Tricyclic antidepressant toxicity treated with massive sodium bicarbonate
- PMID: 19931778
- DOI: 10.1016/j.ajem.2008.11.026
Tricyclic antidepressant toxicity treated with massive sodium bicarbonate
Abstract
Tricyclic antidepressant (TCA) morbitity is primarily due to cardiac arrhythmias and hypotension, which become more refractory to treatment as acidosis progresses (Ann Emerg Med. 1985;14:1-9; Clin Toxicol. 2007;45:203-233; Flomenbaum N, Goldfrank L, Hoffman R, et al. Goldfrank's toxicologic emergencies. 8th ed. McGraw-Hill Companies, Inc, 2006). Early recognition and aggressive treatment are necessary for patient survival.
Similar articles
-
[Sodium bicarbonate infusion for intoxication with tricyclic antidepressives: recommended inspite of lack of scientific evidence].Ned Tijdschr Geneeskd. 2001 Sep 1;145(35):1686-9. Ned Tijdschr Geneeskd. 2001. PMID: 11561485 Review. Dutch.
-
Targeted management strategies for cardiovascular toxicity from tricyclic antidepressant overdose: the pivotal role for alkalinization and sodium loading.Pediatr Emerg Care. 1998 Aug;14(4):293-8. Pediatr Emerg Care. 1998. PMID: 9733258 Review. No abstract available.
-
Brugada electrocardiographic pattern induced by amitriptyline overdose.Am J Ther. 2010 Sep-Oct;17(5):529-32. doi: 10.1097/MJT.0b013e3181afbf73. Am J Ther. 2010. PMID: 19636245
-
Bicarbonate therapy for dysrhythmia and hypotension in tricyclic antidepressant overdose.West J Med. 1981 Jan;134(1):60-4. West J Med. 1981. PMID: 6259839 Free PMC article. No abstract available.
-
QRS interval in tricyclic antidepressant overdose.J Clin Psychiatry. 1988 Nov;49(11):456-7. J Clin Psychiatry. 1988. PMID: 3182739 No abstract available.
Cited by
-
A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening.J Med Toxicol. 2016 Mar;12(1):121-9. doi: 10.1007/s13181-015-0483-y. J Med Toxicol. 2016. PMID: 26159649 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical