Poisonings and toxic substance exposures are prominent causes of morbidity and mortality in psychiatry. Entoxications which are confronted frequently include clinical scenarios ranging from known drug overdose or drug interactions, as well as, illicit drug use, suicide attempt, or accidental exposure. The clinical evaluation and management of such patients remain challenging. Recognition of major toxic syndromes is important for accurate diagnosis and treatment as well as rapid stabilization of patients and resuscitation. The main focus of this article is to discuss common toxic syndromes (symptom patterns of specific poisoning). These common toxic syndromes include serotonin syndrome, neuroleptic malignant syndrome, anticholinergic, sympathomimetic, opiate, sedative/hypnotic, cholinergic toxic syndromes. All of these syndromes are closely associated with psychiatric signs and symptoms. If recognized early and appropriate treatment is initiated rapidly, majority of patients display favourable outcome.
Serotonin Syndrome, Neuroleptic Malignant Syndrome, Toxic Syndromes, Poisoning, Treatment