Sunday, November 27, 2011

SEs of TCAs

TCA SE is Anti-HAM!!
antiH- istamine(sedation
antiA - adrenergic properties- CVS SEs : orthostatic hypotension (most life
                 threatening),tachycardia,arrhythmias
antiM- muscarinic effects -dry mouth,constipation,urinary retention,blurred vision,tachycardia

others- weight gain
         - lethal in overdose (!!one week supply of the drugs can be lethal in overdose,so assess your patient suicide risk 1st!)
         - major COMPLICATIONS- 3C = convulsions,coma,cardiotoxicity

mainstay of treatment of TCA overdose is IV sodium bicarbonate. 

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