Monday, October 13, 2014


A 35 year old woman with major depressive disorder is brought in with an overdose. She took a whole bottle of her antidepressants in an attempt to end her life. She currently complains of nausea and vomiting. She has some CNS depression and tremor but is protecting her airway. She has no muscle rigidity. Her vital signs are stable. EKG is normal sinus rhythm. Glucose is normal. Acetaminophen, salicylate, and ethanol levels are undetectable. Pregnancy test is negative. You give a single dose of 50g activated charcoal.

Challenge: What was the ingestion?

Image is shown under Creative Commons Attribution Share-Alike License.


RaH said...


Craig Chen said...

nice one

This is SSRI (selective serotonin reuptake inhibitor) overdose. Fluoxetine is shown in the image.

Sources: UpToDate; Wikipedia.