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Tricyclic Antidepressant Drug in Toxication

Year 2024, Volume: 6 Issue: 2, 19 - 21, 31.08.2024
https://doi.org/10.51262/ejtox.1531689

Abstract

Tricyclic antidepressant (TCA) poisoning is one of the conditions that can lead to serious clinical consequences and require urgent medical attention. The clinical presentation of TCA toxicity can range from severe cardiotoxicity to mild antimuscarinic symptoms and signs. The most severe toxicity is to the cardiovascular, central nervous and peripheral nervous system. Sodium bicarbonate therapy is highly effective in treating arrhythmias and improving metabolic acidosis, although there is no known antidote for treatment. This review aims to present current in formation about the pathophysiology, clinical findings, diagnostic and therapeutic methods and prognosis of TCA poisoning.

References

  • Gareri P, De Fazio P, De Fazio S, Marigliano N, Ferreri Ibbadu G, De Sarro G. Adverse effects of atypical antipsychotics in the elderly: a review. Drugs Aging. 2006;23:937-56.
  • Avau B, Borra V, Vanhove AC, Vandekerckhove P, De Paepe P, De Buck E. First aid interventions by laypeople for acute oral poisoning. Cochrane Database Syst Rev. 2018 Dec 19;12(12):CD013230.
  • https://www.uptodate.com/contents/tricyclic-antidepressantpoisoning? search=epidemiology%20of%20tricyclic%20 antidepressant%20poisoning.
  • İçme F. Kalp etkilenmesine sebep olan antikolinerjik ilaç zehirlenmelerinde sodyum bikarbonat tedavisinin etkinliğinin karşılaştırılması (Tıpta uzmanlık tezi). Adana, Çukurova Üniversitesi. 2006.
  • https://www.uptodate.com/contents/tricyclic-antidepressantpoisoning.
  • Liebelt, EL. Cyclic antidepressants. In Goldfrank’s Toxicology Emergencies. 8th ed. (Eds NE Flomenbaum, LR Goldfrank, RS Hoffman, MA Howland, NA Lewin, LS Nelson):1083-98. New York, McGraw-Hill, 2006.
  • Benowitz, NL. Antidepressants, Tricyclic. Poisoning and drug overdose. 5th ed: USA, McGraw-Hill Inc, 2007;91-3.
  • Muhammad M. Khalid; Muhammad Waseem. Tricyclic Antidepressant Toxicity. StatPearls Publishing; 2024.
  • Chan C.Y., Waring W.S. Images in cardiovascular medicine: tricyclic cardiotoxicity treated with sodium bicarbonate. Circulation. 2007;115(5):e63–64.
  • Thanacoody H.K., Thomas S.H. Tricyclic antidepressant poisoning: cardiovascular toxicity. Toxicol. Rev. 2005;24(3):205–14.
  • ECG, lifeinthefastlane.com – ECG library
  • Kalkan Ş. Antidepresanlarla zehirlenme. Türk Farmakoloji Derneği, 20. Ulusal Farmakoloji Kongresi, 3. Klinik Toksikoloji Sempozyumu, 4.Klinik Farmakoloji Sempozyumu Kongre Programı ve Bildiri Özet Kitabı. Antalya. 2009:28-35
  • Kerr G.W., McGuffie A.C., Wilkie S. Tricyclic antidepressant overdose: a review. Emerg. Med. J.: EMJ. 2001;18(4):236–41.
  • Zapalska-Pozarowska K., Szponar J., Tchorz M., Kostek H., Pozarowski W. [Severe tricyclic antidepressants poisoning?a case study] Przegl. Lek. 2012;69(8):621–3.
  • Aslan Ş, Emet M, Çakır Z, Aköz A, Gür STA. Suicide attempts with amitriptyline in adults: A prospective, demographic, clinical study. Turk J Med Sci. 2011;41:243-9.
  • Boehnert M.T., Lovejoy F.H., Jr. Value of the QRS duration versus the serum drug level in predicting seizures and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. N. Engl. J. Med. 1985;313(8):474–79.
  • Cao D, Heard K, Foran M, Koyfman A. Intravenous lipid emulsion in the emergency department: a systematic review of recent literature. J Emerg Med. 2015 Mar;48(3):387-97.
  • Güloglu C, Orak M, Ustündag M, Altunci YA. Analysis of amitriptyline overdose in emergency medicine. Emerg Med J. 2011 Apr;28(4):296-9.
Year 2024, Volume: 6 Issue: 2, 19 - 21, 31.08.2024
https://doi.org/10.51262/ejtox.1531689

Abstract

References

  • Gareri P, De Fazio P, De Fazio S, Marigliano N, Ferreri Ibbadu G, De Sarro G. Adverse effects of atypical antipsychotics in the elderly: a review. Drugs Aging. 2006;23:937-56.
  • Avau B, Borra V, Vanhove AC, Vandekerckhove P, De Paepe P, De Buck E. First aid interventions by laypeople for acute oral poisoning. Cochrane Database Syst Rev. 2018 Dec 19;12(12):CD013230.
  • https://www.uptodate.com/contents/tricyclic-antidepressantpoisoning? search=epidemiology%20of%20tricyclic%20 antidepressant%20poisoning.
  • İçme F. Kalp etkilenmesine sebep olan antikolinerjik ilaç zehirlenmelerinde sodyum bikarbonat tedavisinin etkinliğinin karşılaştırılması (Tıpta uzmanlık tezi). Adana, Çukurova Üniversitesi. 2006.
  • https://www.uptodate.com/contents/tricyclic-antidepressantpoisoning.
  • Liebelt, EL. Cyclic antidepressants. In Goldfrank’s Toxicology Emergencies. 8th ed. (Eds NE Flomenbaum, LR Goldfrank, RS Hoffman, MA Howland, NA Lewin, LS Nelson):1083-98. New York, McGraw-Hill, 2006.
  • Benowitz, NL. Antidepressants, Tricyclic. Poisoning and drug overdose. 5th ed: USA, McGraw-Hill Inc, 2007;91-3.
  • Muhammad M. Khalid; Muhammad Waseem. Tricyclic Antidepressant Toxicity. StatPearls Publishing; 2024.
  • Chan C.Y., Waring W.S. Images in cardiovascular medicine: tricyclic cardiotoxicity treated with sodium bicarbonate. Circulation. 2007;115(5):e63–64.
  • Thanacoody H.K., Thomas S.H. Tricyclic antidepressant poisoning: cardiovascular toxicity. Toxicol. Rev. 2005;24(3):205–14.
  • ECG, lifeinthefastlane.com – ECG library
  • Kalkan Ş. Antidepresanlarla zehirlenme. Türk Farmakoloji Derneği, 20. Ulusal Farmakoloji Kongresi, 3. Klinik Toksikoloji Sempozyumu, 4.Klinik Farmakoloji Sempozyumu Kongre Programı ve Bildiri Özet Kitabı. Antalya. 2009:28-35
  • Kerr G.W., McGuffie A.C., Wilkie S. Tricyclic antidepressant overdose: a review. Emerg. Med. J.: EMJ. 2001;18(4):236–41.
  • Zapalska-Pozarowska K., Szponar J., Tchorz M., Kostek H., Pozarowski W. [Severe tricyclic antidepressants poisoning?a case study] Przegl. Lek. 2012;69(8):621–3.
  • Aslan Ş, Emet M, Çakır Z, Aköz A, Gür STA. Suicide attempts with amitriptyline in adults: A prospective, demographic, clinical study. Turk J Med Sci. 2011;41:243-9.
  • Boehnert M.T., Lovejoy F.H., Jr. Value of the QRS duration versus the serum drug level in predicting seizures and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. N. Engl. J. Med. 1985;313(8):474–79.
  • Cao D, Heard K, Foran M, Koyfman A. Intravenous lipid emulsion in the emergency department: a systematic review of recent literature. J Emerg Med. 2015 Mar;48(3):387-97.
  • Güloglu C, Orak M, Ustündag M, Altunci YA. Analysis of amitriptyline overdose in emergency medicine. Emerg Med J. 2011 Apr;28(4):296-9.
There are 18 citations in total.

Details

Primary Language English
Subjects Toxicology
Journal Section Review Articles
Authors

Sümeyye Tuğba Sarkı Cander 0000-0002-4161-5381

Publication Date August 31, 2024
Submission Date August 11, 2024
Acceptance Date August 19, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Sarkı Cander, S. T. (2024). Tricyclic Antidepressant Drug in Toxication. Eurasian Journal of Toxicology, 6(2), 19-21. https://doi.org/10.51262/ejtox.1531689
AMA Sarkı Cander ST. Tricyclic Antidepressant Drug in Toxication. Eurasian J Tox. August 2024;6(2):19-21. doi:10.51262/ejtox.1531689
Chicago Sarkı Cander, Sümeyye Tuğba. “Tricyclic Antidepressant Drug in Toxication”. Eurasian Journal of Toxicology 6, no. 2 (August 2024): 19-21. https://doi.org/10.51262/ejtox.1531689.
EndNote Sarkı Cander ST (August 1, 2024) Tricyclic Antidepressant Drug in Toxication. Eurasian Journal of Toxicology 6 2 19–21.
IEEE S. T. Sarkı Cander, “Tricyclic Antidepressant Drug in Toxication”, Eurasian J Tox, vol. 6, no. 2, pp. 19–21, 2024, doi: 10.51262/ejtox.1531689.
ISNAD Sarkı Cander, Sümeyye Tuğba. “Tricyclic Antidepressant Drug in Toxication”. Eurasian Journal of Toxicology 6/2 (August 2024), 19-21. https://doi.org/10.51262/ejtox.1531689.
JAMA Sarkı Cander ST. Tricyclic Antidepressant Drug in Toxication. Eurasian J Tox. 2024;6:19–21.
MLA Sarkı Cander, Sümeyye Tuğba. “Tricyclic Antidepressant Drug in Toxication”. Eurasian Journal of Toxicology, vol. 6, no. 2, 2024, pp. 19-21, doi:10.51262/ejtox.1531689.
Vancouver Sarkı Cander ST. Tricyclic Antidepressant Drug in Toxication. Eurasian J Tox. 2024;6(2):19-21.

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