title: Antidepressant overdose-induced seizures.
abstract: Treating patients with psychiatric problems can present numerous challenges for clinicians. The deliberate self-ingestion of antidepressants is one such challenge frequently encountered in hospitals throughout the United States. This review focuses on 1) the classes of antidepressants, their pharmacologic properties, and some of the proposed mechanism(s) for antidepressant overdose-induced seizures; 2) the evidence for seizures caused by antidepressants in overdose; 3) management strategies for patients who have intentionally or unintentionally overdosed on an antidepressant, or who have experienced an antidepressant overdose-induced seizure.
authors.affiliation: Grand Rapids Medical Education Partners/Michigan State University Emergency Medicine Residency, 100 Michigan NE, MC 49, Grand Rapids, MI 49403, USA. bryan.judge@spectrum-health.org
authors.forename: Bryan S
authors.initials: BS
authors.lastname: Judge
authors.forename: Landen L
authors.initials: LL
authors.lastname: Rentmeester
mesh_terms: D000928:Antidepressive Agents / Q000494:pharmacology / Q000506:poisoning*; D001921:Brain / Q000187:drug effects / Q000503:physiopathology; D019468:Disease Management; D062787:Drug Overdose; D006801:Humans; D015994:Incidence; D012307:Risk Factors; D012640:Seizures / Q000139:chemically induced* / Q000453:epidemiology* / Q000503:physiopathology
chemical_list: D000928:Antidepressive Agents