HomeAnswersToxicologyamitriptylineHow to detox my body after Amitriptyline poisoning?

What are the ways to eliminate Amitriptyline from the body?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At February 5, 2024
Reviewed AtFebruary 5, 2024

Patient's Query

Hello doctor,

I have severe Amitriptyline poisoning and I basically have mitochondrial problems and I do not detox medicines well. This terrible medicine burned me from the inside. I tried to detox from it with 8 alpha lipoic acid IV and the unthinkable happened it polymerized in me and became a liquid glue in my body damaging me everywhere including my brain and skin. I cannot find help as it is so rare. I tried saline drips and vitamin C drips to detox. What should I do now? Please help.

Thank you.

Answered by Dr. Arul Amuthan L

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The amitriptyline increases sympathetic activity in the body which shows toxic symptoms. This drug gets eliminated from the body within 2 to 3 days. Maximum, it takes five days to get eliminated from the body. So, even without any treatment, one can come back well. But, patients should be treated symptomatically. Since the drug reduces the blood pH, sodium bicarbonate should be injected to maintain the pH of the body. No other therapy is required.

Please get admitted to a hospital for the above care.

Thank you.

Patient's Query

Hello doctor, thank you so much for the reply.

It is still in my system. I did tests and I have been having bicarbonate. I need to know how to get polymeric alpha lipoic acid out of my body. It is stuck in my brain. Please answer my question.

Thank you.

Answered by Dr. Arul Amuthan L

Hello,

Welcome back to icliniq.com.

Alpha lipoic acid should not be infused. Even though it is a good antioxidant, injecting is not advisable in regular practice. This can cause multiple organ damage, like liver, kidney, heart, brain, glucose metabolisms, etc. So treatment is as per the symptoms of the individual patient. Laboratory monitoring-based therapy will work. There are no specific antidotes available against this. This drug does not stay in the body for a longer period. Excess accumulated lipoic acid gets eliminated in a few days. So, until that period (maximum one week), the patient should be treated symptomatically.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arul Amuthan L
Dr. Arul Amuthan L

Pharmacology

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