Page last updated: 2024-10-29

imipramine and Drug Overdose

imipramine has been researched along with Drug Overdose in 29 studies

Imipramine: The prototypical tricyclic antidepressant. It has been used in major depression, dysthymia, bipolar depression, attention-deficit disorders, agoraphobia, and panic disorders. It has less sedative effect than some other members of this therapeutic group.
imipramine : A dibenzoazepine that is 5H-dibenzo[b,f]azepine substituted by a 3-(dimethylamino)propyl group at the nitrogen atom.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
" We present a case of massive imipramine overdose complicated by ventricular fibrillation and a prolonged period of cardiovascular collapse."7.69Tricyclic poisoning--successful management of ventricular fibrillation following massive overdose of imipramine. ( Alahakoon, TI; Bentley, SC; Sandeman, DJ, 1997)
" We present a case of massive imipramine overdose complicated by ventricular fibrillation and a prolonged period of cardiovascular collapse."3.69Tricyclic poisoning--successful management of ventricular fibrillation following massive overdose of imipramine. ( Alahakoon, TI; Bentley, SC; Sandeman, DJ, 1997)
"Imipramine has been surpassed by newer antidepressants for the treatment of depression in the past decade."1.42Neurologic and Cardiovascular Complications in Pediatric Life Threatening Imipramine Poisoning. ( Cheung, KL; Fung, CK; Hon, KL; Lee, VW; Leung, AK; Wong, W, 2015)
"Physiologically based pharmacokinetic (PBPK) models were developed for design and optimization of liposome therapy for treatment of overdoses of tricyclic antidepressants and local anesthetics."1.36A physiologically based pharmacokinetic (PBPK) model for predicting the efficacy of drug overdose treatment with liposomes in man. ( Chauhan, A; Howell, BA, 2010)
" Mechanisms of desipramine toxicity and its dosage recommendations are discussed."1.32Excess fatality from desipramine and dosage recommendations. ( Amitai, Y; Frischer, H, 2004)
"Amitriptyline was studied in greater detail and caused a dose-related (0."1.30Acute lung failure induced by tricyclic antidepressants. ( Blomgren, B; Dahlin, KL; Lâstbom, L; Ryrfeldt, A, 1997)
"Paroxetine (Paxil) is a selective serotonin reuptake inhibitor, one of a new class of antidepressants used in the treatment of obsessive-compulsive disorder, panic disorder, and depression."1.30Distribution of paroxetine in three postmortem cases. ( Vermeulen, T, 1998)
"Nortriptyline was not detected in most cases, suggesting that it may degrade more rapidly than desipramine."1.29The study of tricyclic antidepressants in formalin-fixed human liver and formalin solutions. ( Wahba, WW; Winek, CL; Zaveri, NR, 1993)
" When PGF2 alpha was infused at a rate of 5 mumols kg-1 h-1, the absorption rate of water decreased from 51."1.28The effect of dinoprost on transport of water and imipramine through rat small intestinal membranes. ( Arimori, K; Deshimaru, M; Nakano, M, 1992)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19906 (20.69)18.7374
1990's14 (48.28)18.2507
2000's6 (20.69)29.6817
2010's3 (10.34)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sullivan, RW1
Ryzewski, M1
Holland, MG1
Marraffa, JM1
Hon, KL1
Fung, CK1
Lee, VW1
Cheung, KL1
Wong, W1
Leung, AK1
Howell, BA2
Chauhan, A2
Khandelwal, V1
Gupta, N1
Agarwal, A1
Goyal, RK1
Liu, X1
Emery, CJ1
Laude, E1
Herget, J1
Gill, G1
Cope, G1
Barer, GR1
MANN, AM1
CATTERSON, AG1
MACPHERSON, AS1
ARNESON, GA1
BABIAK, W1
LEE, FI1
LANCASTER, NP1
FOSTER, AR1
NOACK, CH1
Bateman, DN1
Chick, J1
Good, AM1
Kelly, CA1
Masterton, G1
Amitai, Y1
Frischer, H1
Kinoshita, H1
Taniguchi, T1
Kubota, A1
Nishiguchi, M1
Ouchi, H1
Minami, T1
Utsumi, T1
Motomura, H1
Nagasaki, Y1
Ameno, K1
Hishida, S1
Sener, EK1
Gabe, S1
Henry, JA1
Chiu, TF1
Yang, CC1
Ger, J1
Deng, JF1
Bullard, MJ1
Williams, JM1
Hollingshed, MJ1
Vasilakis, A1
Morales, M1
Prescott, JE1
Graeber, GM1
Zylber-Katz, E1
Putterman, C1
Caraco, Y1
Winek, CL1
Zaveri, NR1
Wahba, WW1
Dahlin, KL1
Lâstbom, L1
Blomgren, B1
Ryrfeldt, A1
Sandeman, DJ1
Alahakoon, TI1
Bentley, SC1
Ross, JP1
Small, TR1
Lepage, PA1
Vermeulen, T1
Arimori, K1
Deshimaru, M1
Nakano, M1
Basse, P1
Rørdam, P1
Mordel, A1
Winkler, E1
Almog, S1
Tirosh, M1
Ezra, D1
Givens, T1
Holloway, M1
Wason, S1
Rosenstein, DL1
Takeshita, J1
Nelson, JC1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Other Studies

29 other studies available for imipramine and Drug Overdose

ArticleYear
Compounded ointment results in severe toxicity in a pediatric patient.
    Pediatric emergency care, 2013, Volume: 29, Issue:11

    Topics: Administration, Cutaneous; Amines; Analgesics; Body Surface Area; Bradycardia; Clonidine; Combined M

2013
Neurologic and Cardiovascular Complications in Pediatric Life Threatening Imipramine Poisoning.
    Current drug safety, 2015, Volume: 10, Issue:3

    Topics: Accidents, Home; Adrenergic Uptake Inhibitors; Antidepressive Agents, Tricyclic; Arrhythmias, Cardia

2015
Binding of imipramine, dosulepin, and opipramol to liposomes for overdose treatment.
    Journal of pharmaceutical sciences, 2009, Volume: 98, Issue:10

    Topics: Antidepressive Agents, Tricyclic; Antidotes; Dothiepin; Drug Overdose; Humans; Hydrogen-Ion Concentr

2009
A physiologically based pharmacokinetic (PBPK) model for predicting the efficacy of drug overdose treatment with liposomes in man.
    Journal of pharmaceutical sciences, 2010, Volume: 99, Issue:8

    Topics: Algorithms; Amitriptyline; Anesthetics, Local; Antidepressive Agents, Tricyclic; Area Under Curve; B

2010
Tricyclic antidepressant overdose presenting as neuroleptic malignant syndrome.
    The Journal of the Association of Physicians of India, 2002, Volume: 50

    Topics: Adult; Antidepressive Agents, Tricyclic; Drug Overdose; Humans; Imipramine; Male; Neuroleptic Malign

2002
Adverse pulmonary vascular effects of high dose tricyclic antidepressants: acute and chronic animal studies.
    The European respiratory journal, 2002, Volume: 20, Issue:2

    Topics: Acute Disease; Amitriptyline; Animals; Antidepressive Agents, Tricyclic; Cats; Chronic Disease; Dise

2002
Toxicity of imipramine: report on serious side effects and massive overdosage.
    Canadian Medical Association journal, 1959, Jul-01, Volume: 81, Issue:1

    Topics: Drug Overdose; Humans; Imipramine; Suicide; Tranquilizing Agents

1959
A near fatal case of imipramine overdosage.
    The American journal of psychiatry, 1961, Volume: 117

    Topics: Drug Overdose; Imipramine; Psychopharmacology

1961
Case fatality due to overdosage of a combination of tranylcypromine (Parnate) and imipramine (Tofranil).
    Canadian Medical Association journal, 1961, Aug-12, Volume: 85

    Topics: Cyclopropanes; Drug Overdose; Imipramine; Psychopharmacology; Tranylcypromine

1961
Imipramine overdosage--report of a fatal case.
    British medical journal, 1961, Feb-04, Volume: 1, Issue:5222

    Topics: Drug Overdose; Imipramine; Psychopharmacology

1961
Suicidal attempt by imipramine overdosage.
    British medical journal, 1959, Dec-26, Volume: 2, Issue:5164

    Topics: Drug Overdose; Imipramine; Suicide; Suicide, Attempted; Tranquilizing Agents

1959
A death from overdosage of "tofranil".
    The Medical journal of Australia, 1960, Jul-30, Volume: 47(2)

    Topics: Death; Death, Sudden; Drug Overdose; Humans; Imipramine; Medical Records; Psychopharmacology

1960
Are selective serotonin re-uptake inhibitors associated with an increased risk of self-harm by antidepressant overdose?
    European journal of clinical pharmacology, 2004, Volume: 60, Issue:3

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Cyclohexanols; Doxepin; Drug Ove

2004
Excess fatality from desipramine and dosage recommendations.
    Therapeutic drug monitoring, 2004, Volume: 26, Issue:5

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Databases, Factual; Desipramine; Drug Overdose; Hum

2004
An autopsy case of imipramine poisoning.
    The American journal of forensic medicine and pathology, 2005, Volume: 26, Issue:3

    Topics: Antidepressive Agents, Tricyclic; Autopsy; Cause of Death; Chromatography, High Pressure Liquid; Des

2005
Response to glucagon in imipramine overdose.
    Journal of toxicology. Clinical toxicology, 1995, Volume: 33, Issue:1

    Topics: Adult; Diazepam; Drug Overdose; Electrocardiography; Female; Glucagon; Humans; Imipramine; Infusions

1995
Adult respiratory distress syndrome and late death following imipramine overdose: a case report.
    Zhonghua yi xue za zhi = Chinese medical journal; Free China ed, 1994, Volume: 54, Issue:6

    Topics: Adult; Drug Overdose; Fatal Outcome; Female; Humans; Imipramine; Respiratory Distress Syndrome

1994
Extracorporeal circulation in the management of severe tricyclic antidepressant overdose.
    The American journal of emergency medicine, 1994, Volume: 12, Issue:4

    Topics: Adult; Drug Overdose; Extracorporeal Circulation; Fatal Outcome; Female; Hemodynamics; Humans; Hypot

1994
Multiple drug overdose in a kidney transplant patient.
    Therapeutic drug monitoring, 1994, Volume: 16, Issue:3

    Topics: Chromatography, Thin Layer; Cyclosporine; Depression; Drug Overdose; Half-Life; Humans; Imipramine;

1994
The study of tricyclic antidepressants in formalin-fixed human liver and formalin solutions.
    Forensic science international, 1993, Volume: 61, Issue:2-3

    Topics: Amitriptyline; Cryopreservation; Desipramine; Drug Overdose; Drug Stability; Embalming; Evaluation S

1993
Acute lung failure induced by tricyclic antidepressants.
    Toxicology and applied pharmacology, 1997, Volume: 146, Issue:2

    Topics: Amitriptyline; Animals; Antidepressive Agents, Tricyclic; Desipramine; Disease Models, Animal; Dose-

1997
Tricyclic poisoning--successful management of ventricular fibrillation following massive overdose of imipramine.
    Anaesthesia and intensive care, 1997, Volume: 25, Issue:5

    Topics: Adrenergic Agonists; Adult; Anti-Arrhythmia Agents; Antidepressive Agents, Tricyclic; Critical Care;

1997
Imipramine overdose complicated by toxic megacolon.
    The American surgeon, 1998, Volume: 64, Issue:3

    Topics: Adult; Antidepressive Agents, Tricyclic; Colonic Diseases; Drug Overdose; Female; Humans; Imipramine

1998
Distribution of paroxetine in three postmortem cases.
    Journal of analytical toxicology, 1998, Volume: 22, Issue:6

    Topics: Adult; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Desipramine; Drug

1998
The effect of dinoprost on transport of water and imipramine through rat small intestinal membranes.
    The Journal of pharmacy and pharmacology, 1992, Volume: 44, Issue:1

    Topics: Animals; Biological Transport, Active; Body Water; Dinoprost; Drug Overdose; Gastrointestinal Motili

1992
Ischemic colitis complicating imipramine overdose and alcohol ingestion. Case report.
    The European journal of surgery = Acta chirurgica, 1992, Volume: 158, Issue:3

    Topics: Alcoholism; Colitis; Colon; Drug Overdose; Humans; Imipramine; Ischemia; Male; Middle Aged

1992
Seizures after flumazenil administration in a case of combined benzodiazepine and tricyclic antidepressant overdose.
    Critical care medicine, 1992, Volume: 20, Issue:12

    Topics: Adult; Clonazepam; Diazepam; Drug Overdose; Epilepsy, Tonic-Clonic; Female; Flumazenil; Humans; Imip

1992
Pulmonary aspiration of activated charcoal: a complication of its misuse in overdose management.
    Pediatric emergency care, 1992, Volume: 8, Issue:3

    Topics: Adolescent; Charcoal; Drug Overdose; Female; Humans; Imipramine; Malpractice; Pneumonia, Aspiration;

1992
Fluoxetine-induced elevation and prolongation of tricyclic levels in overdose.
    The American journal of psychiatry, 1991, Volume: 148, Issue:6

    Topics: Antidepressive Agents, Tricyclic; Depressive Disorder; Drug Interactions; Drug Overdose; Drug Therap

1991