title: [Calcium channel modulators as antidotes in fatal imipramine poisoning].
abstract: Calcium entry modulators were tested as antidotes to imipramine lethal toxicity. 42 rats were administered intraperitoneally 85 mg/kg of imipramine. In 6 control rats, hypotension and bradycardia were observed. Survival time was 15' +/- 5'. Survival time of rats treated with intraarterial nitrendipine was 21' +/- 11'. Survival time of 5 out of 6 rats treated by intraarterial verapamil or diltiazem was respectively 19'00" +/- 14'30" and 40'30" +/- 32'00". 5 out of 6 rats treated by intraarterial nimodipine, as well as all of the rats treated by flunarizine or nicardipine survived and were alive and active 48 hours later. Intoxication with imipramine may induce life threatening complications for which there are no specific medication. Nicardipine might be considered in the treatment of acute poisoning by imipramine and related tricyclic compounds.
authors.affiliation: Laboratoire de Pharmacologie et Toxicologie cellulaires, INSERM, Hôpital Fernand Widal, Paris.
authors.forename: M
authors.initials: M
authors.lastname: Sitbon
authors.forename: R
authors.initials: R
authors.lastname: Trouvé
authors.forename: C
authors.initials: C
authors.lastname: Latour
authors.forename: G G
authors.initials: GG
authors.lastname: Nahas
mesh_terms: D000818:Animals; D001919:Bradycardia / Q000139:chemically induced; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D004110:Diltiazem / Q000627:therapeutic use; D005444:Flunarizine / Q000627:therapeutic use; D007022:Hypotension / Q000139:chemically induced*; D007099:Imipramine / Q000037:antagonists & inhibitors / Q000506:poisoning*; D009529:Nicardipine / Q000627:therapeutic use; D009553:Nimodipine / Q000627:therapeutic use; D009568:Nitrendipine / Q000627:therapeutic use; D051381:Rats; D014700:Verapamil / Q000627:therapeutic use
chemical_list: D002121:Calcium Channel Blockers; D009553:Nimodipine; D009568:Nitrendipine; D014700:Verapamil; D009529:Nicardipine; D004110:Diltiazem; D007099:Imipramine; D005444:Flunarizine
vernacular_title: Effets antidotes de certains modulateurs des canaux calciques dans l'intoxication létale à l'imipramine.