A young man with erratic behavior and nystagmus after taking a pill requires treatment. What is the first-line therapy for his intoxication?

In cases of intoxication, particularly when a patient presents with symptoms such as erratic behavior and nystagmus, benzodiazepines are often the first-line treatment option. Benzodiazepines are effective in managing symptoms of agitation and can help to stabilize the patient by providing sedation and anxiolysis.

Nystagmus is a specific sign that can indicate the use of certain substances, such as hallucinogens or stimulants. Benzodiazepines work by enhancing the effect of the inhibitory neurotransmitter GABA, which can help suppress the hyperactivity of the central nervous system associated with drug intoxication.

Additionally, in emergency settings, maintaining the safety of the patient and those around them is paramount, and benzodiazepines are often the most suitable choice due to their fast-acting properties and ability to manage agitation and prevent potential emergencies caused by uncontrolled behavior. They also help to mitigate withdrawal symptoms in those who may have a history of substance use.

Other options, like neuroleptics, while they may be used in certain situations for psychotic symptoms or severe agitation, are not typically the first-line response for intoxication. Opioid antagonists are specific to opioid overdoses and would not address the symptoms associated with the mentioned intox