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Page 1 od 197 rezultati
Multidose activated charcoal in the treatment of carbamazepine overdose with seizures: a case report.
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Serious complications after carbamazepine poisoning, such as coma, seizures, respiratory failure, cardiac conduction abnormalities, and death are more likely with serum levels greater than 170 micromol L(-1). We report a case of a single massive carbamazepine overdose in a 19-year-old male,
Charcoal hemoperfusion in an infant with supraventricular tachycardia and seizures secondary to amitriptyline intoxication.
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Tricyclic antidepressant (TCA) overdose is one of the common causes of drug poisoning and it has cardiovascular, respiratory and neurological side effects. An 18-month male infant was admitted to our pediatric emergency service due to poisoning with amitriptyline. The infant was unconscious.
Increased serum theophylline clearance with orally administered activated charcoal.
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The purpose of this study was to determine whether the oral administration of activated charcoal would increase the clearance of theophylline. Seven normal subjects received aminophylline intravenously (8 mg/kg) on 2 separate days. On Day 1 at 2-h intervals starting immediately after the completion
[Clinico-pharmacological case (4). Epileptic seizure as an unwanted drug effect on theophylline poisoning].
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In spite of the better understanding of the pharmacokinetics and optimized galenics of oral theophylline formulations, therapy with this bronchodilator still bears risks because of its narrow therapeutic window combined with substantial inter- and intra-individual variability of theophylline
Charcoal-column haemoperfusion does not significantly enhance chlormethiazole removal.
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A 26-year-old man had convulsions after taking an overdose of slow-release aminophylline tablets. The convulsions were treated with an infusion of chlormethiazole and theophylline was removed by charcoal-column haemoperfusion. It has been suggested that haemoperfusion might be useful for removing
Repeat charcoal hemoperfusion treatments in life threatening carbamazepine overdose.
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A 16-month-old female experienced a massive carbamazepine ingestion resulting in a peak serum carbamazepine concentration of 55 microg/ml. Clinical manifestations included generalized seizures, coma, shock, and gastrointestinal hypomotility. Gut decontamination was attempted using multiple-dose
In vivo evaluation of the adsorptive capacity of activated charcoal for camphor.
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Camphor, a cyclic terpene, is the toxic ingredient in many over-the-counter (OTC) products. Early seizure activity due to camphor ingestion often contraindicates the use of traditional decontamination therapies in favor of oral activated charcoal use. No research data supports the affinity of
Efficacy of charcoal hemoperfusion in massive carbamazepine poisoning.
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BACKGROUND
Carbamazepine poisoning can be life threatening. The role and efficacy of extracorporeal drug clearance is not clearly defined.
METHODS
A 16-year-old male ingested 34g of slow-release carbamazepine. His course was complicated by seizures, recurrent cardiac arrests, and renalfailure.
Use of activated charcoal to reduce elevated serum phenobarbital concentration in a neonate.
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The course of a neonate administered activated charcoal orally for elevated phenobarbital concentration is described. The neonate required a serum concentration of phenobarbital eventually exceeding 80 micrograms/mL for seizure control. However, due to the severe CNS injury as a result of the
Promethazine overdose: clinical effects, predicting delirium and the effect of charcoal.
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OBJECTIVE
The aim of this study was to describe the clinical effects of promethazine in overdose and explore the relationship between delirium and possible predictor variables.
METHODS
A case series of promethazine poisonings was identified from a prospective database of poisoning admissions to a
Charcoal hemoperfusion in an elderly man with life-threatening adverse reactions due to poor metabolism of phenytoin.
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A 77-year-old man presented with dizziness and ataxia after 7-day treatment of phenytoin 100 mg 3 times daily for prophylaxis of post-traumatic seizure. Thrombocytopenia and hematuria were found incipiently and supportive measures were employed. Owing to extremely slow metabolism of phenytoin in
Prevention of oral dichlorvos toxicity by different activated charcoal products in mice.
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OBJECTIVE
To determine whether immediate treatment with oral activated charcoal (AC) products of differing surface areas prevents clinical toxicity of a lethal oral dose of dichlorvos in mice.
METHODS
An in vivo, prospective, randomized, placebo-controlled study using 75 male albino
[Evaluation of charcoal hemoperfusion in dogs with acute fluoroacetamide poisoning].
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OBJECTIVE
In the past the mortality and sequelae rate of the patients with severe fluoroacetamide (FAM) poisoning treated only with traditional remedies was high. During the recent ten years the authors treated children with severe FAM poisoning with charcoal hemoperfusion (HP) and achieved better
Predictive factors for generalized seizures after deliberate citalopram overdose.
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OBJECTIVE
Seizures are a recognized complication of citalopram overdose. The present study sought to establish risk factors for seizures in this high-risk patient group, including stated dose ingested, co-ingested drugs or ethanol, and electrolyte disturbances.
METHODS
A retrospective casenote
Severe theophylline toxicity. Role of conservative measures, antiarrhythmic agents, and charcoal hemoperfusion.
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The presenting symptoms, course, and treatment of 10 patients with severe theophylline toxicity (heart rate above 120, multifocal atrial tachycardia or premature ventricular contractions, hypotension, seizures) are described. Theophylline levels at presentation averaged 66 micrograms/ml (range 30 to
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