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Pepoli 5, Bologna, Italy. A year-old man developed coma with severe respiratory failure, hypotension, and tachycardia induced by the intentional ingestion of quetiapine fumarate extended release XR 20 g. Comorbidities were hypertension treated with metoprolol, diabetes mellitus type 2 treated with metformin, and benign prostatic hyperplasia treated with silodosin. A gastric lavage was performed and activated charcoal 50 g and magnesium sulfate 30 g was administered. At 5 days after ingestion, the patient developed septicemia caused by staphylococci probably originating from the central vein catheterwhich was treated with antibiotic therapy. On days 10 and 18 after the suicide attempt, two episodes of paroxysmal supraventricular tachycardia PSVT occurred and were successfully treated with intravenous adenosine triphosphate. The patient recovered completely without residual symptoms.

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Coma After Quetiapine Fumarate Intentional Overdose in a 71-year-old Man: A Case Report

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