T43.504

Clinical Causes: Accidental overdose of prescribed antipsychotic or neuroleptic medication Intentional ingestion in cases of self-harm or suicide attempt Misuse or abuse of these medications, especially in recreational settings Incorrect dose administration due to confusion or misunderstanding instructions Interaction with other drugs or substances that increase toxicity risk

Key Symptoms: Drowsiness or sedation Dizziness or lightheadedness Blurred vision Unsteady gait or lack of coordination Restlessness or agitation Nausea and vomiting Weakness or fatigue Respiratory depression in severe cases Altered mental status, including confusion or hallucinations Tremors or muscle stiffness Cardiovascular issues such as low blood pressure or irregular heartbeat

Diagnosis Path: Diagnosis is primarily based on medical history, exposure details, and clinical examination. Blood tests may be conducted to determine the levels of antipsychotic drugs in the bloodstream. Doctors may also perform additional assessments to rule out other causes of symptoms. Recognizing the context of medication use is vital in confirming poisoning by antipsychotics. In some cases, a comprehensive toxicology screen helps identify the specific substances involved.

Treatment Protocols: Treatment focuses on stabilizing the patient and managing symptoms. Immediate medical interventions may include gastric decontamination such as activated charcoal to absorb toxins. Supportive care is crucial, including monitoring vital signs and providing intravenous fluids. In severe cases, specific antidotes or medications may be administered to counteract the effects. Mental health support and counseling are essential components of ongoing care to address underlying issues and prevent recurrence. Hospitals may also observe patients for complications like respiratory or cardiovascular issues before discharge.