Table 1

Clinical features and complications of tricyclic antidepressant overdose

Cardiovascular systemCentral nervous systemAnticholinergic effects
Sinus tachycardiaDrowsinessDry mouth
Prolonged PR/QRS/QTComaBlurred vision
ST/T wave changesConvulsionsDilated pupils
Heart blockPyramidal signsUrinary retention
VasodilatationRigidityAbsent bowel sounds
HypotensionDeliriumPyrexia
Cardiogenic shockRespiratory depressionMyoclonic twitching
Ventricular fibrillation/tachycardiaOphthalmoplegia
Asystole