Podcast # 463: Buproprion Overdose

Emergency Medical Minute

Apr 30, 2019•2 min

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Episode description

Author: Erik Verzemnieks, MD

Educational Pearls:

Buproprion is used as an antidepressant and for smoking cessation
Severe buproprion overdoses can cause seizures and lead to cardiac dysrhythmias
Benzodiazepines are treatment of choice for seizures
Bicarbonate and Interlipid are also possible treatment options with less evidence

References

Stall N, Godwin J, Juurlink D. Bupropion abuse and overdose. CMAJ. 2014 Sep 16;186(13):1015. doi: 10.1503/cmaj.131534. Epub 2014 Apr 28. PubMed PMID: 24778361; PubMed Central PMCID: PMC4162783.

Balit CR, Lynch CN, Isbister GK. Bupropion poisoning: a case series. Med J Aust. 2003 Jan 20;178(2):61-3. PubMed PMID: 12526723.

Bruccoleri RE, Burns MM. A Literature Review of the Use of Sodium Bicarbonate for the Treatment of QRS Widening. J Med Toxicol. 2016 Mar;12(1):121-9. doi: 10.1007/s13181-015-0483-y. Review. PubMed PMID: 26159649; PubMed Central PMCID: PMC4781799.

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