[Antidotes in clinical toxicology].

K Hruby1

  • 1Vergiftungsinformationszentrale, Gesundheit Österreich GmbH, Stubenring 6, 1010, Wien, Österreich, karl.hruby@meduniwien.ac.at.

Summary

This article details antidotes and their clinical pharmacology for treating serious poisonings. Understanding antidote pharmacology is crucial for effective and targeted use in clinical toxicology.

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Antidotes01:17

Antidotes

Antidotes are medicinal substances used to counteract the harmful effects of toxins or drugs in the body. They function in various ways, each uniquely designed to combat specific toxic compounds.
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
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Toxidromes: Clinical Features

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Pharmaceutical Poisoning: Treatment Strategies

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Drug Toxicity: Overview

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Drug Toxicity: Dose-Dependent Reactions

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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...