Acute Confusional State Caused by Tipepidine Hibenzate Intoxication in an Elderly: Caution About Suspended Solution
Bibliographic record
Abstract
Tipepidine hibenzate is a non-opioid, centrally acting cough suppressant. Although overdose can cause altered mental status and other neurological symptoms, there have been no reports of tipepidine intoxication in an adult. We report a case of an elderly woman who presented with an acute confusional state and choreiform movements of her lower extremities due to tipepidine hibenzate intoxication. Over-ingestion of a thick precipitate of suspended tipepidine syrup possibly caused the acute intoxication in this case. It is important to recognize that tipepidine can cause acute intoxication and central nervous system symptoms, and unintentional overdosage could occur when prescribing the suspended syrup of the drug. J Med Cases. 2013;4(12):773-774 doi: https://doi.org/10.4021/jmc1564w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".