Toxicology

Tylenol (acetaminophen) has become a surprisingly controversial topic online, so I want to clarify a few key points grounded in toxicology and firsthand clinical experience. From 2020 to 2024, if you were a provider in West Virginia managing a patient with a suspected or confirmed acetaminophen overdose, there is a strong chance I advised on

One of the main reasons I started this blog is because I bring a background to psychiatric practice that’s different from most. I spent two years working in a medical ICU, then four and a half years as a Certified Specialist in Poison Information at the West Virginia Poison Center, handling thousands of overdose and

Prozac was the first selective serotonin reuptake inhibitor (SSRI) approved to treat major depressive disorder (MDD) in 1987. This began the shift away from tricyclic antidepressants and monoamine oxidase inhibitors as Prozac is just as effective with better tolerability with a more favorable side effect profile. Prozac, like all SSRIs, functions primarily by blocking SERT

It is 8:30 pm at the WV Poison Center and the evening rush is in full-force. I am preparing for a night full of overdoses and medication events to manage when the physician in the emergency department calls with a patient who, “just prior to arrival,” ingested an “unknown amount” of their own Wellbutrin XL