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Drops, Ointments, Gels, and Patches: The Dangers of Topical Medications

Many common topical preparations can have toxic and potentially fatal consequences, particularly for pediatric patients. This review covers the manifestations and treatments of exposures to these drugs.
Emergency Medicine. 2017 April;49(4):152-160 | 10.12788/emed.2017.0022
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Conclusion

Ingestions of topical products are relatively common occurrences, particularly in pediatric patients. During the history taking, clinicians should be vigilant and always inquire about any topical medications within the home any time a pediatric patient presents with signs and symptoms indicative of a toxic ingestion. Family members should also be counseled on the dangers of accidental topical medication ingestion or misuse. Providers should give recommendations for proper storage and disposal of all prescription and nonprescription medications, which may help not only save a repeat visit to the ED, but may in fact save a life.