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The Effect of a Lipid Suspension on Amitriptyline Disposition

Overview
Journal Arch Toxicol
Specialty Toxicology
Date 1987 Aug 1
PMID 3662823
Citations 7
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Abstract

A 5-h infusion of a lipid suspension or saline was given on separate occasions to four healthy volunteers taking amitriptyline. Mean plasma levels of amitriptyline plus nortriptyline were 14% higher at the end of the lipid infusion but the difference was not statistically significant. Infusion of a lipid suspension is unlikely to materially affect the severity of amitriptyline intoxication.

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References
1.
Smith T, Haber E, Yeatman L, Butler Jr V . Reversal of advanced digoxin intoxication with Fab fragments of digoxin-specific antibodies. N Engl J Med. 1976; 294(15):797-800. DOI: 10.1056/NEJM197604082941501. View

2.
Cassano G, Sjostrand S, Hansson E . Distribution and fate of C-14-amitriptyline in mice and rats. Psychopharmacologia. 1965; 8(1):1-11. DOI: 10.1007/BF00405356. View

3.
Pentel P, Benowitz N . Tricyclic antidepressant poisoning. Management of arrhythmias. Med Toxicol. 1986; 1(2):101-21. DOI: 10.1007/BF03259831. View

4.
Swartz C, Sherman A . The treatment of tricyclic antidepressant overdose with repeated charcoal. J Clin Psychopharmacol. 1984; 4(6):336-40. View

5.
Crome P . Poisoning due to tricyclic antidepressant overdosage. Clinical presentation and treatment. Med Toxicol. 1986; 1(4):261-85. DOI: 10.1007/BF03259843. View