It is a popular misconception that every poison has an antidote fopr treatment, However, this is often not the case. The routine symptomatic medical management remain the mainstream for most poisons, especially if the poisons has not been identified. If the poison is ingested up to two hours, gastric demontamination ( Induced emesis, gastric lavage or aspiration or administration of activated charcoal) may be carried out to prevent further absorption of poison.
Opiate(including morphine, methadone) Toxicity:
Naloxone , an short acting opiate antagonist, whoich can antagonise the effect of opiate, including the respratory depression and its euphoriant effects. It must be given a sufficiently large initial dose (800 ug to 1200ug) and because of its short duration of action, doese must be repeated frequently or given by infusion. In faxct it is empolyed as a diagnostic tool of opiate poisoning.
Benzodiazepine:
.
Poison------------------------------------------------------------------------------------------Antidotes
Acetominophen
NAC(N-acetylcysteine)
Anticholinergics
Physostigmine
Anticoagulants (warfarin/coumadin,heparin)
Vitamin K1, protamine.
Benzodiazepines
Supportive Care, &
Flumazenil*
Botulism
Botulinum Antitoxin
Beta Blockers
Glucagon
Calcium Channel Blockers
Calcium, ?Glucagon?
Cholinergics
/organophosphate insecticides/some nerve gases
Atropine, &
Pralodixime in
Organophosphate
Overdose
Carbon Monoxide
Oxygen, Hyperbaric
Oxygen
Cyanide
Amyl Nitrate,
Sodium Nitrate,
Sodium Thiosulfate,
Hydroxycobalamin
(Available in Europe).
Digoxin
Digoxin Fab
Antibodies
Iron
Deferoxamine
Isoniazid
Pyridoxine
Lead
BAL, EDTA, DMSA
Methemoglobinemia
Methelene Blue
Opiods
Naloxone
Toxic Alcohols
Ethanol Drip,
Dialysis.
Tricycluc Antidepressant
Barbiturate &
Sodium
Bicarbonate
*Use of flumazenil
contraindicated in many situations including tricyclic overdose or in chronically
habituated benzodiazepine users, as this
may precipitate seizures.