What is the fatal dose of paracetamol (acetaminophen).
Paracetamol which is an over the counter painkiller or antipyretic (used to treat fever), is toxic to the body if taken in a higher dose. In higher doses, it is toxic to the liver.
The fatal dose of paracetamol, which may cause acute liver failure or fulminant hepatitis and subsequently death is more than 12 grams or 250mg/kg,
Lithium toxicity – Signs and symptoms, Causes and Management.
Lithium is a metal, but in medicine, it is used to treat bipolar disorder and refractory depression. Refractory depression means depression that failed other recommended medical management. Lithium is excreted through the kidneys, therefore, your patient must have a normal renal function if you want to initiate lithium therapy. It has a very narrow therapeutic range,
Sublingual Captopril (Capoten) is linked with major stroke and death. no longer recommended.
Previously sublingual captopril was given to lower blood pressure in the emergency room. But several cases of large cerebral stroke are reported and it is no longer used worldwide. But in developing countries and peripheral rural areas, it is still used by those physicians who don’t have the means to get the latest information, either electronically,
how and when to give radioactive iodine in hyperthyroidism (Toxic goiter)
Hyperthyroidism secondary to toxic multinodular goiter can be treated by any of the following means:
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Surgery:
Usually done when the goiter is large and causes significant cosmetic disfigurement. Patient is made euthyroid with the help of antithyroid drug, Carbimazole or Methimazole and surgery is planned when patient becomes euthyroid.
Anti-epileptic drugs that don’t affect Cytochrome P450 liver Enzymes
Most of the drugs are metabolized by the liver, The Cytochrome P450 enzymes are predominantly responsible for metabolizing the drugs. Some drugs have the potential to induce or inhibit this Cytochrome P450 pathway. Those drugs which induce this cytochrome p450 pathway cause decrease in the efficacy of other drugs which are metabolized by this pathway,
Letrozole vs clomiphene for pregnancy in polycystic ovarian syndrome
Letrozole which is an aromatase inhibitor, which blocks the conversion of testosterone to estrogen and thus blocks the negative feedback effect of estrogen on FSH. Therefore, the level of FSH increases and the chance of follicle maturity increases.
Clomiphene also works by increasing the level of FSH and LH. but clomphene acts directly on hypothalamus.