T43.291

Clinical Causes: Accidental ingestion of antidepressant medication, often by children or individuals with cognitive impairments Overdose due to misjudgment of dose or medication mistake Confusion or mix-up with other medications in multi-drug regimens Improper storage of antidepressant drugs where they are easily accessible to children or others

Key Symptoms: Nausea and vomiting Dizziness or lightheadedness Confusion or disorientation Drowsiness or sedation Rapid heartbeat (tachycardia) Tremors or muscle weakness Seizures in severe cases Respiratory depression or difficulty breathing Loss of consciousness

Diagnosis Path: Diagnosis is primarily based on a detailed medical history, including recent medication intake, and physical examination. Confirmation may involve blood tests to measure antidepressant levels, urine toxicology screens, and possibly other laboratory assessments to evaluate organ function. Healthcare providers assess for signs of overdose and monitor vital signs and neurological status to determine severity and guide management.

Treatment Protocols: Treatment for antidepressant poisoning depends on the severity of symptoms and the specific medication involved. Typical approaches include: - Supportive care, such as airway management, oxygen therapy, and intravenous fluids - Activated charcoal administration if the ingestion was recent to limit absorption - Medications to reverse specific symptoms, such as sodium bicarbonate for certain cardiac arrhythmias - Monitoring in a medical setting, often in an emergency department or intensive care unit - In severe cases, interventions like mechanical ventilation or administration of specific antidotes (if available and appropriate) may be necessary Long-term management involves preventing future incidents through medication safety education, proper storage, and patient awareness.