Outcome
In our case, a suicidal attempt with massive multi-drug ingestion of Nortriptyline and Livergol, the patient presented with the typical Nortriptyline intoxication presentation, including QT prolongation, and rapid response to the treatment, as discussed above. Despite the large amount of Livergol ingested, no significant GI upset or any symptoms associated with Livergol poisoning were observed, which highlights the good safety profile of the Silymarin products like Livergol. There were also no adverse drug-drug interactions observed in co-admiration of these two drugs.