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Tolmetin overdose

Definition

Tolmetin is a nonsteroidal anti-inflammatory drug (NSAID). It is used to help relieve pain, tenderness, swelling, and stiffness due to certain types of arthritis or other inflammatory conditions, such as sprains or strains.

Tolmetin overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medication.

This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

Alternative Names

Tolectin overdose

Poisonous Ingredient

Tolmetin

Where Found

  • Tolectin
  • Novo-tolmetin

Note: This list may not be all-inclusive.

Symptoms

Airways and lungs:

Eyes, ears, nose, and throat:

Kidneys and bladder:

  • Kidney failure

Nervous system:

Stomach and intestinal tract:

  • Abdominal pain
  • Blood in the stomach and intestinal areas
  • Diarrhea
  • Heartburn
  • Nausea
  • Vomiting

Skin:

  • Rash

Home Care

Seek immediate medical attention and call poison control. Standard procedure is to make the person throw up, unless the patient is unconscious or having convulsions. Confirm this with poison control.

Before Calling Emergency

Determine the following information:

  • Patient's age, weight, and condition
  • Name of the product (as well as the ingredients and strength, if known)
  • Time it was swallowed
  • Amount swallowed
  • If the medication was prescribed for the patient

Poison Control

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

Take the container with you to the hospital, if possible.

See: Poison control center - emergency number

What to Expect at the Emergency Room

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate.

The patient may receive:

  • Activated charcoal
  • Blood tests
  • Breathing support (artificial respiration)
  • EKG (electrocardiogram, or heart tracing)
  • Intravenous (through the vein) fluids
  • Laxative
  • Tube through the mouth into the stomach to empty the stomach (gastric lavage)
  • X-rays

Outlook (Prognosis)

Recovery is very likely. However, gastrointestinal bleeding may be severe and require blood transfusion, and kidney damage may be permanent.

Prevention

Keep all medications in child-proof containers and out of reach of children. Read all medication labels and take only medications which have been prescribed for you.

References

Bruno GR, Carter WA. Nonsteroidal anti-inflammatory drugs. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 172.

Seger DL, Murray L. Aspirin and nonsteroidal agents. In: Marx, JA, ed: Rosen's Emergency Medicine, Concepts and Clinical Practice. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2013:chap 149.


Review Date: 10/12/2013
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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