Forum libero

- Scritto da:
> Da quello che ho letto, quando sei ben
> intossicato da amanita muscaria, ci sono buone
> probabilità che questa ti porti a vomitare.
> Perciò la lavanda servirebbe a ben
> poco.


Treatment

Medical attention should be sought in cases of suspected poisoning. Initial treatment consists of gastric decontamination. If the delay between ingestion and treatment is less than four hours, activated charcoal is given. Gastric lavage can be considered if the patient presents within 1 hour of ingestion.[76] Inducing vomiting with syrup of ipecac is no longer recommended in any poisoning situations.[77]

There is no antidote, and supportive care is the mainstay of further treatment for intoxication. Patients can develop symptoms similar to anticholinergic or cholinergic poisoning; however, the use of atropine or physostigmine as an antidote is not recommended as muscimol and ibotenic acid do not produce a true anticholinergic syndrome nor do they have activity at muscarinic receptors.[78] If a patient is delirious or agitated, this can usually be treated by reassurance and, if necessary, physical restraints. Additionally, benzodiazepine such as diazepam or lorazepam can be used to control combativeness, agitation, muscular overactivity, and seizures.[46] However, small doses of benzodiazepines should be used as they may worsen the respiratory depressant effects of muscimol.[79] Recurrent vomiting is rare but if present may lead to fluid and electrolyte imbalances; intravenous rehydration or electrolyte replacement may be required.[52][80] Serious cases may develop loss of consciousness or coma, and may necessitate intubation and artificial ventilation.[47][81] Hemodialysis can remove the toxins, although this intervention is generally considered unnecessary.[61] With modern medical treatment the prognosis is typically good following supportive treatment.[57][61]