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A case report of venlafaxine
toxicity.
Fantaskey A, Burkhart
KK.
Milton S. Hershey Medical Center, Pennsylvania State
University, Central Pennsylvania Poison Center, Hershey,
USA.
Venlafaxine hydrochloride is a novel bicyclic antidepressant
which inhibits the reuptake of serotonin, norepinephrine and, to a
lesser extent, dopamine. A 41-year-old female ingested 4.5 g
venlafaxine, 500 mg diphenhydramine, 50 mg thiothixene and subsequently
experienced severe central nervous system depression requiring
intubation. She also developed elevated systolic and diastolic blood
pressures and sinus tachycardia. The patient was decontaminated with
gastric lavage and activated charcoal. She regained consciousness within
a few hours and was extubated nine hours after ingestion. This case
demonstrates that severe central nervous system depression may follow
venlafaxine overdose.
Publication Types:
PMID: 7629904 [PubMed - indexed for
MEDLINE]
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