TY - JOUR PY - 2008// TI - Fatal intoxication with milnacipran JO - Journal of forensic and legal medicine A1 - Fanton, Laurent A1 - Bevalot, Fabien A1 - Grait, Habdelhamid A1 - Le Meur, Catherine A1 - Gaillard, Y. A1 - Malicier, D. SP - 388 EP - 390 VL - 15 IS - 6 N2 - The antidepressant milnacipran is a double serotonin/noradrenalin reuptake inhibitor. The low reported incidence of intoxication indicates excellent tolerance in comparison with tricyclic and second generation antidepressants. We report a fatal intoxication associating milnacipran, at blood levels (femoral=21.5 mg/l, cardiac=20 mg/l) 40-fold higher than the usual treatment concentration, and six other molecules (fluoxetine, norfluoxetine, sertraline, cyamemazine, nordazepam and oxazepam) at therapeutic levels. To the best of our knowledge, this is the first reported fatal intoxication involving milnacipran.

Language: en

LA - en SN - 1752-928X UR - http://dx.doi.org/10.1016/j.jflm.2007.12.006 ID - ref1 ER -