Who gets antidotes? choosing the chosen few. (17th February 2016)
- Record Type:
- Journal Article
- Title:
- Who gets antidotes? choosing the chosen few. (17th February 2016)
- Main Title:
- Who gets antidotes? choosing the chosen few
- Authors:
- Buckley, Nicholas A.
Dawson, Andrew H.
Juurlink, David N.
Isbister, Geoffrey K. - Abstract:
- Abstract : An understanding of mechanisms, potential benefits and risks of antidotes is essential for clinicians who manage poisoned patients. Of the dozens of antidotes currently available, only a few are regularly used. These include activated charcoal, acetylcysteine, naloxone, sodium bicarbonate, atropine, flumazenil, therapeutic antibodies and various vitamins. Even then, most are used in a minority of poisonings. There is little randomized trial evidence to support the use of most antidotes. Consequently, decisions about when to use them are often based on a mechanistic understanding of the poisoning and the expected influence of the antidote on the patient's clinical course. For some antidotes, such as atropine and insulin, the doses employed can be orders of magnitude higher than standard dosing. Importantly, most poisoned patients who reach hospital can recover with supportive care alone. In low risk patients, the routine use of even low risk antidotes such as activated charcoal is unwarranted. In more serious poisonings, decisions regarding antidote use are generally guided by a risk/benefit assessment based on low quality evidence.
- Is Part Of:
- British journal of clinical pharmacology. Volume 81:Number 3(2016:Mar.)
- Journal:
- British journal of clinical pharmacology
- Issue:
- Volume 81:Number 3(2016:Mar.)
- Issue Display:
- Volume 81, Issue 3 (2016)
- Year:
- 2016
- Volume:
- 81
- Issue:
- 3
- Issue Sort Value:
- 2016-0081-0003-0000
- Page Start:
- 402
- Page End:
- 407
- Publication Date:
- 2016-02-17
- Subjects:
- adverse reaction -- antidote -- benefits -- evidence -- overdose -- toxicity
Pharmacology -- Periodicals
Drugs -- Periodicals
615.1 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2125 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1111/bcp.12894 ↗
- Languages:
- English
- ISSNs:
- 0306-5251
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 2307.180000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 168.xml