We report here the case of a child with a known muscular abnormality and susceptibility to malignant hyperthermia who abruptly died after receiving a therapeutic dose of ondansetron. Also, we discuss the pharmacodynamic relationship of ondansetron to malignant hyperthermia in a susceptible host.

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The Royal College of Psychiatrists (1986) recommends that psychotherapy be part of training in general psychiatry. The College suggests weekly specialist supervision with two individual patients for at least one year.

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