In this section
hospital management of cardiopulmonary arrest
care of the seriously unwell child
For 24 hour advice, contact Victorian Poisons Information Centre 13 11 26
The risk of seizures following overdose with SNRIs is dose dependent. Seizures may be delayed up to 16 hours following overdose, particularly following overdose with extended release preparations
There is a risk of hypotension, prolonged QRS duration and QT interval, and cardiac dysrhythmias with large ingestions.
Also, there is a high risk of
serotonin syndrome if other serotonergic agents are co-ingested.
*Note these values do not apply to adolescents or adults (please
discuss with toxicologist)
Red flag features in Red
Ongoing care and monitoring
should be considered for all children and young people with an intentional
Consult Contact Victorian Poisons Information Centre 13 11 26 for advice
Children who have large ingestions or develop severe
serotonin syndrome should be managed in a paediatric ICU.
For emergency advice and paediatric or neonatal ICU
transfers, see Retrieval
prevention for children
Prevention of poisoning (Victorian Poisons Information Centre)
Poisons Information Centre: phone
13 11 26
Poisons Information Centre
Child & Adolescent Mental Health Services (CAMHS): Victorian government
mental health services are region-based
Youth Health: Specialist mental health services for people aged 15 – 25 years,
residing in the western and north-western
regions of metropolitan Melbourne. Triage/intake - 1800 888 320.
Headspace: National Youth Mental Health
Foundation with local
YSAS (Youth Support
and Advocacy Service): Outreach teams across Melbourne and regional Victoria for
young people experiencing significant problems with alcohol and/or drug use
YoDAA: Victoria’s Youth Drug
and Alcohol Advice service - provides information and support for youth AOD
needs or anyone concerned about a young person
Service Seeker: Search for local community support services e.g. local doctor,
dentist, counselling services, drug and alcohol services.
Last updated December 2020