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.