Reversal of Delirium Induced by Tricyclic Antidepressant Drugs with Physostigmine

The authors found that 2 mg. of physostigmine given intramuscularly was effective in reversing acute brain syndromes in two patients who had ingested toxic doses of drugs with anticholinergic properties (amitriptyline alone and an amitriptyline-perphenazine combination). Physostigmine also controlle...

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Veröffentlicht in:The American journal of psychiatry 1974-11, Vol.131 (11), p.1275-1277
Hauptverfasser: HEISER, JON F, WILBERT, DONALD E
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container_title The American journal of psychiatry
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creator HEISER, JON F
WILBERT, DONALD E
description The authors found that 2 mg. of physostigmine given intramuscularly was effective in reversing acute brain syndromes in two patients who had ingested toxic doses of drugs with anticholinergic properties (amitriptyline alone and an amitriptyline-perphenazine combination). Physostigmine also controlled one patient's tachycardia and tachypnea. Physostigmine may not control toxic effects of anticholinergic drugs when these effects are not mediated through cholinergic blockade.
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source MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online
subjects Amitriptyline - administration & dosage
Amitriptyline - adverse effects
Amitriptyline - antagonists & inhibitors
Amitriptyline - poisoning
Antidotes - therapeutic use
Delirium - chemically induced
Delirium - drug therapy
Drug Combinations
Female
Humans
Male
Middle Aged
Perphenazine - administration & dosage
Perphenazine - poisoning
Physostigmine - therapeutic use
title Reversal of Delirium Induced by Tricyclic Antidepressant Drugs with Physostigmine
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