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tricyclic OD

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great case tonight. elavil OD. walked in 90 min after OD. picked the wrong drug to try their suicidal gesture with. it turns out 8000 mg of elavil is not a trivial OD as most of you know. intubated 10 min later and placed on bicarb drip. doing ok in icu. love these cases. watched qrs widen before bicarb then narrow with push and infusion. had some of these cases as a medic that I saw much later in their course who had protracted cardiac arrest/resuscitations. 

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  • 3 weeks later...
On 11/10/2017 at 6:43 AM, kargiver said:

I'm amazed to see that it is even still prescribed!

Love TCA ODs...


It certainly is out of favor for routine depression treatment, as SSRI's are much safer, but it's making a comeback with the need to reduce opiate usage in chronic pain.

It's got good indications for post-herpetic neuralgia and migraine prophylaxis, probably others I'm not thinking of, and it helps with sleep and chronic pain.

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