown","year":"2018","journal-title":"JAAPA"},{"key":"R5-20250129","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1111\/j.2042-7158.1969.tb08287.x","article-title":"Central and peripheral monoaminergic membrane- pump blockade by some addictive analgesics and antihistaminics","volume":"21","author":"Carlsson","year":"1969","journal-title":"J Pharm Pharmacol"},{"key":"R6-20250129","doi-asserted-by":"crossref","first-page":"233.e1","DOI":"10.1016\/j.ajem.2022.08.006","article-title":"Life threatening pediatric dextromethorphan polistirex overdose","volume":"61","author":"Seltzer","year":"2022","journal-title":"Am J Emerg Med"},{"key":"R7-20250129","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1111\/j.1365-2125.2010.03747.x","article-title":"Dextromethorphan, chlorpheniramine and serotonin toxicity:Case report and systematic literature review","volume":"70","author":"Monte","year":"2010","journal-title":"Br J Clin Pharmacol"},{"key":"R8-20250129","doi-asserted-by":"crossref","first-page":"389","DOI":"10.2174\/1574886317666220606145809","article-title":"Dextromethorphan-induced altered level of consciousness in children;A case series","volume":"18","author":"Hotha","year":"2023","journal-title":"Curr Drug Saf"},{"key":"R9-20250129","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1080\/15563650.2017.1416124","article-title":"Trends in dextromethorphan cough and cold products:2000-2015 National Poison Data System intentional abuse exposure calls","volume":"56","author":"Karami","year":"2018","journal-title":"Clin Toxicol (Phila)"},{"key":"R10-20250129","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.ajem.2019.10.001","article-title":"'Robo-tripping\u201c:Dextromethorphan toxicity and abuse","volume":"38","author":"Ritter","year":"2020","journal-title":"Am J Emerg Med"},{"key":"R11-20250129","doi-asserted-by":"crossref","first-page":"18","DOI":"10.4103\/2667-3592.301395","article-title":"Cough profile and trends in cough management in children across India:Results of a multi-centric, cross\u2013sectional survey","volume":"8","author":"Paramesh","year":"2019","journal-title":"J Pediatr Assoc India"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_130_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:38:21Z","timestamp":1787067501000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_130_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_130_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-01-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}