Early treatment of a quetiapine and sertraline overdose with Intralipid

Anaesthesia. 2009 Feb;64(2):191-4. doi: 10.1111/j.1365-2044.2008.05744.x.

Abstract

We describe the initial management and subsequent recovery of a 61 year-old male patient following attempted suicide by oral ingestion of a potentially fatal overdose of quetiapine and sertraline. Intravenous Intralipid was given soon after initiation of basic resuscitation. There was a rapid improvement in the patient's level of consciousness. No other clinical signs of drug toxicity were observed. Intralipid may have reversed the deep coma associated with ingestion and prevented other manifestations of drug toxicity occurring, thus expediting this patient's recovery.

Publication types

  • Case Reports

MeSH terms

  • Antidepressive Agents / poisoning
  • Antipsychotic Agents / poisoning
  • Coma / chemically induced
  • Coma / therapy
  • Dibenzothiazepines / poisoning*
  • Drug Overdose / therapy
  • Fat Emulsions, Intravenous / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Quetiapine Fumarate
  • Sertraline / poisoning*
  • Suicide, Attempted

Substances

  • Antidepressive Agents
  • Antipsychotic Agents
  • Dibenzothiazepines
  • Fat Emulsions, Intravenous
  • Quetiapine Fumarate
  • Sertraline