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Pharmacology Toxicology

Specific Poisons and Antidotes

Topic overview

Start with the big picture

The lesson organizes antidotes by the poison or drug involved, linking examples to their principal mechanisms. Acetaminophen overdose is treated with N-acetylcysteine, which replenishes hepatic glutathione and supports non-toxic metabolism of the harmful metabolite NAPQI; the source emphasizes the value of early administration. Other examples include naloxone for opioid toxicity, flumazenil for benzodiazepine overdose, and atropine with pralidoxime for organophosphate or carbamate poisoning. The broader topic also covers antidotes and reversal strategies for toxic alcohols, cyanide, carbon monoxide, methemoglobinemia, digoxin, and several medication overdoses. This preview introduces the poison–antidote framework; the full lesson develops the individual examples and their mechanisms.

Learning objectives

What you'll learn

  • Match common toxicologic emergencies with their listed antidotes.
  • Describe how antidotes may act through antagonism, binding, enzyme reactivation, or physiologic reversal.
  • Explain the role of N-acetylcysteine in acetaminophen overdose.
  • Identify examples of reversal strategies for selected medication overdoses.
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