Emerg Med J 20:64 doi:10.1136/emj.20.1.64
  • Best evidence topic reports

Gastric lavage in tricyclic antidepressant overdose

  1. Stewart Teece, Clinical Research Fellow,
  2. Kristen Hogg, Clinical Research Fellow,
  3. K Mackway-Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones{at}


      A short cut review was carried out to establish whether gastric lavage is indicated after tricyclic antidepressant overdose. Altogether 82 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper are tabulated. A clinical bottom line is stated.

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