T43.201

Clinical Causes: Accidental overdose involving antidepressant medication Misunderstanding dosage instructions Taking the wrong medication or mix-up with other drugs Inadequate storage leading to children accessing and ingesting medication Intentional misuse or self-harm attempts that are classified as unintentional due to lack of intent to harm

Key Symptoms: Nausea and vomiting Dizziness or lightheadedness Confusion or disorientation Sedation or drowsiness Coordination problems or muscle weakness Rapid heartbeat (tachycardia) Seizures in severe cases Unconsciousness or coma in extreme situations

Diagnosis Path: Diagnosis involves a thorough clinical evaluation, including a detailed history of medication ingestion, physical examination, and laboratory tests. Blood tests are essential to measure the levels of antidepressants in the bloodstream and identify other affected organs or systems. Additional assessments may include ECG monitoring to evaluate heart function, especially if there are signs of cardiac abnormalities. Accurate diagnosis helps determine the severity of poisoning and guides appropriate treatment strategies.

Treatment Protocols: Management of antidepressant poisoning typically occurs in a hospital setting and may include several supportive and specific interventions such as: - Monitoring vital signs continuously - Administration of activated charcoal to limit absorption if ingestion was recent - Intravenous fluids to maintain hydration and electrolyte balance - Use of medications to stabilize heart rhythm if necessary - Seizure management with anticonvulsants - Consideration of antidotes if specific to the antidepressant involved - In severe cases, advanced respiratory support or hospitalization in intensive care units may be required - Ongoing assessment to monitor for delayed complications and ensure recovery Prevention strategies focus on safe medication storage and proper usage instructions to minimize the risk of accidental poisoning.