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amytriptyline - kashmala - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: amytriptyline - kashmala (/showthread.php?tid=164050) |
amytriptyline - kashmala - ArchivalUser - 02-22-2007 cause of death in pt with amytryptilline overdose? 1.serotonin uptake 2.norepinefrine accumulation 3.uncontrolled presynaptic dopamine realease 4.Na channel bloeckage 5.CL channel overactivity 0 - ArchivalUser - 02-22-2007 i guess..bbbbbbbb NE uptake block....... 0 - ArchivalUser - 02-22-2007 2.norepinefrine accumulation 0 - ArchivalUser - 02-22-2007 b? 0 - ArchivalUser - 02-22-2007 2..norepinefrine accumulation 0 - ArchivalUser - 02-22-2007 not sure..but....main effect of TCA overdose is hypotension and cardiotoxicity....NE and serotonin initially accumulates....so the initial excitatory effects..than they are depleted ...so produces hypotension....it should be either 3..4..or..5...may be 333333..i m not sure though 0 - ArchivalUser - 02-22-2007 44... 0 - ArchivalUser - 02-22-2007 44... 0 - ArchivalUser - 02-22-2007 weldone pongly....doing great 0 - ArchivalUser - 02-22-2007 amytriptilline inhibits presynaptic neurotransmitter uptake(serotonin n NE) casuing tremors n insomnia it inhibits FAST Na CNAHHEL causing conduction defects,hypotension n arrythmias it aslo inhibits muscarinic receptors(acetylcholine) causing hyperthermia,flushing,dilated pupil,Intestinal ileus,urinary retention n constipation it inhibits alfa adrenergic receptors casuing peripheral vasodilatation( orthostatic hypotention) it inhibits histamine receptor (H1) causing sedation |