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Table 2 Toxin Induced ECG Effects

From: Management of the critically poisoned patient

Toxins that prolong the QT interval

Toxins that prolong the QRS interval

Antihistamines

Amantadine

   Astemizole

Carbamazepine

   Clarithromycin

Chloroquine

   Diphenhydramine

Class IA antiarrhythmics

   Loratidine

Disopyramide

   Terfenadine

Quinidine

Antipsychotics

Procainamide

   Chlorpromazine

Class IC antiarrhythmics

   Droperidol

Encainide

   Haloperidol

Flecainide

   Mesoridazine

Propafenone

   Pimozide

Citalopram

   Quetiapine

Cocaine

   Risperidone

Cyclic Antidepressants

   Thioridazine

Amitriptyline

   Ziprasidone

Amoxapine

Arsenic trioxide

Desipramine

Bepridil

Doxepin

Chloroquine

Imipramine

Cisapride

Nortriptyline

Citalopram

Maprotiline

Clarithromycin

Diltiazem

Class IA antiarrhythmics

Diphenhydramine

   Disopyramide

Hydroxychloroquine

   Quinidine

Loxapine

   Procainamide

Orphenadrine

Class IC antiarrhythmics

Phenothiazines

   Encainide

Medoridazine

   Flecainide

Thioridazine

   Moricizine

Propranolol

   Propafenone

Propoxyphene

Class III antiarrhythmics

Quinine

   Amiodarone

Verapamil

   Dofetilide

 

   Ibutilide

 

   Sotalol

 

Cyclic Antidepressants

 

Erythomycin

 

Fluoroquinolones

 

Halofantrine

 

Hydroxychloroquine

 

Levomethadyl

 

Methadone

 

Pentamidine

 

Quinine

 

Tacrolimus

 

Venlafaxine

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