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Antidote
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An antidote is a substance which can counteract a form of poisoning. The term ultimately derives from the Greek a?t?d?d??a? antididonai, "given against".
The antidotes for some particular toxins are manufactured by injecting the toxin into an animal in small doses and extracting the resulting antibodies from the host animals' blood. This results in an antivenom that can be used to counteract poison produced by certain species of snakes, spiders, and other venomous animals.

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An antidote is a substance which can counteract a form of poisoning. The term ultimately derives from the Greek a?t?d?d??a? antididonai, "given against".
The antidotes for some particular toxins are manufactured by injecting the toxin into an animal in small doses and extracting the resulting antibodies from the host animals' blood. This results in an antivenom that can be used to counteract poison produced by certain species of snakes, spiders, and other venomous animals. A number of venoms lack a viable antivenom, and a bite or sting from an animal producing such a toxin often results in death. Some animal venoms, especially those produced by arthropods (e.g. certain spiders, scorpions, bees, etc.) are only potentially lethal when they provoke allergic reactions and induce anaphylactic shock; as such, there is no "antidote" for these venoms because it is not a form of poisoning, though anaphylactic shock can be treated (e.g., by the use of epinephrine).
Some other toxins have no known antidote. For example, the poison ricin, which is produced from the waste byproduct of castor oil manufacture, has no antidote, and as a result is often fatal if it enters the human body in sufficient quantities.
Mechanical approaches
Ingested poisons are frequently treated by the oral administration of activated charcoal, which absorbs the poison and flushes it from the digestive tract, thereby removing a large part of the toxin.
Poisons which are injected into the body (such as those from bites or stings from venomous animals) are usually treated by the use of a constriction band which limits the flow of lymph and/or blood to the area, thus slowing circulation of the poison around the body. This should not be confused with use of a tourniquet which cuts off blood flow completely - often leading to the loss to the limb.
List of antidotes
| Agent | Indication |
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Atropine
| organophosphate and carbamate insecticides, some mushrooms> Calcium chloride
| calcium channel blockers, black widow spider bites> Calcium gluconate
| hydrofluoric acid> EDTA, dimercaprol (BAL), penicillamine, and 2,3-dimercaptosuccinic acid (DMSA, succimer)
| heavy metal poisoning> Cyanide antidote(amyl nitrite, sodium nitrite, or thiosulfate)
| cyanide poisoning> Cyproheptadine
| serotonin syndrome> Deferoxamine mesylate
| Iron poisoning> Digoxin Immune Fab antibody (Digibind and Digifab)
| digoxin poisoning> antipsychotic> Ethanol or fomepizole
| ethylene glycol poisoning and methanol poisoning> Flumazenil
| benzodiazepine poisoning> Glucagon
| beta blocker poisoning and calcium channel blocker poisoning> oxygen or hyperbaric oxygen therapy (HBOT)
| carbon monoxide poisoning and cyanide poisoning> Insulin
| beta blocker poisoning and calcium channel blocker poisoning> methotrexate and trimethoprim> Methylene blue
| treatment of conditions that cause methemoglobinemia> opioid poisoning> Paracetamol (acetaminophen) poisoning> Octreotide
| oral hypoglycemic agents> Ondansetron
| theophylline> |
Protamine sulfate
| Heparin poisoning> Prussian blue
| Thallium poisoning> Physostigmine sulfate
| anticholinergic poisoning> Pyridoxine
| Isoniazid poisoning, ethylene glycol> fresh frozen plasma
| warfarin poisoning and indanedione> Sodium bicarbonate
| ASA, TCAs with a wide QRS
>
See also
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