Carbamazepine toxicity: Difference between revisions
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*GI detox | *GI detox | ||
**[[Activated Charcoal]] (if presents w/in 1hr of ingestion) | **[[Activated Charcoal]] (if presents w/in 1hr of ingestion) | ||
*Dialysis is effective (if needed) | *[[Dialyzable Drugs|Dialysis]] is effective (if needed) | ||
==Disposition== | ==Disposition== | ||
Revision as of 15:25, 23 April 2015
Background
- Has anticholinergic and antiepileptic effects
- Therapeutic concentration: 4-12
Clinical Features
- May be delayed and follow crescendo-decrescendo course (due to delayed GI motility)
- CNS
- Ataxia
- Nystagmus
- Coma
- Anticholinergic Toxicity
- CV
- Dysrhythmias are rare but may occur
- Wide QRS
- QT Prolongation
Diagnosis
- Levels do not accurately correlate w/ clinical severity
Treatment
- GI detox
- Activated Charcoal (if presents w/in 1hr of ingestion)
- Dialysis is effective (if needed)
Disposition
- Consider d/c for pt with decreasing levels (measured few hrs apart) and is asymptomatic
Source
- Tintinalli