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Poison and Antidote

Poison

Definition:

  • A poison is any substance that can cause harm or death when introduced into or absorbed by a living organism.

Sources:

  • Poisons can originate from chemicals, plants, animals, and medications.

Effects:

  • The impact of a poison depends on factors such as its nature, the amount absorbed, mode of exposure, and individual characteristics of the person exposed (age, health status, genetics).

Antidote 

  • An antidote is a substance that counteracts the effects of a poison, reducing or eliminating the harm caused.

Mechanisms of Antidotes of Antidote

1. Neutralizing the Poison:

  • Directly neutralizes the poison’s effects.

  • Example: A weak base can neutralize strong acid ingestion.

2. Binding to the Poison:

  • Binds to the poison, rendering it inactive or less toxic.

  • Example: Activated charcoal absorbs and prevents the absorption of poisons in oral poisoning.

3. Enhancing Poison Elimination:

  • Increases the rate of poison elimination from the body.

  • Example: Chelating agents bind to heavy metals (e.g., lead, mercury) for excretion.

4. Reversing the Poison's Effects:

  • Reverses the physiological effects of the poison.

  • Example: Naloxone reverses respiratory depression caused by opioid overdose.

5. Providing an Essential Compound:

  • Supplies or mimics a compound depleted by the poison.

  • Example: Vitamin K is used to counteract warfarin poisoning by replenishing clotting factors.

Examples of Poisons and Their Antidotes

1.Acetaminophen (Tylenol) Overdose:

  • Antidote: N-acetylcysteine (NAC)

  • Action: Replenishes glutathione stores, helping to detoxify the harmful metabolite of acetaminophen.

2.Opioid Overdose:

  • Antidote: Naloxone

  • Action: Rapidly displaces opioids from their receptors, reversing effects, especially life-threatening respiratory depression.

3.Benzodiazepine Overdose:

  • Antidote: Flumazenil

  • Action: Blocks the effect of benzodiazepines on the GABA receptor, reversing sedation.

4.Organophosphate Poisoning (Certain Pesticides):

  • Antidotes: Atropine and Pralidoxime (2-PAM)

  • Action: Atropine relieves muscarinic symptoms, while pralidoxime reactivates acetylcholinesterase, which is inhibited by organophosphates.


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