Massive carbamazepine overdose: Any role of hemodialysis?: Case report [İleri derecedeki karbamazepin doz aşi{dotless}mlari{dotless}nda hemodiyaliz uygulanmali{dotless} mi{dotless}?]

Massive carbamazepine (CBZ) overdose is associated with life-threatening hemody- namic complications that present challenges for clinicians. We describe the highest-reported dose of CBZ intoxication in a patient who survived and discuss early hemodialysis option in a CBZ-poisoned patient. Although hemodialysis is reported to increase the elimination of CBZ despite its partiall effectiveness due to the poor water-solubility of CBZ, massive CBZ overdose can induce an acute renal failure and renal function should be monitored closely, and the data obtained from this case that standard low-flux HD might be used and is effective in the management of acute CBZ overdose in patients with associated electrolyte disorders and acute renal failure. © 2011 by Türkiye Klinikleri.