Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.

Introduction: Tricyclic antidepressant overdoses are a common presenting problem to emergency centres in South Africa. Case history: A 20-year-old female was brought to the emergency centre in status epilepticus due to tricyclic antidepressant toxicity. Discussion: Toxicity was manifested as severe...

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Main Authors: J. Hellig, I. Von Watzdorf, S. Lahri, K. Vallabh, R.L. Allgaier
Format: Article
Language:English
Published: Elsevier 2012-12-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X12000651
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author J. Hellig
I. Von Watzdorf
S. Lahri
K. Vallabh
R.L. Allgaier
author_facet J. Hellig
I. Von Watzdorf
S. Lahri
K. Vallabh
R.L. Allgaier
author_sort J. Hellig
collection DOAJ
description Introduction: Tricyclic antidepressant overdoses are a common presenting problem to emergency centres in South Africa. Case history: A 20-year-old female was brought to the emergency centre in status epilepticus due to tricyclic antidepressant toxicity. Discussion: Toxicity was manifested as severe haemodynamic instability that did not respond to standard therapy, and was subsequently treated with intravenous fat emulsion (ILE) therapy. The patient recovered with a survival to hospital discharge, neurologically intact.
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spelling doaj.art-2587bc510f4d477bb50145352cb8fdcd2022-12-22T03:58:30ZengElsevierAfrican Journal of Emergency Medicine2211-419X2012-12-012415916210.1016/j.afjem.2012.06.001Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.J. Hellig0I. Von Watzdorf1S. Lahri2K. Vallabh3R.L. Allgaier4Department of Emergency Medicine, GF Jooste Hospital, Manenberg, Cape Town, South AfricaDivision of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaDivision of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaDivision of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaDivision of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaIntroduction: Tricyclic antidepressant overdoses are a common presenting problem to emergency centres in South Africa. Case history: A 20-year-old female was brought to the emergency centre in status epilepticus due to tricyclic antidepressant toxicity. Discussion: Toxicity was manifested as severe haemodynamic instability that did not respond to standard therapy, and was subsequently treated with intravenous fat emulsion (ILE) therapy. The patient recovered with a survival to hospital discharge, neurologically intact.http://www.sciencedirect.com/science/article/pii/S2211419X12000651Tricyclic antidepressantsAmitriptyline overdoseIntravenous fat emulsionAntidote
spellingShingle J. Hellig
I. Von Watzdorf
S. Lahri
K. Vallabh
R.L. Allgaier
Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
African Journal of Emergency Medicine
Tricyclic antidepressants
Amitriptyline overdose
Intravenous fat emulsion
Antidote
title Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
title_full Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
title_fullStr Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
title_full_unstemmed Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
title_short Chewing the fat: A case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose.
title_sort chewing the fat a case report on intravenous lipid emulsion to reverse cardiotoxicity from intentional amitriptyline overdose
topic Tricyclic antidepressants
Amitriptyline overdose
Intravenous fat emulsion
Antidote
url http://www.sciencedirect.com/science/article/pii/S2211419X12000651
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