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Case Reports
. 2009 Nov;27(9):1168.e3-7.
doi: 10.1016/j.ajem.2008.11.026.

Tricyclic antidepressant toxicity treated with massive sodium bicarbonate

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Case Reports

Tricyclic antidepressant toxicity treated with massive sodium bicarbonate

Jessica E Pierog et al. Am J Emerg Med. 2009 Nov.

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.

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