Page last updated: 2024-11-01

nortriptyline and Drug Overdose

nortriptyline has been researched along with Drug Overdose in 23 studies

Nortriptyline: A metabolite of AMITRIPTYLINE that is also used as an antidepressive agent. Nortriptyline is used in major depression, dysthymia, and atypical depressions.
nortriptyline : An organic tricyclic compound that is 10,11-dihydro-5H-dibenzo[a,d][7]annulene substituted by a 3-(methylamino)propylidene group at position 5. It is an active metabolite of amitriptyline.

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

Research Excerpts

ExcerptRelevanceReference
" The investigators studied a patient with a nortriptyline HCI level of 1,205 ng/mL who had four generalized grand mal seizures, each lasting between 60 and 90 seconds that were immediately followed by hypotension requiring norepinephrine support."7.69Recurrent hypotension immediately after seizures in nortriptyline overdose. ( Bell, A; Gaynor, B; Lipper, B, 1994)
" Therefore, in these cases, pharmacokinetic values derived from routine dosing should not be used to make clinical decisions (such as timing of discontinuation of sodium bicarbonate infusion)."6.66Delayed Cardiotoxicity From a Massive Nortriptyline Overdose Requiring Prolonged Treatment. ( Eche, IM; Elsamadisi, P; Sclafani, A, 2020)
" The investigators studied a patient with a nortriptyline HCI level of 1,205 ng/mL who had four generalized grand mal seizures, each lasting between 60 and 90 seconds that were immediately followed by hypotension requiring norepinephrine support."3.69Recurrent hypotension immediately after seizures in nortriptyline overdose. ( Bell, A; Gaynor, B; Lipper, B, 1994)
" Therefore, in these cases, pharmacokinetic values derived from routine dosing should not be used to make clinical decisions (such as timing of discontinuation of sodium bicarbonate infusion)."2.66Delayed Cardiotoxicity From a Massive Nortriptyline Overdose Requiring Prolonged Treatment. ( Eche, IM; Elsamadisi, P; Sclafani, A, 2020)
"Amitriptyline was the most frequent agent followed by Nortriptyline."1.37Tricyclic antidepressants intoxication in Tehran, Iran: epidemiology and associated factors. ( Dianat, S; Hassanian-Moghaddam, H; Rahimian, R; Rashidi-Ranjbar, N; Rasouli, MR; Zarei, MR, 2011)
" 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)
"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)
"No correlation between coma grade or QRS duration and cerebral spinal fluid concentration of amitriptyline was found."1.28Severe amitriptyline overdose: relationship between toxicokinetics and toxicodynamics. ( Heath, A; Hultén, BA; Knudsen, K; Mårtensson, E; Nyberg, G; Starmark, JE, 1992)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's12 (52.17)18.2507
2000's7 (30.43)29.6817
2010's3 (13.04)24.3611
2020's1 (4.35)2.80

Authors

AuthorsStudies
Özütemiz, C1
Roshan, SK1
Kroll, NJ1
Rykken, JB1
Ott, F1
McKinney, AM1
Elsamadisi, P1
Sclafani, A1
Eche, IM1
De Roock, S1
Beauloye, C1
De Bauwer, I1
Vancraynest, D1
Gurne, O1
Gerber, B1
Hantson, P1
Dianat, S1
Zarei, MR1
Hassanian-Moghaddam, H1
Rashidi-Ranjbar, N1
Rahimian, R1
Rasouli, MR1
Clement, A1
Raney, JJ1
Wasserman, GS1
Lowry, JA1
Jain, V1
Swartz, CM1
Franssen, EJ1
Kunst, PW1
Bet, PM1
Strack van Schijndel, RJ1
van Loenen, AC1
Wilhelm, AJ1
Amitai, Y1
Frischer, H1
Avella, J1
Katz, M1
Lehrer, M1
Agrawal, P1
Nadel, ES1
Brown, DF1
Pounder, DJ1
Owen, V1
Quigley, C1
Lipper, B2
Gaynor, BD1
Bell, A1
Gaynor, B1
Winek, CL1
Zaveri, NR1
Wahba, WW1
Hilberg, T1
Bugge, A1
Beylich, KM1
Ingum, J1
Bjørneboe, A1
Mørland, J1
Lee, DC1
Klachko, MN1
Dahlin, KL1
Lâstbom, L1
Blomgren, B1
Ryrfeldt, A1
Moriya, F1
Hashimoto, Y1
Tada, H1
Sticherling, C1
Oral, H1
Morady, F1
Wrenn, K1
Smith, BA1
Slovis, CM1
Hultén, BA2
Heath, A2
Knudsen, K2
Nyberg, G2
Starmark, JE1
Mårtensson, E2
Svensson, C1
Wimbish, G1
Shores, J1
Spiehler, V1

Reviews

1 review available for nortriptyline and Drug Overdose

ArticleYear
Delayed Cardiotoxicity From a Massive Nortriptyline Overdose Requiring Prolonged Treatment.
    Journal of pharmacy practice, 2020, Volume: 33, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Cardiotoxicity; Drug Overdose; Electrocardiography; Humans; Male;

2020

Other Studies

22 other studies available for nortriptyline and Drug Overdose

ArticleYear
Concomitant Acute Toxic Leukoencephalopathy and Posterior Reversible Encephalopathy Syndrome.
    Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2018, Volume: 28, Issue:5

    Topics: Adolescent; Adult; Aged; Drug Overdose; Female; Humans; Leukoencephalopathies; Magnetic Resonance Im

2018
Tako-tsubo syndrome following nortriptyline overdose.
    Clinical toxicology (Philadelphia, Pa.), 2008, Volume: 46, Issue:5

    Topics: Antidepressive Agents, Tricyclic; Drug Overdose; Electrocardiography; Female; Follow-Up Studies; Hum

2008
Tricyclic antidepressants intoxication in Tehran, Iran: epidemiology and associated factors.
    Human & experimental toxicology, 2011, Volume: 30, Issue:4

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Cross-Sectional Studies; Drug Overdose; Fema

2011
Chronic amitriptyline overdose in a child.
    Clinical toxicology (Philadelphia, Pa.), 2012, Volume: 50, Issue:5

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Child; Drug Overdose; Electrocardiography; Female;

2012
Charcoal enhancement of treatment for tricyclic-induced mania.
    Pharmacopsychiatry, 2002, Volume: 35, Issue:5

    Topics: Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Antidotes; Bipolar Disorder; Charcoal; Depres

2002
Toxicokinetics of nortriptyline and amitriptyline: two case reports.
    Therapeutic drug monitoring, 2003, Volume: 25, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Chromatography, High Pressure Liquid; Drug O

2003
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
Assessing free and total morphine following heroin overdose when complicated by the presence of toxic amitriptyline levels.
    Journal of analytical toxicology, 2007, Volume: 31, Issue:8

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Drug Interactions; Drug Overdose; Fatal Outc

2007
Tricyclic antidepressant overdose.
    The Journal of emergency medicine, 2008, Volume: 34, Issue:3

    Topics: Antidepressive Agents, Tricyclic; Drug Overdose; Electrocardiography; Emergency Medicine; Female; Hu

2008
Postmortem changes in blood amitriptyline concentration.
    The American journal of forensic medicine and pathology, 1994, Volume: 15, Issue:3

    Topics: Adult; Amitriptyline; Body Fluids; Chromatography, High Pressure Liquid; Drug Overdose; Humans; Male

1994
Value of serum tricyclic antidepressant levels with massive nortriptyline overdose and persistent hypotension.
    The American journal of emergency medicine, 1995, Volume: 13, Issue:1

    Topics: Drug Overdose; Female; Humans; Hypotension; Nortriptyline; Prognosis; Respiratory Distress Syndrome

1995
Recurrent hypotension immediately after seizures in nortriptyline overdose.
    The American journal of emergency medicine, 1994, Volume: 12, Issue:4

    Topics: Biological Availability; Blood Pressure; Drug Overdose; Female; Heart; Humans; Hypotension; Midazola

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
An animal model of postmortem amitriptyline redistribution.
    Journal of forensic sciences, 1993, Volume: 38, Issue:1

    Topics: Amitriptyline; Animals; Disease Models, Animal; Drug Overdose; Liver; Lung; Male; Nortriptyline; Pos

1993
Falsely elevated lithium levels in plasma samples obtained in lithium containing tubes.
    Journal of toxicology. Clinical toxicology, 1996, Volume: 34, Issue:4

    Topics: Adult; Drug Overdose; False Positive Reactions; Female; Humans; Infant; Lithium; Lithium Carbonate;

1996
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
Redistribution of basic drugs into cardiac blood from surrounding tissues during early-stages postmortem.
    Journal of forensic sciences, 1999, Volume: 44, Issue:1

    Topics: Adult; Amitriptyline; Animals; Antidepressive Agents, Tricyclic; Autopsy; Central Nervous System Sti

1999
Brugada syndrome mimicked by tricyclic antidepressant overdose.
    Journal of cardiovascular electrophysiology, 2001, Volume: 12, Issue:2

    Topics: Adult; Antidepressive Agents, Tricyclic; Bundle-Branch Block; Drug Overdose; Electrocardiography; Hu

2001
Profound alkalemia during treatment of tricyclic antidepressant overdose: a potential hazard of combined hyperventilation and intravenous bicarbonate.
    The American journal of emergency medicine, 1992, Volume: 10, Issue:6

    Topics: Adult; Aged; Alkalosis; Antidepressive Agents, Tricyclic; Bicarbonates; Critical Care; Doxepin; Drug

1992
Severe amitriptyline overdose: relationship between toxicokinetics and toxicodynamics.
    Journal of toxicology. Clinical toxicology, 1992, Volume: 30, Issue:2

    Topics: Amitriptyline; Coma; Drug Overdose; Electrocardiography; Erythrocytes; Half-Life; Humans; Intubation

1992
Amitriptyline and amitriptyline metabolites in blood and cerebrospinal fluid following human overdose.
    Journal of toxicology. Clinical toxicology, 1992, Volume: 30, Issue:2

    Topics: Adult; Amitriptyline; Chromatography, High Pressure Liquid; Dialysis; Drug Overdose; Erythrocytes; F

1992
A comparison of three computer models for prediction of dose in acute amitriptyline overdose.
    Journal of forensic sciences, 1991, Volume: 36, Issue:1

    Topics: Amitriptyline; Animals; Chi-Square Distribution; Computer Simulation; Discriminant Analysis; Dogs; D

1991