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Related Concept Videos

Drug Toxicity: Risk factors01:24

Drug Toxicity: Risk factors

Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Drug toxicity: Idiosyncratic Reactions01:16

Drug toxicity: Idiosyncratic Reactions

Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
Toxidromes: Clinical Features01:30

Toxidromes: Clinical Features

Toxidromes are specific patterns of symptoms resulting from toxic substance exposure. They help in the identification and treatment of poisoning. The symptoms of each toxidrome group indicate poisoning by a certain class of chemicals or drugs.1. Sympathomimetic: Stimulates the sympathetic nervous system. Symptoms include agitation, increased heart rate (HR), blood pressure (BP), respiratory rate (RR), temperature, and pupil size. Drugs like cocaine and amphetamines, along with tremors and...
Drug Toxicity: Overview01:00

Drug Toxicity: Overview

Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...

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Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease
08:09

Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease

Published on: January 7, 2014

Fatality due to amisulpride toxicity: a case report.

Matthew J Lynch1, Jessica Woods, Natalia George

  • 1Victorian Institute of Forensic Medicine, Department of Forensic Medicine, Monash University, Kavanagh Street, Southbank 3006, Australia.

Medicine, Science, and the Law
|June 7, 2008
PubMed
Summary

Fatal amisulpride toxicity is rare but can occur, leading to cardiac arrhythmias. This case highlights the importance of considering antipsychotic drug effects in unexpected deaths during autopsy.

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Last Updated: Jul 4, 2026

Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease
08:09

Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease

Published on: January 7, 2014

Area of Science:

  • Pharmacology
  • Toxicology
  • Forensic Pathology

Background:

  • Amisulpride is an atypical antipsychotic used for schizophrenia.
  • Drug-induced QT interval prolongation and cardiotoxicity, including Torsades de Pointes (TdP), are recognized risks with antipsychotics.
  • Fatalities linked to amisulpride are infrequently reported in medical literature.

Observation:

  • This report details a rare case of fatal amisulpride toxicity.
  • The post-mortem blood concentration of amisulpride in the deceased individual was measured at 48 mg/L.
  • The case involved a young adult with schizophrenia, a demographic often treated with antipsychotics.

Findings:

  • Amisulpride toxicity can lead to fatal cardiac arrhythmias.
  • The case underscores the potential for under-recognized toxic effects of medications in sudden, unexpected deaths.
  • Interpretation of post-mortem toxicology requires careful consideration of therapeutic and toxic drug levels.

Implications:

  • Forensic pathologists must be aware of the cardiotoxic potential of antipsychotics like amisulpride.
  • Autopsy protocols should include evaluation for drug-induced cardiac events in cases of sudden death, especially in patients with schizophrenia.
  • Enhanced awareness of amisulpride's toxicity can improve diagnostic accuracy in forensic investigations and patient management.