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TENUATE AND TENUATE DOSPAN (DIETHYLPROPION/AMFEPRAMONE): OVERDOSAGE

Manifestations of acute overdosage include tremor, restlessness, hyperreflexia, confusion, rapid respiration, assaultiveness, panic states, hallucinations, and mydriasis.

Fatigue and depression usually follow the central stimulation.

Cardiovascular effects include arrhythmias, tachycardia, hypertension or hypotension and circulatory collapse. Gastrointestinal symptoms include vomiting, nausea, diarrhea, and abdominal cramps. Overdose of pharmacologically similar compounds has resulted in convulsions, coma and death.

The reported oral LD50 for mice is 600 mg/kg, for rats is 250 mg/kg and for dogs is 225 mg/kg. Management of acute diethylpropion hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendation in this regard. Intravenous phentolamine (Regitine) has been suggested on pharmacologic grounds for possible acute, severe hypertension, if this complicates Tenuate or Tenuate Dospan (Diethylpropion HCl) overdosage.

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