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Acute tricyclic antidepressant (TCA) poisoning is a potentially lethal intoxication that is characterized by life-threatening arrhythmias (sinus tachycardias, premature ventricular contractions, ventricular arrhythmias), anticholinergic toxidrome (mydriasis, dry mucous membrane, tachycardia, hypertension), central nervous system toxicity (lethargy, coma, myoclonic jerks), refractory hypotension, and sudden death.
No approved treatments are currently available for acute tricyclic antidepressant poisoning. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for acute tricyclic antidepressant poisoning, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for acute tricyclic antidepressant poisoning. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
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Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for acute tricyclic antidepressant poisoning.
4 publications have been identified in PubMed for acute tricyclic antidepressant poisoning. Research spans Review / Meta-Analysis (50%) and Epidemiology / Natural History (50%).
Pereira M (2026). [PMID: 41378830](https://pubmed.ncbi.nlm.nih.gov/41378830/). *Clinical toxicology (Philadelphia, Pa.)*. [Epidemiology / Natural History]
Maruniak S (2025). [PMID: 40263908](https://pubmed.ncbi.nlm.nih.gov/40263908/). *Perfusion*. [Review / Meta-Analysis]
Nendumba G (2025). [PMID: 41247632](https://pubmed.ncbi.nlm.nih.gov/41247632/). *Annals of intensive care*. [Review / Meta-Analysis]
Tang KB (2024). [PMID: 39194962](https://pubmed.ncbi.nlm.nih.gov/39194962/). *Clinical toxicology (Philadelphia, Pa.)*. [Epidemiology / Natural History]
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 9:43 AM UTC
European rare disease database
Common questions about acute tricyclic antidepressant poisoning
Designated
Exclusivity End |
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Designation Status |
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Alpha-1-acid glycoprotein | Alpha-1-acid glycoprotein | Bio Products Laboratory | 2004 | — | Withdrawn |
View trials for acute tricyclic antidepressant poisoning