Fatal Cerebral Edema, Seizures, and Hyponatremia After Trazodone Overdose.

Abstract:

:Trazodone is a serotonin antagonist and reuptake inhibitor that is widely used for the treatment of depression and insomnia. Fatal overdose is rare and usually occurs when combined with other drugs or alcohol. Only a few lethal cases of pure trazodone overdose have been reported, all attributed to cardiotoxicity. We reported a 37-year-old woman who presented after ingesting 6.45 g of trazodone in a suicidal attempt. She was hyponatremic because of the syndrome of inappropriate antidiuretic hormone secretion and, shortly after, had a seizure and developed fatal cerebral edema. Others have described seizures and hyponatremia after pure trazodone overdose, but this is the first report of cerebral edema and death from a neurological complication. Careful monitoring and correction of sodium levels may be necessary in these patients.

journal_name

Clin Neuropharmacol

authors

Avila JD

doi

10.1097/WNF.0000000000000235

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

221-223

issue

5

eissn

0362-5664

issn

1537-162X

journal_volume

40

pub_type

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