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Imipramine overdose
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Imipramine overdose

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Tofranil overdose; Janimine overdose

Imipramine is a medicine used to treat depression. Imipramine overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medication.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

I Would Like to Learn About:

  • Poisonous Ingredient

    Imipramine

  • Where Found

    Imipramine is sold under various brand names, including:

    • Antideprin
    • Berkomine
    • Janimine
    • Norpramin
    • Tipramine
    • Tofranil

    Note: This list may not be all-inclusive.

  • Symptoms


    • Agitation
    • Blurred vision
    • Breathing slowly and with effort
    • Coma (decreased level of consciousness and lack of responsiveness)
    • Confusion
    • Constipation
    • Convulsions
    • Enlarged pupils in the eye
    • Delirium (agitation and confusion)
    • Dizziness
    • Drowsiness
    • Dry mouth
    • Hallucinations
    • Irregular heartbeat
    • Low blood pressure
    • Muscle rigidity and spasms
    • Restlessness
    • Seizures
    • Skin flushing
    • Stupor (lack of alertness)
    • Shock
    • Uncoordinated movement
    • Urinary hesitancy
    • Vomiting
  • Before Calling Emergency

    Determine the following information:

    • Patient's age, weight, and condition
    • Name of the product (ingredients and strengths, if known)
    • Time it was swallowed
    • Amount swallowed
    • If the medication was prescribed for the patient
  • Poison Control What to Expect at the Emergency Room

    The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

    This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

    See: Poison control center - emergency number

  • The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms are treated as appropriate.

    The patient may receive:

    • Activated charcoal
    • Breathing support, including a tube through the mouth and breathing machine (ventilator)
    • Chest x-ray
    • EKG (heart tracing)
    • Fluids through a vein (by IV)
    • Laxative
    • Medicine called an antidote (sodium bicarbonate) to reverse the effects of the medication
    • Tube through the mouth into the stomach to empty the stomach (gastric lavage)
  • Outlook (Prognosis)

    Imipramine hydrochloride can be an extremely serious overdose.

    Patients who swallow an excessive amount of this drug are almost always admitted to the hospital. The faster a patient gets medical help, the better the chance of recovery. Complications such as pneumonia, muscle damage from lying on a hard surface for a prolonged period of time, or brain damage from lack of oxygen may result in permanent disability. Death can occur.

Related Information

     

References

Brush DE, Aaron CK. Tricyclic and other cyclic antidepressants. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose. 4th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 27.

Velez LI, Feng S-Y. Anticholinergics. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 150.

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Review Date: 1/19/2014  

Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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