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Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
Methods for Studying Drug Absorption: In vitro01:16

Methods for Studying Drug Absorption: In vitro

In vitro experiments are crucial for understanding the transport and absorption of drugs through biological materials. These studies employ varied methods such as the diffusion cell method, the everted sac technique, and the everted ring technique.
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
Enhanced Elimination of Poison01:26

Enhanced Elimination of Poison

Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
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...
Direct-Acting Cholinergic Agonists: Pharmacokinetics01:31

Direct-Acting Cholinergic Agonists: Pharmacokinetics

Direct-acting cholinergic agonists, such as synthetic choline esters and naturally occurring alkaloids, exert their effects by enhancing the actions of acetylcholine and stimulating the parasympathetic nervous system. Synthetic choline esters share structural similarities with acetylcholine. For example, they have a positively charged quaternary ammonium or onium group, contributing to their hydrophilic characteristics. As a result, they are poorly absorbed in the body through oral...

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Related Experiment Video

Updated: May 18, 2026

Autoradiography as a Simple and Powerful Method for Visualization and Characterization of Pharmacological Targets
10:16

Autoradiography as a Simple and Powerful Method for Visualization and Characterization of Pharmacological Targets

Published on: March 12, 2019

Activated charcoal for GHB intoxication: an in vitro study.

Robert Neijzen1, Pieter van Ardenne, Maaike Sikma

  • 1Department of Pharmacy, University Medical Centre Utrecht, The Netherlands. r.w.neijzen@umcutrecht.nl

European Journal of Pharmaceutical Sciences : Official Journal of the European Federation for Pharmaceutical Sciences
|September 29, 2012
PubMed
Summary

Activated charcoal (AC) effectively binds gamma-hydroxybutyrate (GHB) in vitro, with binding dependent on pH. While AC shows potential for GHB intoxication treatment, further in vivo studies are needed to confirm clinical relevance.

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Gas Chromatography-Mass Spectrometry Paired with Total Vaporization Solid-Phase Microextraction as a Forensic Tool
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Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube
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Published on: April 28, 2020

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Last Updated: May 18, 2026

Autoradiography as a Simple and Powerful Method for Visualization and Characterization of Pharmacological Targets
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Published on: March 12, 2019

Gas Chromatography-Mass Spectrometry Paired with Total Vaporization Solid-Phase Microextraction as a Forensic Tool
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Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube
06:12

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube

Published on: April 28, 2020

Area of Science:

  • Toxicology
  • Pharmacology
  • Emergency Medicine

Background:

  • Gamma-hydroxybutyrate (GHB) intoxications are increasing, with symptomatic treatment as the standard approach.
  • The efficacy of activated charcoal (AC) for GHB intoxication is debated, lacking in vitro evidence of GHB binding to AC.
  • Demonstrating GHB adsorption to AC could inform treatment strategies, especially for preventing absorption under specific circumstances.

Purpose of the Study:

  • To investigate the in vitro adsorption of GHB to AC.
  • To determine the influence of pH on GHB binding to AC.
  • To assess the potential clinical relevance of AC in managing GHB intoxications.

Main Methods:

  • Utilized a previously established in vitro model to test GHB adsorption to AC.
  • Mixed varying doses of AC (2.5-10 g) with 800 mg GHB in simulated gastric and intestinal fluids at 37°C.
  • Quantified remaining GHB via gas chromatography after AC separation by centrifugation.

Main Results:

  • GHB binding to AC was dose-dependent.
  • Adsorption was significantly higher in simulated gastric fluid (up to 84.3% with 10g AC) compared to intestinal fluid (up to 23.3%).
  • GHB adsorption capacity demonstrated a clear pH dependency.

Conclusions:

  • Activated charcoal exhibits clinically relevant, pH-dependent GHB binding capacity in vitro.
  • Rapid GHB adsorption and intubation needs may limit AC's routine use in GHB intoxications.
  • AC treatment could be considered in specific scenarios like pediatric ingestions or very high GHB doses, pending in vivo validation.