(See "General approach to drug poisoning in adults".) A summary table to facilitate emergency management of anticholinergic overdose is provided . ANTICHOLINERGIC MEDICATIONS AND POISONS. Over 600 compounds have anticholinergic…
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The antidotefor anticholinergic toxicity is physostigmine salicylate. Physostigmine is the only reversible acetylcholinesterase inhibitor capable of directly antagonizing the CNS manifestations of...
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Physostigmine has long been recognized as an antidote to reverse antimuscarinic delirium. However, its effectiveness, safety profile, and dosing have been disputed in recent years. But does this medication deserve…
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Summary: In the proper clinical situation such as pure anticholinergic overdose with severe symptoms, physostigmine can be beneficial. The potential for side effects is not insignificant, and the antidote should…
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Abstract. Physostigmine has been proposed as an antidotefor gamma hydroxybutyrate (GHB) intoxication, based on associated awakenings in 1) patients anesthetized with GHB and 2) five of six patients administered…
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Anticholinergic toxicity is common in the emergency department but rarely fatal.[1] According to the 2015 annual American Association of Poison Control Centers (AAPCC) report, there were just under 14,000 exposures…
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Overdose of drugs that cause anticholinergic syndrome: 2 mg, IM or slow IV, at no more than 1 mg/minute. May repeat dose if life threatening signs (e.g. arrhythmia, convulsions, coma)…
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Use of a physostigmine continuous infusion for the treatment of severe and recurrent antimuscarinic toxicity in a mixed drugoverdose. Physostigmine administered as a continuous infusion may be a reasonable…
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Abstract. Most poisonings with anticholinergics deal with simple cases without diagnostic or therapeutic difficulties; however, in difficult or unclarified cases a new method for diagnosis and treatment is the antidote…
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Since physostigmine has been reported to reverse the respiratory depression and somnolence due to opiates, the drug was tried for the treatment of baclofen overdose. In three cases, intravenous physostigmine…
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Most antidotes are not 100% effective, and fatalities may still occur even when an antidote has been given. Some examples of antidotes include: Acetylcysteine for acetaminophen poisoning. Activated charcoal for…
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Physostigmine is a highly toxic parasympathomimetic alkaloid, specifically, a reversible cholinesterase inhibitor. It occurs naturally in the Calabar bean and the fruit of the Manchineel tree.