INH toxicity: Difference between revisions

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==Source==
==Source==
6/06 MISTRY & Goldfrank's Toxicologic Emergencies
Goldfrank's Toxicologic Emergencies -INH Poisoning
<references>


[[Category:Tox]]
[[Category:Tox]]

Revision as of 15:59, 14 March 2014

Background

  • Causes low Pyridoxine B6 stores
  • B6 used to make gaba- an inhibitory neurotransmitter
  • Also inhibits lactate to pyruvate conversion

Treatment

  • Adults - 1 g of pyridoxine for each gram of INH ingested, to a maximum of 5 g
  • Children - 1gm/kg regardless of age [1]

Rate - slow IV infusion at approximately 0.5 g/min until the seizures stop or the maximum dose is reached. Remainder of dose infused over 4 to 6 hours.

Source

Goldfrank's Toxicologic Emergencies -INH Poisoning <references>

  1. Minns, A. et al. Isoniazid-Induced Status Epilepticus in a Pediatric Patient After Inadequate Pyridoxine Therapy. Pediatric Emergency Care. 2010:26(5)380-381