Treatment of Severe Amitriptyline Intoxication With Plasmapheresis

Kolsal E., TEKİN İ. Ö., Piskin E., Aydemir C., AKYÜZ M., ÇABUK H., ...Daha Fazla

JOURNAL OF CLINICAL APHERESIS, cilt.24, sa.1, ss.21-24, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 1
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1002/jca.20185
  • Dergi Adı: JOURNAL OF CLINICAL APHERESIS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.21-24
  • Anahtar Kelimeler: amitriptyline, plasmapheresis, intoxication
  • Gazi Üniversitesi Adresli: Evet

Özet

Tricyclic antidepressant poisoning is one of the most common causes of serious intoxication. Here, we report a 2-year-old girl with severe amitriptyline (70 mg/kg) intoxication. She was in comatose, had generalized tonic clonic seizure, ventricular tachycardia. and wide QRS complexes. Although she did not respond to classical therapies, very good clinical response to plasmapheresis was obtained and she developed no complications. Thus, plasmapheresis may be an effective treatment modality in poisoning with drugs, which bind to plasma proteins with high affinity. J. Clin. Apheresis 24:21-24, 2009. (c) 2009 Wiley-Liss, Inc.