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Amitraz is commonly used in agricultural industries throughout the world as a farm‐animal insecticide. Despite its widespread use, amitraz intoxication is extremely rare and mainly occurs through accidental ingestion by young children. Severe, life‐threatening amitraz intoxication in adults is very rarely recognized and reported. Described herein is a previously healthy 54‐year‐old patient who accidentally ingested a mouthful of liquid amitraz concentrate, and rapidly developed life‐threatening clonidine‐like overdose syndrome, manifested as nausea, vomiting, hypotension, bradycardia, bradypnoea, and deep coma. Supportive treatment, including mechanical ventilation, and atropine administration resulted in full recovery within 48 hr. Very few cases of near‐fatal amitraz poisoning in adults have been described in the medical literature, leading to low awareness of physicians in general practice to the potential …