Evidence‑Based Interventions for Acute Amitraz Poisoning

Poison‑Control Consultation

• Contact the regional poison‑control center (e.g., 1‑800‑222‑1222 in the United States) for expert guidance, because amitraz poisoning is often misidentified as organophosphate poisoning and appropriate management depends on accurate diagnosis. 1

Cardiovascular Management

• Administer intravenous atropine (0.5–1.0 mg every 3–5 minutes, up to a total of 3 mg in adults; 0.02 mg/kg in children) to treat symptomatic bradycardia caused by vagal stimulation and atrioventricular block in patients with acute amitraz exposure. 1

Respiratory Management

• Begin with bag‑mask ventilation to maintain airway patency, and proceed to endotracheal intubation and mechanical ventilation when the patient cannot protect the airway or shows respiratory depression. 1