Successful outcome following intralipid emulsion and plasmapheresis in a patient with profound neurologic and cardiovascular manifestations due to nortriptyline poisoning: a case report

Dublin Core

Title

Successful outcome following intralipid emulsion and plasmapheresis in a patient with profound neurologic and cardiovascular manifestations due to nortriptyline poisoning: a case report

Subject

TCA, Plasmapheresis, Intralipid

Description

Abstract
Objective Tricyclic antidepressants (TCAs) are used to treat depression, but if abused or misused, they can cause
poisoning, which can be fatal. The main treatment for TCA poisoning is administering sodium bicarbonate.
Methods We report a 16-year-old girl diagnosed with nortriptyline poisoning with a profound neurologic and
cardiovascular manifestations, successfully treated using sodium bicarbonate, intralipid emulsion, and plasmapheresis.
Conclusions Plasmapheresis can be a good treatment modality for patients with TCA poisoning who do not respond
well to classic treatments.
Keywords TCA, Plasmapheresis, Intralipid

Creator

Asma Ahmadinejad1

, Amir Saeed2

and Marzieh Davoodi3*

Source

https://doi.org/10.1186/s12245-025-00824-4

Date

2025

Contributor

Peri Irawan

Format

pdf

Language

english

Type

text

Files

Citation

Asma Ahmadinejad1 , Amir Saeed2 and Marzieh Davoodi3*, “Successful outcome following intralipid emulsion and plasmapheresis in a patient with profound neurologic and cardiovascular manifestations due to nortriptyline poisoning: a case report,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12650.