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Question

Poisoning with which of the following drugs causes hypothermia ?

The correct answer is
Chlorpromazine

To determine which of the listed drugs can cause hypothermia when ingested in toxic doses, we need to understand the effects of each drug on the body. Hypothermia refers to a body temperature that drops below normal levels.

  1. Digoxin: Digoxin is a cardiac glycoside used to treat heart conditions. It primarily affects heart rate and contractility and does not characteristically cause hypothermia in cases of toxicity.
  2. Chlorpromazine: Chlorpromazine is an antipsychotic medication that is known for causing temperature dysregulation because it affects the hypothalamus, the part of the brain responsible for thermoregulation. In cases of overdose, chlorpromazine can result in hypothermia due to this disturbance in temperature regulation.
  3. Iron: Iron overdose can lead to metabolic acidosis and damage to the gastrointestinal tract but does not cause hypothermia.
  4. Alcohol: Alcohol can cause hypothermia as it leads to peripheral vasodilation, increasing heat loss. However, among the given options, chlorpromazine is more directly associated with significant hypothermic effects due to its pharmacological action on the hypothalamus.

Based on the above reasoning, the drug that causes hypothermia in toxicity is Chlorpromazine.

Conclusion: Chlorpromazine affects the body's ability to regulate temperature, making hypothermia a potential side effect in cases of overdose.

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Important Questions from Acute Poisoning

  1. Whole Bowel Irrigation (WBI) as a method of gastrointestinal decontamination is useful for poisoning with :
  2. Consider the following agents and the cardiac effects in case of overdose or poisoning: 

    1. Prolonged PR interval - Lithium 

    2. Prolonged QTc interval - Amiodarone 

    3. Wide QRS complex - Kerosene ingestion 

    4. Tachycardia - Organophosphates 

    How many of the pairs given above are correctly matched ?

  3. Urinary alkalinization as a method for enhancing excretion for poisoning is aimed at achieving
  4. Exchange transfusion as a method to enhance excretion of poison is indicated in
  5. Antidote to reverse the muscarinic effects of organophosphate toxicity is
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