Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-11-20
pubmed:abstractText
In a prospective hospital-based cohort study, we addressed the question of severity and outcome of antidepressant poisonings in patients who attended the Loghman-Hakim Hospital Poison Center, the only national center in Tehran dedicated for detoxification. The aim of the study was to find out if tricyclic antidepressant (TCA) intoxications require more therapeutic efforts than selective serotonin reuptake inhibitor (SSRI) intoxications. The study was applied over a 7-week period (28 March-20 May 2006). From 3578 intoxications, 334 patients with antidepressant or lithium self-poisoning were identified (9.3% of all poisoning cases; 233 females, 101 males; median age 24 years, min 13, max 70). Compared to SSRI single-substance intoxications (n=17), TCA single-substance intoxications (n=73) were associated with: (1) a significantly lower level of consciousness (P=0.005); (2) a significantly higher admission frequency (80.8 vs. 35.3%; P<0.001); and (3) a higher intubation frequency (13.7 vs. 0%; P=ns). SSRI multiple-substance intoxications were associated with a significantly lower level of consciousness than SSRI single-substance intoxications (P=0.042), while there was no significant difference between TCA multiple- and single-substance intoxications. This study suggests that an overdose with SSRIs results in a more favourable clinical outcome than an overdose with TCAs.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1814-1412
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
302-12
pubmed:meshHeading
pubmed-meshheading:19921972-Adolescent, pubmed-meshheading:19921972-Adult, pubmed-meshheading:19921972-Aged, pubmed-meshheading:19921972-Antidepressive Agents, Second-Generation, pubmed-meshheading:19921972-Antidepressive Agents, Tricyclic, pubmed-meshheading:19921972-Cohort Studies, pubmed-meshheading:19921972-Coma, pubmed-meshheading:19921972-Cross-Sectional Studies, pubmed-meshheading:19921972-Drug Interactions, pubmed-meshheading:19921972-Female, pubmed-meshheading:19921972-Humans, pubmed-meshheading:19921972-Intubation, Intratracheal, pubmed-meshheading:19921972-Iran, pubmed-meshheading:19921972-Lithium Carbonate, pubmed-meshheading:19921972-Male, pubmed-meshheading:19921972-Middle Aged, pubmed-meshheading:19921972-Overdose, pubmed-meshheading:19921972-Patient Admission, pubmed-meshheading:19921972-Poison Control Centers, pubmed-meshheading:19921972-Poisoning, pubmed-meshheading:19921972-Prospective Studies, pubmed-meshheading:19921972-Psychotropic Drugs, pubmed-meshheading:19921972-Serotonin Uptake Inhibitors, pubmed-meshheading:19921972-Suicide, Attempted, pubmed-meshheading:19921972-Young Adult
pubmed:year
2009
pubmed:articleTitle
Self-poisonings with tricyclic antidepressants and selective serotonin reuptake inhibitors in Tehran, Iran.
pubmed:affiliation
Department of Psychiatry and Psychotherapy, Division of Biological Psychiatry, Medical University of Vienna, A-1090 Vienna, Austria. angela.naderi-heiden@meduniwien.ac.at
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't