Evidence map›Paper›PMID 40923391›Full record

ArticleAnnals of African medicine2026

Intentional Ingestion and Multidisciplinary Management in a Fatal Polypharmacy Overdose.

Swapnil Patil, Shivraj Prashant Patil

Abstract readCase Reports
In one paragraph

Article in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Swapnil PatilDepartment of General Medicine, D. Y. Patil Medical College and Research Centre, Pune, Maharashtra, India.
Shivraj Prashant Patil

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThis case report aims to disclose intentional overdosing of drugs that impact the cardiovascular and central nervous systems which have very serious and life-threatening effects on the body. In the present case study, a 22-year-old male medical student with a known history of depression and recurrent episodes of suicide who was on regular psychiatric medications purposefully consumed an unknown quantity of clonazepam, prazosin, ivabradine, and propranolol in an attempt of suicide in a powdered form. He was brought to the emergency department by his parents with signs of severe bradycardia, hypotension, and respiratory failure; his heart rate remained low despite prompt intervention by medications to maintain heart rate, and temporary installation of a pacemaker was done to maintain heart rate. Lipid emulsion therapy, also known as intralipid, was started to maintain blood pressure despite using medications. The patient was also put on vasopressin assistance to prevent further damage to vital organs and death. This case report highlights the importance of early detection, vigorous cardiovascular stabilization, prompt intervention, and comprehensive psychological management in preventing recurrence in such cases of fatal polypharmacy cases.

Indexed as

Drug OverdosePolypharmacySuicide, AttemptedBradycardiaFatal OutcomeHumansMaleYoung Adultbradycardie sévèreClonazepamClonazépaminotropic therapyintentional overdoseintervention psychiatriqueivabradinelipid emulsion therapyprazosinprazosinepropranololpsychiatric interventionsevere bradycardiastimulateur cardiaque temporairesurdosage intentionneltemporary pacemakertoxicitétoxicitytraitement inotropetraitement par émulsion lipidique

Identifiers

PMID40923391
PMCPMC13249375

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.