Overdose Symptoms & Management

Name	Examples	Progressive symptoms	Management
Acetaminophen	Tylenol™, Datril™	Nausea, vomiting, sweating, kidney failure, breathing difficulties, delirium, unconsciousness	Acetaminophen OD response
Alcohol	beer, wine, liquor	Mood swings, impaired motor skills, slurred speech, rapid pulse, vomiting, coma, respiratory failure	Depressant OD response
Amphetamines	Desoxyn™, Preludin™, methamphetamine, "crystal," "ice"	Excitement, dilated pupils, agitation, tremors, fever, rapid/irregular pulse, delirium, hallucinations, convulsions, coma	Stimulant OD response; psychological crisis response
Antidepressants	1) tricyclics: Elavil™, Triavil™, Sinequan™, Tofranil™ 2) MAO Inhibitors: Parnate™, Nardil™ 3) Others: Prozac™	1) Dilated pupils, agitation, confusion, hypertension, hallucinations, convulsions, unconsciousness 2) Headache, vomiting, rapid/irregular pulse, agitation, seizures 3) Nausea, vomiting, agitation, seizures	Anticholinergic OD response Anticholinergic OD response Anticholinergic OD response
Antihistamines	Atarax™, Benadryl™, PBZ™, Vistaril™	Anxiety or depression, dilated pupils, irregular pulse, fever, delusions, convulsions, coma	Depressant OD response
Aspirin	Anacin™, Bufferin™	Abdominal pain, vomiting, ringing in the ears, deep/rapid breathing, fever, sweating, delirium, convulsions, coma	Aspirin OD response
Atropine	Donnatal™ scopolamine hyoscyamine jimson weed	Blurred vision, dry mouth, vomiting, rapid pulse, headache, hot/dry skin, difficulty swallowing, excitement, confusion, delirium, convulsions, unconsciousness	Anticholinergic OD response
Barbiturates	Butisol™, Mebaral™, Nembutal™	Slight pupil constriction (pupils may dilate in extreme OD), slurred speech, slowed reflexes, respiratory depression, coma	Depressant OD response
Benzodiazepines	Ativan™ , Librium™, Valium™, Xanax™	Drowsiness, confusion, slowed reflexes, impaired coordination, dizziness, coma	Depressant OD response
Caffeine	No-Doz™, Vivarin™, OTC stimulants and diet aids	Nervousness, excitement, rapid pulse, nausea, vomiting,fever, tremors, delirium, convulsions, coma	Stimulant OD response
Cocaine	crack, rock, freebase	CNS arousal (followed by depression in severe OD), confusion, nausea, vomiting, anxiety, hallucinations, rapid/irregular/shallow breathing, coma, cardiac arrest	Stimulant OD response
Hallucinogens	1) Organic: psilocybin, peyote 2) Synthetic: LSD 3) Amphetamine- based: MDA, MDMA	1 & 2) Psychological effects predominate; hallucinations, delusions, anxiety 3) Same as 1 & 2 above with amphetamine OD symptoms	1 & 2) Psych. crisis response 3) Stimulant OD response
Inhalants	1) Aerosols: Freon™, isobutane 2) Solvents: gasoline, plastic cement, industrial solvents	Numbness, hallucinations, delusions, rapid/irregular pulse, respiratory depression, heart failure Slurred speech, dilated pupils, hallucinations, delusions, rapid/irregular pulse, headache, vomiting, coma, heart failure	Inhalant OD response
Marijuana	marijuana, hashish	Disorientation, rapid pulse, panic	Psych. crisis response
Narcotics	codeine, heroin, morphine, Demerol™, Dilaudid™, Percodan™	Drowsiness, shallow breathing, muscular flaccidity, pinpoint pupils, slow pulse, cold/clammy skin, unconsciousness, respiratory failure	Depressant OD response
Phenothiazines	Compazine™, Stelazine™, Thorazine™	Drowsiness, dry mouth, fever, impaired motor skills, muscular rigidity, tremors, facial grimacing, low temperature, irregular pulse	Depressant OD response
PCP/Ketamine	angel dust, sherms, K, Special K	Blank stare, rapid pulse, vomiting, muscular rigidity, anesthesia, convulsions, stroke, respiratory failure	PCP OD response

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