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Treatment of amfetamine overdose

 

There is no specific antidote to amfetamines, therefore treatment is only for severe overdose symptoms.

 

Treatment includes:

  • Ice baths for hyperthermia

  • Benzodiazepines or midazolam to treat seizures

  • A long acting anticonvulsant, such as phenobarbital to prevent further seizures

  • CT scans should also be carried out due to the risk of intracranial hemorrhage

  • IV crystalloid to prevent renal failure from rhabdomyolysis

  • Sedation in order to lower blood pressure, or B-blockers if this is unsuccessful

  • Glyceryl trinitrate can be used for chest pains

 

The patient should be monitored until their vital signs have returned to normal

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