Clinical presentation of anticholinergic toxidrome

Anticholinergic toxidrome involves both:

• peripheral anticholinergic effects—dry skin, dry mouth, mydriasis, tachycardia, urinary retention, gastrointestinal ileus (reduced bowel sounds, abdominal distension), raised temperature (especially in children)
• CNS anticholinergic effects—confusion, hallucinations (mainly visual), repetitive gesturing such as picking movements, incoherent speech, agitation, aggression, delirium, sedation, occasionally seizures.