Background: Dramatic modulation of the population behavior has evolved from uncontrolled fear of Covid-19 and led to increased numbers and changed patterns of poisoning cases. Aim of the work: the present study objected at assessing the incidence and pattern of toxicities referred to the Poison Control Center -Ain Shams University Hospital (PCC-ASUH) during 2020, related to the covid-19 pandemic period and drugs used in its treatment protocols, in comparison to the same toxicities in 2019.Patients and methods:Toxicology cases enrolled in the study were recruited to the Poison Control Center -AinShams University Hospital (PCC-ASUH) from 1st ofJanuary 2020 till 31st ofDecember 2020 to cases from the same period in 2019.All records of the described two years were examined and analyzed. Data concerning the number and the type of poisoning were obtained. Results: The total studied poisoning cases in the two years were 18416.Of them, 12475 cases were in 2019, and 5941 cases were in 2020. The distribution of patients according to different poisoning causes was significantly different between the two years (p=0.00). Drugs used in Covid-19 treatment were the predominant cause of poisoning.No significant difference was depicted between the two years in the percentage of CNS drugs poisoning (p>0.05). The remaining poisoning causes were significantly different in the two years (p < 0.05).The total poisoning-related death was significantly higher in the year 2020 than in the year 2019(p < 0.001). Conclusion:In the current study, an alteration in the frequency and pattern of the poisoning cases during the Covid-19 pandemic was evident. Most cases in the two studied years were Covid-19 treatment poisoning, increasing disinfectants, and paracetamol toxicities during the pandemic. Despite decreased frequency in 2020, the death rate increased by abouta cases number. The educational strategy should be adopted to eliminate Covid-19 related behaviors thataffect population health.