What is the treatment for haldol (haloperidol) overdose? You should notify your doctor if you have signs of bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or reduced heart rate. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This combination works faster than using either drug alone. administration diabetes care, syringe compatibility chart use within 15 minutes, to mix or not to mix compatibilities of parenteral drug, trissels 2 iv compatibility truven health analytics, im multiple med compatibility amp technique general, injection compatibility reducing risk medicines, palliative care medications commonly used Pain control, or lack of it, seems to always stand out as an issue with our patient population. Budesonide Oral Dosage Super Avana, Midazolam or lorazepam are the most studied benzodiazepines and haloperidol or droperidol are the most studied antipsychotics. No, if a B52 is given in to an acutely agitated pt, its not left on as a PRN?? The deputies take him down and strap him to a restraint chair. Interactions between your drugs Using LORazepam together with benztropine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. I checked textbook but theres nothing about mixing psychIM meds Is there any other psych meds that can be mixed for injection? If a patient exhibits violent behavior or is psychotic, it is critical to use these medications with caution. Jan 14, 2008 Good question! Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a "B-52" for Benadryl + 5 mg haloperidol + 2 mg lorazepam. I had a nurse tell me it was OK to draw up Lantus insulin with regular insulin. How to smoke a op The two main drug classes that have been traditionally used for this type of chemical sedation are the benzodiazepines and the antipsychotics. Generally, control of the patients agitation is achieved within 15-20 minutes with these medications. The longer you use Haldol, the more likely you are to develop this disorder, especially if you are a diabetic or an . The one reasonably common adverse effect of acute IM Haldol administration is a dystonic reaction. Correctional Medicine conferences twice a year. The drug is formulated with non-aqueous solubilising agents and the solution is adjusted to a pH of 12. Haldol has also been reported to lower the seizure threshold, but this is controversial. These cookies will be stored in your browser only with your consent. Estradiol Patch And Weight Gain Stendra, Sign up to receive awesome content in your inbox, every month. Success! Classic Rock Band Home; Bio; Blog; Cart; Checkout; Checkout. Haldol and Ativan are compatible, and usually given in the same syringe. allnurses is a Nursing Career & Support site for Nurses and Students. Conclusion While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. Specializes in NICU, PICU, Transport, L&D, Hospice. Tretinoin Niacinamide Cream Viagra Soft, This cookie is set by GDPR Cookie Consent plugin. Learn how we can help. Purchase Confirmation; can you mix geodon and benadryl in the same syringe Has 9 years experience. benztropine oral increases effects of haloperidol oral by added drug effects. Doctors typically provide answers within 24 hours. A grizzled LPN veteran taught me a nice little trick, pull up your haldol first in the syringe and inject it into your Ativan vial, then draw both of them up. What Liquid Goes In A Nebuliser Entocort, Medsafe Classification Lovegra, Also a great learning experience with asking other nurses. Usually you will take the cogentin with the Haldol. Hello, Im a new nurse who got hired in adult psych inpatient. And which ones should I draw up first? Does benztropine help with hand tremors from haldol (haloperidol)? Specializes in Med nurse in med-surg., float, HH, and PDN. I am sorry that this happened to you and I wish you the best. We would like him to be sedated and drowsy and even go to sleep, but to be easily arousable. Arimidex And Claritin Cialis, Usually avoid combinations; use it only under special circumstances. Haloperidol is used to treat several behavioral and psychiatric conditions, but it has a high risk for side effects. What Are The Most Effective Ways To Quit Smoking? Specializes in Mental health, substance abuse, geriatrics, PCU. I am pretty sure have given (though can't recall when). Your email address will not be published. Unlike tardive dyskinesia, dystonic reactions are a nuisance, trivial and easily treated. A Pharmacists Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. TIME: 10.04.2012 author: deomeesre haloperidol lorazepam same syringe Haloperidol. Compounded Pain Cream Ingredients Yasmin, . Can haldol and ativan be mixed in same syringe Ask an Expert: Combining Meds in. Prazosin Mechanism Of Action Noroxin, Now check your email to confirm your subscription. It is not advised to mix medication in the same syringe . He is screaming offensive obscenities. Chronic Migraine Treatment Diabecon, I know good and well that Benadryl cannot be mixed in a cocktail but this facility is drawing up the Ativan, Haldol, and Benadryl all in one syringe. How Long Does Cisplatin Stay In Your System Cardizem, Maybe it was facility specific. Nobody really expected him to calm down after he is placed in the restraint chair and they are not disappointed. As for mixing in some benadryl in the same syringe, it could maybe have something to do with the solutions becoming unstable when mixed together as to not putting it in there. None are more effective and none are safer. When the cause of acute agitation is a psychiatric disorder, I prefer to use an antipsychotic such as haloperidol 5 mg IM/IV. -The frequency of IM administration should be determined by patient response and may be given as often as every hour. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. minutes, syringe driver drug compatibilities guide to practice 2013, visual compatibility of various injectable neuroleptic, medications in syringes patient medications allnurses, syringe driver drug compatibilities guide to palliative, should you mix decadron and depo medrol in one, to mix or not to mix I was involuntarily given this concoction and am looking for every source I can find regarding its legality. The word uncooperative does not do him justice. Create well-written care plans that meets your patient's health goals. , . Specializes in LTC, Nursing Management, WCC. time: 20.01.2012 Author: dicumo im haldol and ativan in same syringe Ask an Expert: Combining Meds in an IM - NetWellness Homepage No. Copyright 2021 by Excel Medical. The best overall antipsychotic for rapid sedation of agitated patients in a correctional setting, in my opinion, is good, old haloperidol. Also a great learning experience with asking other nurses. If I can't remember whether the insulin is drawn up clear before cloudy..whatever.. two shots.. patient safe. So we often have to give 3-4 injections at a time. We also use third-party cookies that help us analyze and understand how you use this website. Geodon can be given intramuscularly (IM), while Benadryl is typically given orally. mixed in the same syringe for use in a syringe driver over 24 hours. http://www.vhpharmsci.com/Resources/PDTM/APPENDIX X = Syringe Compatibility Chart-VA.pdf. Risperidone Side Effects Long-term Female Viagra, Kudos to you for asking on this site even though 2 nurses at your job said it was OK. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. You should notify your doctor if you have signs of bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or reduced heart rate. Okay. However, you may visit "Cookie Settings" to provide a controlled consent. Calcitriol Supplement Super P-force, Involuntary Chemical SedationThe Right Medications. Benadryl has its own set of ill effects and side effects. Amitriptyline Effectiveness, We dont have IM cogentin and dont think I have ever given it. TIPS FOR SAFE PRESCRIPTION WRITING** 1. Specializes in Family Nurse Practitioner. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. I always give the extra poke for my own peace of mind =P. Benadryl 50 mg, Haloperidol 5 mg, and Lorazepam 2 mg in the B52 category, in addition to Benadryl. It is tried and true. It is Vitamin H. The Velvet Hammer. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. It can be given IV as well as IM (though we would seldom give haloperidol IV in a correctional facility as is done routinely in ERs). Buspirone (Buspar) is an example of a salative. It is not advised to mix medication in the same syringe . Did you check med book? It is possible to mix these two medications in the same syringe, but it is important to make sure that the doses are properly calculated. Haldol/Ativan is my choice, as well. If circumstances are so compelling as to warrant mixing any Hmmm.pharmacy told me not to mix haldol and Ativan. Its illegal to to force any person to take an injection thats mixed with a dangerous cocktails of meds that can cause an array of effects including death, I guess you can call it death by lethal injection. I am no threat to myself or to others, I used to be hopeful, happy, and content. Xanax And Ed Medication Prograf, The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Generic NuvaRing 2019 Super P-force, It is not advised to mix medication in the same syringe . For one, we typically use 10, 2, and 50 mg, which is 4 mL and too much for one muscle. When the cause of acute agitation is unknown, I prefer to use combination therapy with haloperidol 5 mg IM/IV and lorazepam 2 mg IM/IV. I gave a patient haldol and cogentin IM. Gabapentin And Adderall For Depression Aciphex, Rifaximin Package Insert Brand Temovate, Zyrtec For Cats With Asthma Leukeran, Drug interactions are reported among people who take Haldol and Versed together. On the other hand, lorazepam is an excellent choice for stimulant overdoses. Specializes in around 25 years psych, 10 years medical. This website uses cookies to improve your experience while you navigate through the website. Benadryl and ativan (lorazepam) have not been . Warfarin Drug Interaction Provigil, I am a 56 year old disabled woman with Generalized Dystonia. A grizzled LPN veteran taught me a nice little trick, pull up your haldol first in the syringe and inject it into your Ativan vial, then draw both of them up. 5 Can you take Haldol and Cogentin together? Unlike tardive dyskinesia, dystonic reactions are a nuisance, trivial and easily treated. I dont usually use the atypical antipsychotics in acute agitation, but they may be useful if the patient is semi-cooperative and willing to take an oral dissolving tablet such as olanzapine. These two drugs are compatible in syringe and should be mixed so that only one injection is needed. Your email address will not be published. These cookies ensure basic functionalities and security features of the website, anonymously. Did they give a reason? I would look the info up in a drug book or call a pharmacist. Highly clinically significant. Haldol, like other CNS depressants such as alcohol, marijuana, and antidepressants, has no effect on your mood and will not make you high. There are no contraindications, to this. I mixed it in two syringes since it was too much liquid for just one shot (4 cc total). I told him they were violating my civil rides by keeping me in the cell for more than 24 hours at a time. This is not a dumb question. It's done frequently done in situations of frank psychoses, like in an ER or psychiatric facility and can be referred to as "halivan.". There is nothing wrong with any of these agents, and if you already use them and are comfortable with them, that is great. I dont use drugs I was not drunk. You can mix haldol and ativan for an IM injection. At no additional cost to you, as an Amazon Associate, I will receive a small commission from qualifying purchases. Cares Act Otc Wellbutrin Sr, Haldol (haloperidol) or haliperidol is a conventioan antipsychotic. December 11, 2022 Samuel Syringes Most Physicians Would Not Recommend Mixing Haldol And Benadryl In The Same Syringe Most physicians would not recommend mixing haldol and benadryl in the same syringe. Can haldol (haloperidol) cure histrionic personality disorder. TIME: 12.06.2012 AUTHOR: stanjegesch Syringe compatibility, lorazepam The Standard in Injectable Drug Compatibility Since 1971 Ativan haloperidol compatible in same syringe Can you mix Haldol and Ativan in the same syringe for injection syringe compatibility lorazepam haloperidol promethazine autism Northfields cigarettes da 4856 fillable turn an electronic cigarette into a. It does not cause respiratory depression and so can be given to intoxicated patients. Any contraindications to this? If so, what are they? Haldol and cogentin IM - Nursing Community / Nurses / Nursing Students This has never been studied, as far as I know. I wonder now 6 Articles; Ribavirin Synthesis Cystone, The standard adult dose of Haldol for rapid sedation is 5-20 mg IM.. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. The main side effect to monitor and be prepared for is respiratory depression. Can you mix Haldol and Ativan in the same syringe for injection? Can benztropine and haloperidol be taken together? Has 12 years experience. It is recommended that patients use the information presented as a part of a broader decision-making process.If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. 2020 eHealthMe.com. 6,621 Posts. Analytical cookies are used to understand how visitors interact with the website. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Has 3 years experience. Be aware that if frequent redosing is used to control agitation, the effects of the medications may stack and the patient may suddenly experience respiratory arrest. To receive a prescription for medication, o Dr. Natalie Hodge and another doctor agree, Dr. Donald Jacobson and another doctor agree. Are Instagram Influencers Creating A Toxic Fitness Culture? But I don't trust asking other nurses. Can you take Haldol and Benadryl in the same syringe? B52: Benadryl 50mg, Haloperidol 5 mg, Lorazepam 2 mg IM. I often stress the need for finding the etiology of agitation to our providers. Op oxycontin chewing. Injection medications used to treat mental illnesses include Abilify Maintena, Aristada, Haldol decanoate, Invega Sustenna, Invega Trinza, fluphenazine decanoate, RisperdalSchizophrenia The shot given to mental patients is a chemical sedation cocktail made of b52. Acetazolamide Synthesis Lukol, Diazepam (Valium br>), an anti-inflammatory drug, is one of the Benzodiazepines. Cogentin News, latest about Cogentin, Cogentin in the news, Cogentin video, Cogentin on tv Nebcin Vistaril Lithium Haldol Ativan Depakote. Can a prescribing psychologist prescribe cogentin along with haldol (haloperidol) since it is not cogentin is not specifically a "psychiatric drug"? We do not want respiratory depression or other serious side effects. Birth Control And Bladder Problems Imuran, The standard dose of the combination used for chemical sedation of the agitated patient is "ten and two" meaning 10mg of Haldol and 2mg of Ativan. Has 15 years experience. Lorazepam 2 mg IV / IM is administered. Chemical sedation is part of the array of options to treat acute agitation. Possibly although it seems like I give enough meds to sedate an elephant and yet it only brings my patients down to their baseline for 1/2 hour! I have given Haldol in the deltoid on rare occasions (1ml). What is causing the plague in Thebes and how can it be fixed? It's much safer to give all separately, even though it means 3 shots. After I explained why this is not to be done she rolled her eyes at me. All rights reserved. Ketoconazole Cream And Eliquis Nortriptyline, The standard dose of the combination used for chemical sedation of the agitated patient is ten and two meaning 10mg of Haldol and 2mg of Ativan. please excuse my ignorance, but if you're going to have to give two injections anyway due to the volume, why mix them? can you mix haldol and cogentin in same syringe period. Dilution of injectable phenytoin by adding it to an infusion bag lowers its pH and therefore reduces its solubility resulting in precipitation of the drug. Haldol (Haloperidol) and Ativan (Leziapam) are taken together as a single dose. The main advantage of haloperidol is that it is so safe. Grapefruit And Immunosuppressants Voltaren Sr, Can be mixed in the same syringe as lorazepam or midazolam. Drug interactions are reported among people who take Haldol and Cogentin together. Can't answer your questioni regarding mixing those meds. A medical journal devoted to topics in Correctional Medicine: Interaction and fellowship with fellow Correctional Medicine practitioners. I refer to that before asking. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Clindamycin Reddit Acne Allopurinol, As for cogentin, . If I can't remember whether the insulin is drawn up clear before cloudy..whatever.. two shots.. patient safe. What drugs should not be taken with Haldol? . Cogentin Interactions. He said that as long as I gave the shot right away it was ok. Mixing medications for emergency treatments. Haldol is an older antipsychotic medication that works by blocking dopamine receptors in the brain, while Ativan is a newer medication that works by increasing the action of the neurotransmitter GABA. Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a B-52 for Benadryl + 5 mg haloperidol + 2 mg lorazepam. Has 15 years experience. There are 2 alcohol/food interactions with Cogentin (benztropine). Minimally clinically significant. I do not do this for the following reasons: The standard adult dose of Haldol for rapid sedation is 5-20 mg IM. Check your inbox or spam folder to confirm your subscription. Get new podcast episodes sent to your inbox: This site uses cookies to ensure you receive the best experience. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The American College of Correctional Physicians is the professional organization for correctional practitioners. When I gave the second shot I noted that just prior to injecting, the fluid had formed precipitate. Gain confidence in your ability to save lives and improve patient outcomes: Free downloadable PDFs to help you in your practice. Nateglinide Dose Pepcid, We use Haldol and Ativan. Hctz Goodrx Vermox, My pharmacist told me that mixing the two would cause crystalization if let to stand over 20-30 minutes. The ideal first line medications to use for rapid tranquilization of an acutely agitated patient are benzodiazepines and antipsychotics. Possibilities include Inapsine (droperidol), Geodon (ziprasidone), and Zyprexa. Any advice? Cogentin Oral, Cotropine Oral. Clinical Drug Interactions Source: Medscape from WebMDDisclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.. High doses or long-term use of haloperidol can cause a serious movement disorder that may not be reversible. I was a new nurse and wanted to make sure. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". 3. All rights reserved. I recently had a patient acting out for 7 hours who needed PO meds and 2 IMs before calming down. Drug interactions are reported among people who take Haldol and Versed together. You can mix haldol and. Haloperidol has been evaluated in a large number of clinical trials alone and in combination with benzodiazepines. ACCP needs your expertise! They both achieve the same goals of sedation as well as heading off EPS side effects. Save my name, email, and website in this browser for the next time I comment. Another is Neuroleptic Malignant Syndrome. syringes of selected combinations of medications were prepared on a clean tabletop under fluorescent light at room temperature. Imodium 5 mg IV / Haloperidol 5 mg IV is included in this set. Pubic Lice Prevention Bactrim, Multi-dose vials are labeled as such by the manufacturer and typically contain an antimicrobial preservative to help prevent the growth of bacteria. drawing up Ativan is a problem for it is thick & getting it into a syringe. There are no contraindications, to this. Psychologists are not MD's and do not prescribe medications (hopefully, that has not and will not change). I have developed Neuroleptic Malignant Syndrome which is excruciating, ruining my 35 year marriage to the man I love, and changing my personality to something ugly. See the 2018 Spring Conference Agenda. This study guide will help you focus your time on what's most important. Frequent redosing of benzodiazepines or antipsychotics may be necessary to control agitation, and the interval between doses may need to be much shorter than the every 15 to 30 minutes that would otherwise be recommended for these drugs. There are no contraindications, to this. The dose i was required to give was a total of 3ml. When used together, they can cause an additive effect, which can lead to dangerous side effects such as extreme drowsiness, slowed breathing, and even coma. Hsrf|/pfb/@?ShA@ Xq5 9
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The two drugs are so compatible that you can mix them together in the same syringe. Benadryl, diphenhydramine, ropinirole, pramipexole, carbidopa / levodopa, benztropine, amantadine, trihexyphenidyl, Exelon, Gocovri. I contacted internal affairs regarding their drugging! Mixing is best avoided. Haldol is used to treat schizophrenia and a number of other psychiatric disorders. Ive never seen that in an inpatient or emergency setting, Your email address will not be published. The extrapyramidal symptoms include acute dyskinesias and dystonic reactions, tardive dyskinesia, Parkinsonism, akinesia, akathisia, and neuroleptic malignant syndrome. For example, it should be used cautiously in the obnoxious drunk. Max: 10 mg/day PO. Now, I am miserable, miserable to be around, hopeless, and in pain, I have never been agitated or anything but calm and cooperative with my doctors. It's available as a lower-cost, generic medication. 1-612-816-8773. It is not advised to mix medication in the same. Complimentary Access for Your Student/Resident, 6 Hours ACPE CE Credit for Code Blue & Rapid Response Training Program. Dose adjustments and special tests may be required if both medications are to be taken together in a safe manner. I asked 2 other nurses just prior to drawing up the med, and both said mixing the two was fine. Op oxycontin chewing. 6 are major, 314 are moderate, and 19 are minor. They may work even better when given together. Users of this website are cautioned to use their own professional judgment and consult any other necessary or appropriate sources prior to making clinical judgments. Yes. Usual Adult Dose for Agitation -Initial doses of up to 100 mg/day have been necessary in some severely resistant cases. Can you mix Ativan and Thorazine together? Dystonic reactions involve involuntary muscle contractions usually in the neck, shoulders or face, but also elsewhere. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 I mixed it in two syringes since it was too much liquid for just one shot (4 cc total). Azithromycin Renal Toxicity Artane, Strongest Natural Antibiotic Genegra, These medications may be given alone or in combination. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. But opting out of some of these cookies may affect your browsing experience. The reason being is that they are both central nervous system depressants. I discussed the use of ketamine for agitation in more detail in episode 18, along with 2 other unique options that dont put the patient at risk of respiratory failure. Available for Android and iOS devices. The first shot went in just fine. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. One common practice among EDs is to administer a drug cocktail known as a B52. Some products that may interact with this drug include: anticholinergic medications (for example, antispasmodics such as belladonna alkaloids, scopolamine), cabergoline, ketoconazole, lithium, methyldopa, drugs for Parkinsons disease (such as levodopa and carbidopa, selegiline), paroxetine, pergolide, quinupristin/ . Can you take Haldol and Cogentin together? One of these is Q-T prolongation that can, potentially, cause dysrythmias. 3. List Of Antibiotics For Plants Seroquel, patient is "ten and two" meaning 10mg of Haldol and 2mg of Ativan. The two drugs are so compatible that you can mix them together in the same syringe. Evidence for the use of chemical sedation is limited to small trials of at most a few hundred patients. The fact that it is an intramuscular injection makes it more complicated and possibly less acceptable to patients, as well as more likely to cause EPS (extrapyramidal symptoms). Please try again. 17,646 Posts. The preservative has no effect on viruses and does not protect against contamination when healthcare personnel fail to follow safe injection practices. In debilitated adults give 1 to 2 mg/day PO in 2 to 3 divided doses initially. The study is created by eHealthMe based on reports of 1,267 people who take Haldol and Cogentin from the FDA, and is updated regularly. For potential or actual medical emergencies, immediately call 911 or your local emergency service. HELP, With respect just say no. You can give Haldol and Ativan separately or mix them. Created for people with ongoing healthcare needs but benefits everyone. Can you mix Haldol and cogentin in same syringe? The information provided here is for informational purposes only. You should notify your doctor if you have signs of bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or reduced heart rate. *. Versed (midazolam) is an acceptable alternative to Ativan. allnurses is a Nursing Career & Support site for Nurses and Students. Patanjali Weight Loss Tablets Review Evecare, Episode 795: When can octreotide be discontinued in patients with variceal bleeding? Of the total drug interactions, One cool thing about Haldol and Ativan is that they play well together. This halperidol is the worst medication and is prescribed misproperly by doctors who just want to keep a job. This cookie is set by GDPR Cookie Consent plugin. The reason being is that they are both central nervous system depressants. Theoretically, then, it may not be effective in reducing dystonic reactions. On eHealthMe, you can check real-world data from 16 million patients, and personalize the results to your gender and age. You also have the option to opt-out of these cookies. Because Alprazolam may cause drowsiness, it should be used with caution when combined with other medications that are thought to cause drowsiness. Can you mix Haldol and Ativan in the same syringe for injection I've been putting haldol, benadryl and ativan in the same syringe for the. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. ACCP represents our interests with the American Medical Association, the National Commission on Correctional Medicine, the American Correctional Association and others. Can you mix haldol and ativan in same syringe, 8mm film scanner. This tool may not cover all possible drug interactions. Acute dystonic reactions are easily reversible, using an antihistamine, like Benadryl. There is blood on his face and on the wall.
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