Cardiotoxicity and late onset seizures with citalopram overdose Journal Article uri icon
  • A 31-year-old man ingested 400 mg of citalopram (Celexa) after an argument with his parents and girlfriend 13 h before presentation. Paramedics witnessed the patient having a generalized clonic seizure. The electrocardiogram (EKG) revealed a wide QRS complex, prolongation of the QTc interval, and left bundle branch pattern. He was treated with sodium bicarbonate with resolution of these changes. The patient was continued on a sodium bicarbonate infusion and demonstrated no further EKG abnormalities. Sodium bicarbonate should be considered as a treatment modality in patients with EKG abnormalities of prolongation of QRS or QTc interval after citalopram overdose.

  • Link to Article
    publication date
  • 2003
  • published in
  • Citalopram/*poisoning
  • Drug Overdose
  • Electrocardiography
  • Seizures/*chemically induced
  • Serotonin Uptake Inhibitors/*poisoning
  • Sodium Bicarbonate/administration & dosage
  • Additional Document Info
  • 25
  • issue
  • 2