ANTIDOTES


S.no
Name (s) of the antidote
Indications
Dosage
1
Acepromazine maleate
Acetazine
Acetopromazine
Acetyl-promazine
Seizures associated with amphetamine methamphetamine,
4-Methylimidazole, metaldehyde poisoning,usually preceding use of
barbiturate or other anticonvulsant.
Contraindicated inorganophosphate or strychnine poisoning.
Dogs, Cats-0.03-0.05 mg/kg IV, IM;
Swine-0.1-0.2 mg/kg IV, IM;
Cattle, Horses- 0.02-0.1 mg/kg IV, IM;
Sheep-0.03-0.05 IV;
Goats
0.03-0.1 mg/kg IV;
0.05-0.1 mg/kg IM;
Sheep, Goats
2
Acetic acid (Dilute 4%-6%)
Vinegar (5%)
Ethanoic acid
Ammonia toxicosis; urea, carbon
monoxide, hydrogen sulfide, and opiate
poisoning , metallic salts; arsenic, selenium, tin, thallium, antimony.
Sheep, Goats-0.5-1 L/ animal/ PO;
Cattle, Sheep,Goats- 5-7 ml/kg of a dilute solution 1:4 or 1:5 with water or 20% DextrosePO;
3
Acetylcysteine
N-Acetylcysteine
Acetylcysteine Sodium
Mercapturic Acid
acetaminophen poisoning.

Dogs-150 mg/kg IV, PO;
Cats -140 mg/kg IV, PO;
followed by 70-75
mg/kg q4h
4
Activated Charcoal (10%)
Carbon absorbent whichabsorbs toxic substancesand irritants, non-specificorganics Not effectivefor minerals (elemental,acids, salts, alkalis), nor oils.
Cattle,Sheep, Goats-1.0-3.0 g/kg PO;
Horses-0.5-1.65 g/kg PO;
Dogs,Cats -2-8 g/kg PO
5
Aminophylline
Theophylline
ethyllenediamine
benzodiazepine type
poisonings: flurazepam,
midazolam, forazepam
Horse- 4-15 mg/kg PO, IV; q8-12h
Dogs- 4-10 mg/kg PO, IV; q8-12h
6
Ammonium Acetate (Dilute
7%)
cyanide, opiate, phosgene, and
formaldehyde  poisoning.

Dilute 1:20 with water.
Cattle, Horses-0.23-1.1 mg/kg PO;
Dogs -1.0-1.5 mg/kg PO;
7
Ammonium Molybdate
Ammonium paramolybdenate
Copper poisoning
Sheep, cattle- 100- 500mg/day/animalPO;
8
Amyl Nitrite/ Isoamyl Nitrite
Isopentyl Nitrite/ Pentyl Nitrite/
Poppers
 cyanide, hydrogensulfide, acrylonitrile,chloroform, iodine,
nitrates and strychnine poisonings.

Cattle,Horse -30-60 minute
inhalation;
Dogs- 1.5-5 minute inhalation;

9
Ascorbate
Vitamin C
Cevitamic

treatment of various drugs, plants and metal poisonings; copper,iron, selenium, tellurium, chromium, cobalt, lead, arsenic, nitrate-nitrite,
chlorates, aniline, hydrazine,
hydroquinones, benzocaine, phenacetin, potassium permanganate, quinines, toluidine,
sulfonamides, acetaminophen, Red
Maple (Acer rubrum), PigWeed (Amaranthus),Johnson Grass(Sorghum), Various
Weeds and Feed Grain
plants that have been
stressed with drought or
herbicide and thereby
accumulate nitrates.

Cattle, Horses - 7.5-15 mg/kg IV, IM,
SQ, PO;
; Dogs,Cats- 10-25 mg/kg
IV,IM,SQ,PO
Rabbits,Rodents -100 mg/kg
IV,IM,SQ,PO;
Swine,Sheep- 5-10 mg/kg
IV,IM,SQ,PO;
Goats- 2.5-5 mg/kg
IV,IM,SQ,PO;
10
Atipamezole HCL
medetomidine, xylazine,
amitraz, midodrine, and
phenylepherine overdose
and poisoning.

Dogs- 50 mcg/kg IM q3-4h
PRN;
11
Atropine
Atropine Sulfate
Tropine tropate
dl-Tropyl tropate
dl-Hyoscyamine
Atropia
poisonings; carbamateand organophosphate
pesticides, chemicalterrorist agents, various drugs and plants as well
as to treat poisoningassociated bradycardiahypotension:Aldicarb,
Fumarate, Bromophos,Carbaryl, Chlofenvinphos,Chlorpyrifos, Diazinon,Dicrotophos, Dioxathion,
Disulfaton, Fensulfothion,Fenthion, Malathion,Methidathion, Methiocarb,
Methomyl, Parathion,Profenphos, Propoxur,Terbufos, Tetraethyl
pyrophosphate, Sarin, Soman, Tabun, Paraxon, Tacrine HCL,
Baclofen, Bethanechol chloride, Bisprolol, Chloroform, Nicotine,
Mushroom,Carbolic Acid, Phenol,
Benzene, Physostigmine,
Nitrobenzene, Cyanides,
Opium, Morphine

Cattle, Horse,Dog, Cat, Swine,
Sheep, Goats, Birds,Reptiles, Rabbits,
Rodent -0.1-2.0 mg/kg administer ¼ dose IV with the remainder SQ
or IM;
12
Calcium Disodium Edetate
Calcium-EDTA
Edetate disodium calcium
Edetate calcium sodium
Versenate
treatment of
acute metal poisoning;
lead, cobalt, copper,
manganese, zinc and
hexachlorobenzene
poisoning.

Cattle, Sheep,Goats, Swine- 25-50 mg/kg IV slowly--PRN;
Horses- 60-75 mg/kg IV slowly PRN;
Dogs, Cats,Rodent-25 mg/kg SQ, IV slowly PRN;
Animals should be
monitored for kidney
function and zinc
levels
13
Calcium chloride
hypocalcemia and cardiac
dysrhythmias often
associated with
hyperkalemia: Lead,
Fluoride, Carbon tetrachloride, Ethylene glycol, Oxalic acid,
Chlorinated hydrocarbons, Hydrogen
fluoride, Hydrofluric acid, Calcium channel blockers (Nifedipine, Nimodipine,
Verapamil HCL, Bepridil
HCL, and Diltiazem,
Phosphine,
Hypermagnesemia, Black
Widow Spider bite
Oxalates

Calcium chloride is the
preferred treatment
source in cases of fluoride
or calcium channelblocker
drug toxicoses
because it ionizes more
readily than other calcium
sources. In such cases it
is imperative that the
clinical toxicologist closely

25-125 mg/kg IV slowly
PRN, PO; Cattle,
Horses
20-30 mg/kg IV slowly
PRN, PO; Sheep,
Goats
20-60 mg/kg IV slowly
PRN, Swine
5-50 mg/kg IV slowly
PRN; Dogs, Cats
All doses should be
calculated based on
deficit of elemental
calcium: 1 g Calcium
chloride =272 mg (13.6
mEq)
Elemental calcium.
14
Calcium gluconate
Calcium borogluconate


--do--
150-250 mg/lg IV
slowly PRN, PO;
Cattle, Horses, Sheep,Goats, Swine
25-150 mg/kg IV slowly
PRN, PO; Dogs, Cats
50-100 mg/kg IV slowly
PRN, PO; Birds
1 g Calcium gluconate
= 90 mg (4.5 mEq)
elemental calcium
15
Calcium Lactate

Indications are the same
as those stated for the
other Calcium salts with
the exception of
administration. This is an
oral salt preparations
1 g Calcium lactate = 130
mg (6.5 mEq) elemental
calcium
40-250 mg/kg PO PRN;
Cattle, Horses, Sheep,
Goats
40-500 mg/kg PO PRN;
Swine
30-150 mg/kg PO PRN;
Dogs, Cats

16
Calcium-phosphate
1 g Calcium
glycerophosphate = 190
mg (9.5 mEq) elemental
calcium
Dogs- 30-100 mg/kg IM, SQ,
IV, PRN;
17
Cyproheptadine HCl
Triplennamine HCl
the treatment of seratonergic drug
overdose ,plant poisonings: Amitriptyline,Amphetamine, Cisapride,Clomipramine,
Dexfenfuramine,Fenfluramine, Fluoxetine,Hydroxytryptophan,
Imipramine,Isocarboxazid, Lithium,
Meperidine,Moclobemide,Paroxetine,
Selegiline, sertraline,Tranylcypromine,
St. John’s Wort (Hypericum), Stonecrop
(Sedum), Skunk Cabbage
(Symplocarpus),
Cattle,Horses, SheepGoats, Swine,
1.1 mg/kg PO q8-12h
PRN; Dogs, Cats
1.0 mg/kg IM q6-12h
PRN;
Dogs, Cats- 1.1 mg/kg PO q6-12h
PRN;

Dantrolene Sodium
Dantrium
Acts directly on skeletal
muscle, interfering with
calcium metabolism and
catabolic processes
associated with
generation of
hyperthermia. Used in
poisoning which might
result in severe
hyperthermia or malignant
hyperthermia; Monamine
oxidase inhibitors,
halogenated
hydrocarbons, atropine,
dinitrophenol,
metaldehyde, cocaine,
amphetamines, spent
Hops (Lumulus), Ergot
alkaloids (Claviceps), Tall
Fescue (Festuca), Jimson
Weed (Datura), Ryegrass
(Lolium)
2-3 mg/kg IV PRN;
Dogs
0.5-2 mg/kg IV PRN;
Cats
3.5-4.0 mg/kg IV slowly
PRN; Swine
10-25 mg/kg IV slowly
PRN; Horses
Monitor hepatic
function.
18
Deferoxamine Mesylate
Desferrioxamine B
DFM Myselat
naturally occurring
chelator of tri-valent ions
used in the treatment and
decontamination of iron and aluminum poisoning as well as doxorubicin,
paraquat, aminoglycoside
and acetaminophen
poisonings.

Dogs, Cats- 5-15 mg/kg IV, SQ, IM
PRN;

19
Dextrose
Glucose
In the  treatment of
hypoglycemia  ,which may
result directly or indirectly
from poisoning; Ethanol,Clonidine, Insulin,
Salicylates, Sulfonylureas,Organophosphates,
Phenformin, Metformin,Biguanides, Castor Bean (Ricinus),Bitterweed andRubberweed (Asteraceae).

Cattle, Horses- 100-550 mg/kg IV, IP; (5%-50% aqueous
solution)
Sheep, Swine- 250-500 mg/kg IV, IP (5%-25% aqueous
solution)
Goats-(11-300 mg/kg IV, IP
(5%-25%aqueous solution)
Dogs, Cat-s 500-1000 mg/kg IV, IP (2.2%-5% aqueous
solution)
20
Diazepam
Methyl Diazepam
Anticonvulsant and
Anxiolytic, Used in the treatment of seizures that may be caused by
direct toxic effects or secondary to hypoxia or other metabolic or electrolyte disturbance; Isoniazid, Lithium, Salicylates, Theophylline,
Caffine, Theobromine, Amphetamines, Nicotine, Atropine, Aminopyridine,
Lead, Metaldehyde, Cyanides, Fluoroacetate, Mycotoxins,
Organochlorines, Organophosphates,
Carbamates, Tricyclic Antidepressants,
Strychnine, Cocaine, Opioids, Mefenamic Acid, Methylxanthines, Phenylethylamines, Ergot
Alkaloids (Claviceps)

Cattle, Sheep,Goats -0.5-2.0 mg/kg IV, IM
Horses -0.5-50.0 mg/kg IV, IM ;
Swine- 0.5-10.0 mg/kg IV, IM;
Dogs- 0.5-5.0 mg/kg IV, IM
Cats-0.5-2.5 mg/kg IV, IM
Rabbits- 0.5-10.0 mg/kg IV, IM
Birds -0.5-2.0 mg/kg IV, IM

21
Diphenhydramine HCL
Antihistamine, sedative,anticholinergic,
antiemetic, reverses toxoid and toxin induced extrapyramidal effects.
Used in the treatment of poisonings and drug overdose; Paclitaxel, Monosodium Glutamate,Antivenin, Haloperidol,
Phenothiazine Derivatives and Tranquilizers (Acepromazine).

Cattle-0.5-1.0 mg/kg IV, IM
Horses -0.5-2.0 mg.kg IV, IM
Dogs, Cats- 1.0-5.0 mg/kg PO PRN;
0.5-4.0 mg/kg IV, IM
0.5-1.0 mg/kg IV, IM

22
Dimercaprol
BAL
British Anti-Lewisite
2,3 Dimercaptupropanol
Chelator of metal ions which form soluble sulfhydral group-ion complexes that areeliminated in the urine; used for the treatment of gold, cobalt, antimony,Contraindicated in Cadmium poisoning,arsenic (except arsine), copper, mercury (except non-alkyl mercury),Bismuth, hromium,Nickle, Tungsten, Zinc,and methyl bromide poisoning. and much less effective in lead, selenium and
thallium poisoning.
1-2 mg/kg IM qid PRN;
Cattle, Horses, Sheep,
Goats, Swine, Dogs,
Cats

24
Dopamine
3-Hydroxytyramine
Inotropic agent,norepinepherine
precursor. Used forhypotension reversal inthe treatment of some
drug, plant and ineralpoisonings; Dantrolene,Ethchlorovynol,
Torsemide, Copper, Yew(Taxus), Autum Crocus(Colchicum), Amanita Mushroom (Amanita).

1-20 ug/kg/min IV PRN;
Dogs, Cats, Cattle,
Horses
Contraindicated in
tachyarrhythmia.
Numerous drug
interaction and
incompatability.
25
Edrophonium Chloride
short acting competitive inhibitor ofacetylcholinesterase. Used in reversing the effects of nondepolarizing neuromuscular blocking agents; Curare,Tubocurarine, Atropine, Ivermectin, Avermectins
Gallamine, Atracurium, Metocurine, Pancuronium Bromide, Vecuronium,
Botulism (Cl. Botulinum),
and as a secondary agent
in the treatment of Coral (Micrurus) and Cobra
(Naja) snake bite and Tetrodotoxin poisoning
from Porcupine Fish (Diodon), Deadly
Nightshade Atropa),Jimson Weed (Datura),
Henbane (Hyoscyamus), Mandrake (mandragora),

0.1-0.2 mg/kg IV slowly
PRN; Dogs
0.05-0.125 mg/kg IV
slowly PRN; Cats
0.5-1.0 mg/kg IV slowly
PRN; Horses
26
Egg Whites
Natural clear colloidal protein (albumin) mass with unique physicalchemical characteristics;
denatures, coagulates, and is heat sensitive, hasgood demulcent
properties. Useful in thetreatment of Mercury,Copper, Tin, Silver,
Hydrogen Peroxide,Phenol, Picuric Acid,Formaldehyde, Ether,Alcohol, householdCleaners and Detergents, Corrosive
Chemical poisonings.

1-2 egg whites/5-10 kg
PO; Dogs, Cats,
Calves, Foals, Lambs,
Kids, Pigs
Usually administered
with milk.
27
Epinephrine
Adrenalin
Adrenaline
Positive inotrope,
cardiovascular stimulant
and bronchodilator. Used
in the treatment of insect
bite-induced anaphylaxis,
insect bite poisoning, as
well as drug-induced
anaphylaxis, drug
poisoning; b-blocker
poisoning, Chloroquine,
Vaccines, Fire Ants
(Solenopsis), Africanized
Bees or Honey Bees
(Apis), Yellow Jackets
(Vespula), Paper Wasp
(Polistes), White Faced
Hornets (Dolichovespula)

0.01-0.02 mg/kg (0.45-
0.9 ml 1:1,000/kg) IM,
SQ PRN; Cattle,
Horses, Sheep, Goats,
Swine, Dogs, Cats
0.01-0.02 mg/kg
(1:10,000) IV PRN;
Dogs, Cats, Cattle,
Horses, Sheep, Goats,
Swine
Usual large animal
dose, 1:1000, is
1 cc /100 lbs.
28
Flumazenil
GABA receptorantagonist. Used in thetreatment ofbenzodiazepine poisoningand overdose; Diazepam,Alprazolam, Lorazepam,and Ethyl Alcohol
poisoning.

0.01-0.2 mg/kg slowly
IV PRN or 0.05
mg/kg/hour in IV drip;
Dogs, Cats
Total dose not to
exceed 2 mg.
Monitor for efficacy and
seizure induction.

Ethyl Alcohol
Alcohol
Ethanol
Ethanolum
Alcoo
Competitive substrate for
alcohol dehydrogenase.
Used in the treatment of
Ethylene Glycol and
Methanol poisoning
5.5 ml/kg as 20%
solution in 5% Dextrose
q4-6h IV for 5
treatments; Dogs, Cats
Monitor electrolytes
acid/base balance.
29
Folic Acid
Folacin
Folate
Pteroylglutamic acid
Vitamin B9
adjunct treatment in Ethylene Glycol orMethanol poisoning and Pyrimethamine poisoning or overdoses.

.

Dogs, Cats,
Horses  4-10 ug/kg slowly IV,PO: Not to exceed 1
mg/day; Dogs, Cats,

Foals Not to exceed 2
mg/day; Adult Horses
Does not taste good

Gelatin
Heterogeneous mixture of
water-soluble proteins
derived from natural
collagen; absorbent
(absorbs 5-10 times its
weight), demulcent,
stabilizer, thickener,
texureizer, and
hemostatic sponge.
Insoluble in organic
solvents. Used in the
treatment of household
chemical poisoning;
aqueous cleaners, bases
and alkalis.
3-6 g/kg PO; Dogs,
Cats, Foals, Lambs,
Kids, Pigs. (2 tablsp/5-
10 kg)
Not for use with
aldehydes.
30
Hydroxycobalamin
Hydroxocobemine

Physiologic analog ofVitamin B12 (B12a) where
the CN group is replaced by OH. The molecule will subsequently bind  cyanide and cyanide
containing compounds to form cyanocobalamin and eliminate excess bound
product through the urine.
Used in the treatment of cyanide poisoning;


10-15 mg/kg slowly IV,
15 g in 250 ml
Dextrose 5%; Cattle,
Horses, Sheep, Goats

Dogs,
Cats, Calves, Foals,
Lambs, Kids-
5-10 mg/kg slowly IV,
6.25 g in 125 ml
Dextrose 2.5%:
50 mg Hydroxocobalamin
binds 1 mg cyanide.
Slowly = 10 minute
period Plasma cyanogenic
glycoside (CN) levels
greater than 250 mcg/L
is lethal.
Antidotal synergy with
thiosulfate.
31
Magnesium Sulfate
Epsom Salts
chemical antidoteimmobilizing lead in the
gut by precipitating it by means of formation of
insoluble lead sulfate,  activity. Used in the
treatment of Metallic lead; lead battery, lead shot,lead foil, lead weights, lead paint and sinker poisonings especially of cattle, swine.

1-2 g/kg as a 5%solution PO; Cattle,Horses, Sheep, Goats,Swine, Dogs Cats, Poultry
Can be top-dressed orfeed mixed as well as supplied in the drinking water of poultry. Do not use in cases of
clinical gastroenteritis
32
Methylene Blue
Oxidation-reduction agentwhich reduces ferric iron
in oxidized hemoglobin to
the ferrous form at low
concentrations 1% or less
(at high concentrations it
is itself a potent oxidizer).
Used in the treatment of
methemaglobinemia
following exposure to
oxidizing agents and
nitrate accumulating
plants; Analine
derivatives, Phenacetin
(Acetanilide), Benzocaine,
Chloates, Hydrazine,
Dapsone, Nitrates,
Nitrites, Nitrobenzenes,
Cresol, Duron,
Gluthetimide, Cetacaine,
Mercaptan, Napthalene,
Nitric Oxide, Nitroglycerin,
Propylene glycol dinitrate,
Nitrofurantoin,
Nitrotolulenes,Used in the treatment ofmethemaglobinemia
following exposure to oxidizing agents andnitrate accumulating plants; Analinederivatives, Phenacetin (Acetanilide), Benzocaine, Chloates, Hydrazine, Dapsone, Nitrates,Nitrites, Nitrobenzenes, Cresol, Duron,Gluthetimide, Cetacaine,Mercaptan,  Napthalene, Nitric Oxide, Nitroglycerin,
Propylene glycol dinitrate,Nitrofurantoin

1-3 mg/kg of 1%solution IV PRN; Dogs,Cats
1-10 mg/kg of 1%solution IV PRN; Cattle,Horses
1-5 mg/kg of 1%solution IV PRN;Sheep, Goats

33
Methocarbamol
Skeletal muscle antispasmotic, depressing
multisynaptic pathways in the spinal chord without interfering with muscle function. Used in the treatment of Permethrin, Metaldehyde, Strychnine, Tetanus (Clostridium), Snakeroot (Eupatorium), Tremorgenic Mycotoxin
(Acremonium), Ergot Alkaloids (Claviceps), and Penicillium Molds

110 mg/kg slowly IV
PRN; Cattle
4-25 mg/kg slowly IV
PRN; Horses
50-250 mg/kg slowly IV
PRN; Dogs, Cats
Monitor for CNS
depression
34
Milk
Used in the treatment of poisonings:Bleaches, Soaps, Detergents, Ammonia Compounds, General Corrosives, Organic Solvents, Essential Oils, Volatile organics,Oxalates, plant poisons

6-12 ml/kg PO; Dogs,
Cats, Calves, Foals,
Lambs, Kids, Pigs

Norepinepherine
Noradrenalin
Levarterenol
Adrenon
Levophed
Direct actingsympathomimetic amineidentical to the
endogenously producedcatecolaminenorepinepherine. Alpha-
Adrenergic agonist useful in reversing lifethreatening
hypotension
by increasing systolic anddiastolic blood pressure
through it vasoconstrictive
action. Used to restore
blood pressure in toxic
insults which create an
acute hypotensive state
by blocking alphaadrenergic
receptors:
Dibenyline, Dibenamine,
Phenothiazine derived
tranquilizers
(Acepromazine®, etc.),
Copper, Ergot alkaloids
(Ergotamine
0.01-0.05 ug/kg/min
administered in 500 ml
5% Dextrose solution,
slowly IV PRN; Cattle,
Horses
0.05-0.1 ug/kg/min
administered in 500 ml
2.5% Dextrose
solution, slowly IV,
PRN; Dogs, Cats
Not to exceed 2
ug/min.
Extravasation causes
severe necrosis; for
occurrence administer
multiple local SQ
injections of
phentolamine, 5-10 mg
in 10-15 ml of normal
saline, 0.9%

Naloxone HCL
Narcan
Nalone
Opiate antagonist, pure
analog, competes with
and displaces narcotic at
receptor sites (Mu,
Kappa, and Sigma).
Used in the treatment of
narcotic and narcotic-like
poisonings: Butorphanol,
Alfentanil, Belladonna,
Buprenorphine,
Pentazocine, Captopril,
Nalbuphine, Clonidine,
Codine, Heroin,
Dextromethorphan,
Atropine, Diphenoxylate,
Fentanyl Citrate, GHBA,
Guanfacine,
Hydrocodone,
Homatropine,
Hydromorphone,
Ketobemidone,
Levomethadyl, Acetate,
Levophanol Tartrate,
Lisinopril, Loperamide,
Meperidine, Methadone,
Morphine, Nalbuphine,
Nitrous Oxide, Opium
Alkaloids, Opium Tincture,
Oxycodone, Oxymorphone, Paregoric,
Propoxyphene,
Sulfentanil, Tramadol,
Valproic Acid, Zipeprol,
Jimsonweed (Datura),
Belladonna (Atropus),
Jessamine (Cestrum),
Henbane (Hyoscyamus),
Poppy (Papaver
0.01-0.05 mg/kg slowly
IV PRN; Dogs, Cats
0.01-0.08 mg/kg slowly
IV PRN; Horses
Drug is of short
duration, 30-60
minutes, must therefore
continuously monitor
for recurrent adverse
effects.
35
Neostigmine

Used in the treatment of non-depolarizingneuromuscular blocking agents. Used in the
treatment of curare, atropine, ivermectin,avermectins, ,tubocurarine, Gallamine,
Atracurium, Metocurine, Pancuronium romide,Vecuronium, Botulism (Cl.
Botulinum), and as a secondary agent in thetreatment of Coral (Micrurus) and Cobra
(Naja) snake bite and Tetrodotoxin poisoning
from Porcupine Fish (Diodon), Deadly Nightshade Atropa), Jimson Weed (Datura),

0.001-0.05 mg/kg SQ,IM; Dogs
0.01-0.04 mg/kg IM;Cats
0.02-0.4 mg/kg SQ, IV
PRN; Cattle, Horses
0.03-0.06 mg/kg IM;Swine
0.01-0.03 mg/kg SQ;Sheep, Goats
Corticosteroids may
decrease effects.

36
Penicillamine
D-Penicillamine
Used in the
treatment of metal
poisoning: Copper, Zinc,
Iron, Lead, Mercury,
Bismuth, Gold, Arsenic
and possibly other heavy
metals.
50-60 mg/kg PO daily
for 6 days: Sheep,
Goats
30-125 mg/kg PO daily,
in divided dose, PRN:
Dogs, Cats, Pigs
Contraindicated in
penicillin drug
hypersensitivity and
related blood
dyscrasias.
37
Phenobarbital
Sodium Phenobarbital
Phenobarbitone
Used to control seizures associated with drug
overdose and poisoning, as well as stimulating
detoxification ofpesticides:Organochlorines andChlorinated hydrocarbons, Cocaine,
Monamine oxidase inhibitors (MAO), 4-
aminopyridine,
Metaldehyde, Isonazid.
Cattle:- 5 g PO 3-4 weeks\PRN;
Cattle, Horses:- 8-15 mg/kg IV PRN;
Swine-:-  2.5-15 mg/kg IV PRN;
3-30 mg/kg IV PRN;Dogs
3-6 mg/kg IV PRN;
Cats
38
Pralidoxime
2-PAM
Protopam Chloride
2-Pyridine Aldoxime
Methylchloride
Used in the treatment of poisoning by
organophosphatepesticides and drug
overdose: Bromophos, Chlorfenvinphos,
Chlopyrifos, Diazinon, Dicrotophos, Dioxathion, Disulfoton,Endrophonium,
Fensulfothion, Fenthion, Malathion, Methidathion, Sarin, Soman, Tabun,
Parathion, Profenfos, Tacrine, Terbufos,
Tetraethyl Pyrophosphate,
Echothiophate
Cattle -25-50 mg/kg slowly IV in 5% Dextrose bid PRN;
Horses -20-35 mg/kg slowly IV in 5% Dextrose qid PRN;
Dogs Cat-s 10-20 mg/kg slowly IV ,SQ, IM bid or tid PRN;, Usually, therapy is
combined with atropine

Phytonadione
Phylloquinone
Phytomenadione
Vitamin K1
Synthetic
naphthoquinone, which is
identical to natural vitamin
K, which promotes liver
biosynthesis and
regeneration of clotting
factors II, VII, IX, and X.
Will not reverse the
anticoagulant effects of
heparin. Used in the
treatment of
hypoprothrombinemia
caused by drug overdose, chemical, rodenticide and
plant poisonings:
Coumarin, Indandione,
Quinidine, Quinine,
Salicylates, Sulfonamides,
Brodifacoum,
Bromadiolone,
Chlorphacinone,
Hydroxycoumarin,
Indanedione,
Phytonadione, Pindone,
Pivaldione, Dicumarol,
Warfarin, Difethialone,
Sweet Clover (Melilotus),
Vernalgrass
(Anthoxanthum
0.5-2.5 mg/kg SQ, IM
daily PRN; Cattle,
Horses, Sheep, Goats,
Swine, Birds
2-5 mg/kg PO, SQ, IM
daily in divided dose
PRN; Dogs, Cats,
Pocket Pets
Anaphylactic reactions
have been reported with IV
39
Sodium Bicarbonate
Sodium Hydrogen
Carbonate
Sodium Acid Carbonate
Baking Soda
Short-acting, potent
antacid. Systemic
alkalinizer which is used
to correct metabolic
acidosis, QRS
prolongation,
rhabdomyolysis and to
alkalinize urine in
poisonings and drug
overdose: Amitriptyline-
Perphenazine,
Amitryptyline, Amoxapine,
Desipramine, Diethylene
Glycol, Doxepin, Ethylene
Glycol, Formaldehyde,
Glycol Ethers,
Imipramine, Maprotiline,
Metformin, Methanol,
Nortriptyline, Potassium
Chloride, Propylene
Glycol, Quinidine,
Strychnine, Trimipramine
Maleate, Ethanol,
Salicylates, Chlorphenoxy
Herbicides, Cockerell and
Rubberweed
(Hymenoxys),
Jimmyweed and
Goldenrod (Isocoma),
Sugar Beet (Beta


To correct metabolic acidosis, QRSprolongation,rhabdomyolysis and toalkalinize urine n poisonings and drugoverdose: Amitriptyline-Perphenazine,
Amitryptyline, Desipramine, DiethyleneGlycol, Doxepin, EthyleneGlycol, Formaldehyde, ,Imipramine,Metformin, Methanol,Nortriptyline, PotassiumChloride, PropyleneGlycol, Quinidine,Strychnine, TrimipramineMaleate, Ethanol,Salicylates, Chlorphenoxy
Herbicides
Doseshould be equivalent to
½ of calculated dose administered by slow intravenous infusion.
70-180 mg/kg PO PRN;Cattle
40-120 mg/kg PO PRN;Horses
20-100 mg/kg PO PRN;Sheep, Goats
20-80 mg/kg PO PRN;Dogs
20-150 mg/kg PO PRN;
Cats
40
Sodium Thiosulfate
Sodium Hyposulfite
Sodothiol
Sulfothiorine
Ametox
Hypo
Antichlor
Sodium salt which acts as
an exogenous source of
sulfur for increasing
enzyme kinetics of
rhodanase in cyanide
detoxification and as a
chelator of some metals.
Used in the treatment of
cyanide and some metal
poisonings: Cisplatin,
Iodine, Arsenic,
Chlorates, Cyanide,
Acetonitrile, Acrylonitrile,
Chinese Taro (Alocasia),
Elderberry (Sambucus),
Poison Suckleya
(Suckleya), Eucalyptus
(Eucalyptus), Cassava
(Manihot), Stillingia
(Stillingia), Acacia
(Acacia), Trefoil (Lotus),
Clover (Trifolium), Rush
(Juncus), Bamboo
(Nandina), Cherry, Plum,
Peach, etc. (Prunus),
Mannagrass (Glyceria),
Indiangrass
(Sorghastrum), Sorghum
and Johnsongrass
(Sorghum), Serviceberry
(Amelanchier), Christmas
Holly (Heteromeles),
Arrowgrass (Triglochin).
Contraindicated for
Hydrogen SulfidUsed in cyanide and some metal
poisonings: Cisplatin,
Iodine, Arsenic,
Chlorates, Cyanide
15-25 mg/kg IV, IP as
25% solution; Cattle,
Horses
8.5-13.2 mg/kg IV, IP
as 25% solution when
administered with or
following Sodium
Nitrite; Cattle, Horses
20-60 mg/kg IV, IP as
25% solution; Sheep,
Goats
10-30 mg/kg IV, IP as
25% solution when
administered with or
following Sodium
Nitrite; Sheep, Goats
10-20 mg/kg as 25%
solution; Swine
50-200 mg/kg as 25%
solution; Dogs
Often used with 1%
Sodium Nitrite
41
Thiamine
Thiamine HCL
Vitamin B1
Used in the treatment of various
poisonings: Ametryn, Amitrole, Atrazine,
Bromacil, 4-Methylimidazole, 2,4-DPhenoxy erbicides,Glyphosate, Imazapyr,
Picloram, Prometon, , Triclorpyr, Lead,Sulfur, Horsetail (Equisetum), Bracken Fern (Pteridium)

2.5-10 mg/kg IM, IV
PRN; Cattle, Horses,
Sheep, Goats, Swine,
Dogs, Cats
42
Tolazoline
Priscoline
,

increasescardiac output and rate, Used in thetreatment of drug
overdose and poisonings:
Xylazine, Clonidine, Ergot
(Claviceps), Canarygrass
2-4 mg/kg slowly IV
PRN; Cattle, Sheep,
Deer, Goats
4 mg/kg slowly IV PRN;
Horses
43
Yohimbine


Used in thetreatment of drug
overdose and poisoning:Amitraz, Xylazine,
Clonidine.
0.125 mg/kg IV; Cattle,
Sheep, Goats
0.075 mg/kg IV; Horses
0.1 mg/kg IV; Dogs
0.5 mg/kg IV; Cats
0.25 mg/kg IV; Llamas
0.2 mg/kg IV; Rabbits &
Pocket Pets

Sodium Sulfate
Glauber’s Salt
Saline cathartic used inthe treatment of metal
poisoning: Lead, Copper.

125-250 mg/kg as 6%solution PO; Cattle
60-125 mg/kg as 6%
solution PO; Horses
95-280 mg/kg as 6%
solution PO; Sheep,
Goats, Swine
45-50 mg/kg as 6%
solution PO; Dogs
75-150 mg/kg as 6%

Sodium Nitrite
Nitrous Acid Sodium
Used in
conjunction with Amyl
Nitrite and Sodium Thiosulfate in the treatment of Cyanide,
Hydrogen Sulfide and other poisonings:
Acetonitrile, Chinese Taro (Alocasia),
Elderberry (Sambucus), Poison Suckleya
(Suckleya), Eucalyptus (Eucalyptus), Cassava (Manihot), Stillingia(Stillingia), Acacia (Acacia), Trefoil (
PRN; Cattle, Horses
10 mg/kg IV, IP, PRN;
Sheep, Goats
16-22 mg/kg IV, IP,
PRN; Dogs, Cats
Always used in
combination with
Sodium Thiosulfate

Succimer
DMSA
Meso-dimercaptosuccinate
Dimercaptosuccinate
DIM-SA
Heavy metal chelator,
water soluble, dimercaprol
analog, which binds to
toxic metals and aids in
their renal elimination.
Used in the treatment of
various metal poisonings:
Arsenic, Cobalt, Lead,
Iron, Mercury, Zinc.
10 mg/kg PO bid/tid
PRN; Dogs, Cats

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