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Pharmaceutical Antidotes

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In our pursuit of optimal patient care, antidotes stand as vital tools. These specialized interventions are designed to counteract the harmful effects of poisonings or excessive medication doses. Our comprehensive compilation is here to provide pharmacists like you with an in-depth overview of commonly used pharmaceutical antidotes, along with the specific substances or drugs they work against.

Toxin/Drug Antidote
Acetaminophen Overdose N-acetylcysteine (NAC)
Anticholinergic Toxicity Physostigmine
Benzodiazepine Overdose Flumazenil
Beta/Calcium Blockers OD Glucagon, Calcium Chloride
Carbon Monoxide Poisoning Hyperbaric Oxygen Therapy
Cyanide Poisoning Hydroxocobalamin, Sodium Thiosulfate, Sodium Nitrite
Digoxin Toxicity Digoxin-specific Fab fragments (Digoxin-specific antibody fragments)
Ethylene Glycol or Methanol Poisoning Fomepizole, Ethanol
Heparin Overdose Protamine
Insulin Overdose Glucose
Iron Overdose Deferoxamine
Isoniazid Overdose Pyridoxine (Vitamin B6)
Lead Poisoning Dimercaprol (BAL), Succimer, Calcium Disodium Versenate (EDTA)
Methemoglobinemia (Nitrate/Nitrite Poisoning) Methylene Blue
Methotrexate Toxicity Leucovorin (Folinic Acid)
Opioid Overdose Naloxone
Organophosphate/Carbamate Poisoning Atropine, Pralidoxime (2-PAM)
Salicylate Poisoning Sodium Bicarbonate, Hemodialysis (in severe cases)
Serotonin Syndrome Cyproheptadine
Snakebite Envenomation Various antivenom products, depending on the snake species
Tricyclic Antidepressant Overdose Sodium Bicarbonate, Physostigmine
Warfarin Overdose/Excessive Bleeding Phytonadione (Vitamin K)
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