Oral hypoglycemics overdose

Definition

Poisoning from an oral hypoglycemic.

Poisonous Ingredient

• chlorpropamide
  
• tolbutamide
  
• acetohexamide
  
• tolazamide
  
• glipizide
  
• glyburide
  

Note: This list may not be all inclusive.

Where Found

• chlorpropamide (Diabinese)
  
• tolbutamide (Orinase)
  
• acetohexamide (Dymelor)
  
• tolazamide (Tolinase)
  
• glipizide (Glucotrol)
  
• glyburide (DiaBeta, Micronase)
  

Note: This list may not be all inclusive.

Symptoms

• body as a whole
  o confusion
  o lack of desire to do anything
  o agitation
  o nervousness
  o sweating
  o stupor
  o coma
  
• eyes, ears, nose, and throat
  o tingling of tongue and lips
  
• gastrointestinal
  o nausea
  o increased appetite
  
• heart and blood vessels
  o rapid heartbeat
  
• nervous system
  o tremor
  o Convulsions
  

Before Calling Emergency
Determine the following information:

• the patient's age, weight, and condition
  
• the name of the product (ingredients and strengths if known)
  
• the time it was swallowed
  
• the amount swallowed
  

Poison Control, or a local emergency number
They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.

What to expect at the emergency room

Some or all of the following procedures may be performed:

• gastric lavage