Toxins Vs Antidotes
verifier1
Department of General Medicine
Antidote is a drug or substance that counteracts the effects of poison or overdosage by another drug. It neutralizes the harmful effects of a poison. The term Antidote derives from the Greek antididonai, "given against".
Antidotes for particular toxins are produced by injecting the toxin into an animal in small doses and extracting the developing antibodies from the host animals' blood. An antivenom that can be also used to counteract poison produced by certain species of snakes,spiders and other venomous animals.
Some animal venoms, especially those produced by arthropodes(e.g. certain scorpions,bees,spiders etc.) are only potentially lethal when they provoke allergic reactions and induce anaphylatic shock ; as such, there is no "antidote" for these venoms because it is not a type of poisoning and anaphylactic shock ,that can be treated by the use of epinephrine.
Some toxins have no antidote. For example, the poison aconitine – a highly poisonous alkaloid derived from various aconite species– has no antidote, and as a result is often lethal if it enters the human body in abundant quantities.
Ingested toxins or poisons are often treated by the oral administration of activated charcoal, which adsorbs the poison and flushes out from the digestive tract, thereby removing a large part of the toxin from the body. Poisons that are injected into the body (from bites or stings from venomous animals) are usually treated by the use of a constriction band which limits the flow of lymph or blood to that area, thus lowering the circulation of poison around the body.
Agent |
Indication |
Atropine |
Organophosphate and carbamate |
Activated charcoal with sorbitol
|
Used for many oral toxins |
Calcium gluconate |
Hydrofluoric acid
|
Chelators such as EDTA, dimercaprol (BAL), penicillamine and 2,3-dimercaptosuccinic acid (DMSA, succimer)
|
Heavy metal poisoning
|
100% oxygen or Hyperbaric oxygen therapy(HBOT) |
Carbon monoxide poisoning and cyanide poisoning |
Leucovorin |
Trimethoprim |
Theophylline |
Adenosine poisoning |
Beta blocker |
Theophylline |
Calcium gluconate |
Hydrofluoric acid |
Calcium chloride |
Calcium channel blockers, Black widow spider bites |
Deferoxamine mesylate |
Iron poisoning |
Cyanide antidote (amyl nitrite, sodium nitrite, or thiosulfate) |
Cyanide poisoning |
Cyproheptadine |
Serotonin syndrome |
Ethanol or fomepizole |
Ethylene glycol poisoning and Methanol poisoning |
Diphenhydramine hydrochloride and benztropine mesylate |
Extrapyramidal reactions associated with antipsychotic |
Digoxin Immune Fab antibody (Digibind and Digifab) |
Digoxin poisoning |
Flumazenil |
Benzodiazepine poisoning |
Insulin with Glucagon |
Beta blocker poisoning and calcium channel blocker poisoning |
Glucagon |
Beta blocker poisoning and calcium channel blocker poisoning |
Naloxone hydrochloride |
Opioid overdose |
Leucovorin |
Methotrexate |
Methylene blue |
Treatment of conditions that cause methemoglobinemia |
Succimer( Chemical name Dimercaptosuccinic acid (DMSA) lead poisoning) |
Lead poisoning |
Sodium bicarbonate |
ASA, TCAs with a wide QRS6 |
Physostigmine sulfate |
Anticholinergic poisoning |
Pyridoxine |
Isoniazid poisoning, ethylene glycol |
Prussian blue |
Thallium poisoning |
Octreotide |
Oral hypoglycemic agents |
Pralidoxime chloride (2-PAM) |
Organophosphate insecticides, followed after atropine |
Reference:
- Antidote ;From Wikkipedia
- Slide world ;Medical care- Avent Philips;PPT Presentation
- Antidote; From Drugs.com