<p><strong>Symptoms</strong>: Severe hypotension, shock, stupor, bradycardia, electrolyte disturbances and renal failure.<br />
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<strong>Management</strong>: Perform gastric lavage, administer adsorbent and sodium sulfate with in 30 min of ingestion; NaCl 0.9% IV infusion. Treatment with angiotensin-II may also be considered. Administer atropine in case of extensive vagal reactions or bradycardia. Pacemaker is also an option. Elimination may be enhanced by haemodialysis.</p>