THE USE OF VASOACTIVE AGENTS IN THE TREATMENT OF REFRACTORY HYPOTENSION SEEN IN TRICYCLIC ANTIDEPRESSANT OVERDOSE

被引:11
作者
BUCHMAN, AL [1 ]
DAUER, J [1 ]
GEIDERMAN, J [1 ]
机构
[1] CEDARS SINAI MED CTR,DEPT EMERGENCY MED,LOS ANGELES,CA 90048
关键词
D O I
10.1097/00004714-199010060-00005
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
In this review, the physiologic and pharmacologic effects of tricyclic antidepressants are discussed as they apply to an overdose situation. Systemic arterial hypotension is a frequent occurrence in major overdoses. Occasionally conventional resuscitative measures such as crystalloid or colloid infusion are inadequate and vasoactive agents must be employed in an attempt to normalize blood pressure. The use of these agents is discussed in terms of their physiologic and pharmacologic actions in the management of refractory hypotension induced by tricyclics. © 1990 by Williams & Wilkins Co.
引用
收藏
页码:409 / 413
页数:5
相关论文
共 39 条
[1]   NORADRENALINE - FATE AND CONTROL OF ITS BIOSYNTHESIS [J].
AXELROD, J .
SCIENCE, 1971, 173 (3997) :598-+
[2]   CARDIOPULMONARY CATASTROPHES IN DRUG-OVERDOSED PATIENTS [J].
BENOWITZ, NL ;
ROSENBERG, J ;
BECKER, CE .
MEDICAL CLINICS OF NORTH AMERICA, 1979, 63 (01) :267-296
[3]   TRICYCLIC ANTIDEPRESSANT OVERDOSE - INCIDENCE OF SYMPTOMS [J].
BIGGS, JT ;
SPIKER, DG ;
PETIT, JM ;
ZIEGLER, VE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1977, 238 (02) :135-138
[4]  
Brown T C, 1973, Anaesth Intensive Care, V1, P203
[5]   SODIUM-BICARBONATE TREATMENT FOR TRICYCLIC ANTIDEPRESSANT ARRHYTHMIAS IN CHILDREN [J].
BROWN, TCK .
MEDICAL JOURNAL OF AUSTRALIA, 1976, 2 (10) :380-382
[6]   CARDIOVASCULAR EFFECTS OF AMITRIPTYLINE, MIANSERIN, ZIMELIDINE AND NOMIFENSINE IN DEPRESSED-PATIENTS [J].
BURGESS, CD ;
WADSWORTH, J ;
MONTGOMERY, S ;
TURNER, P .
POSTGRADUATE MEDICAL JOURNAL, 1979, 55 (648) :704-708
[7]  
CALLAHAN M, 1978, JACEP, V8, P413
[8]  
CHERNOW B, 1983, PHARM APPROACH CRITI
[9]   PROBLEM OF TRICYCLIC ANTI-DEPRESSANT POISONING [J].
CROME, P ;
NEWMAN, B .
POSTGRADUATE MEDICAL JOURNAL, 1979, 55 (646) :528-532
[10]   POISONING DUE TO TRICYCLIC ANTIDEPRESSANT OVERDOSAGE - CLINICAL PRESENTATION AND TREATMENT [J].
CROME, P .
MEDICAL TOXICOLOGY AND ADVERSE DRUG EXPERIENCE, 1986, 1 (04) :261-285