Patient: I think my friend suffered a cocaine overdose. He had a seizure and everything for about ten minutes. He refuses to go to the doctor he says he is fine. This happened about two hours ago and he just said his head still feels kind of funny and his heart rate is slower then normal what should I do?
Doctor: HelloWelcome to Ask The Doctor.Thanks for trusting us for your health issues.He might have suffered from Acute Sym ptomatic Seizure or Syncope episode following low pulse rate from cocaine overdose.In my opinion, you should take him to hospital as he might get a seizure or syncope again.Cocaine is known to cause cardiac arrhythmia’s, cardiac vasospasm and heart attack. He might have got unconscious following low heart rate (bradycardia) and this might mimic a seizure.Moreover post-seizure or syncope a person is in post ictal state and can’t take a right decision. Since you are with him it becomes your duty to take him any how to ER and let them perform an ECG and CT Head after a clinical examination.He would require to be kept under observation for at least 24 hour as the risk of brady cardia (low heart rate) and arrhythmia are maximum in 24 hours of such overdose.If he refused, inform his parents and let them take him to ER. I understand that informing parents can lead to so much trouble for you guys as you will definitely get a good scolding but, if something happens to him, you will be guilty your whole life.So, no self-treatment should be attempted and he should be taken to ER for further evaluation and treatment.Share my opinion with your doctor there.If you have any further questions, please ask me.I hope it helps.Stay Healthy.
Comments / Follow Ups
Patient: He just stood up and his heart beat is beating at 100 bpm now I counted it. I am still trying to take him to the hospital but he keeps refusing. Will he be ok, even if he doesn’t go? He can talk and walk and move just says his eyes feel funny now that’s it
Doctor: You should take him to a hospital.
If not taken, he would be fine or not, it’s all his luck.
Patient: Ok thank you I’m going to call an ambulance and not tell him and make him go when they show up.
Doctor: Good Luck. I wish him a speedy recovery.