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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Clin+Pharmacol
2016 ; 81
(3
): 437-45
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Antidotes to coumarins, isoniazid, methotrexate and thyroxine, toxins that work
via metabolic processes
#MMPMID26255881
Bateman DN
; Page CB
Br J Clin Pharmacol
2016[Mar]; 81
(3
): 437-45
PMID26255881
show ga
Some toxins cause their effects by affecting physiological processes that are
fundamental to cell function or cause systemic effects as a result of cellular
interaction. This review focuses on four examples, coumarin anticoagulants,
isoniazid, methotrexate and thyroxine from the context of management of overdose
as seen in acute general hospitals. The current basic clinical pharmacology of
the toxin, the clinical features in overdose and evidence base for specific
antidotes are discussed. The treatment for this group is based on an
understanding of the toxic mechanism, but studies to determine the optimum dose
of antidote are still required in all these toxins except thyroxine, where
treatment dose is based on symptoms resulting from the overdose.
|Antidotes/*therapeutic use
[MESH]
|Coumarins/metabolism/*poisoning
[MESH]
|Disease Management
[MESH]
|Drug Overdose/*drug therapy/*metabolism/prevention & control
[MESH]