Tissue Distribution of Amphetamine Isomers in a Fatal Overdose

Tissue distribution of amphetamine isomers in a fatal overdose.

A young man (22 years old) died of a cardiorespiratory arrest a few hours following admission to the emergency department of a hospital. He was found lying seriously ill in the parking lot of a dance club. Screening of postmortem blood and urine with enzyme multiplied immunoassay (EMIT) detected only amphetamines, caffeine, and cotinine. Further screening of blood, urine, and stomach contents w...

Non-Fatal Amlodipine and Insulin Overdose in an Elderly Person

Nefopam Hydrochloride: A Fatal Overdose.

Nefopam is a non-opiate analgesic commonly used for the treatment of moderate to severe pain. A case of a 37-year-old male who was found dead in the morning is presented. An autopsy was performed and femoral venous blood, heart blood, urine, and vitreous humor were submitted for toxicological analysis. A general drug screen detected the presence of nefopam, caffeine, nicotine, citalopram, gabap...

Fatal digoxin overdose.

Overdosage with cardiac glycosides is well documented, but not usually fatal. A case is described in which cardiac arrest in asystole was associated with a serum digoxin level of 50-4 microgram/1, the highest concentration yet reported after oral administration.

Prevention of fatal opioid overdose.

OPIOID OVERDOSE IS A BURGEONING PUBLIC HEALTH crisis, accounting for at least 16 000 deaths annually in the United States. Opioid overdose occurs across sex, ethnic, age, and geographic strata and involvesbothmedicalandnonmedicalopioiduse.Todate, federal government response has focused primarily on monitoringandsecuringthedrugsupply. ThisViewpointsuggestsvariousstepsnecessarytosupportamorecompr...