ToxTidbits Archive
The Poison Center publishes a monthly newsletter for health professionals entitled ToxTidbits. This newsletter contains important toxicology information, updates, and news.
If you require an accessible version of the content provided on this website, please contact Emily Paterson, MPH, CHES®, public education and communications manager for the Maryland Poison Center.
To view the most recent issues of ToxTidbits, please visit this page.
NOTE: Archived newsletters may contain information that is not current. Always call the poison center for the most up-to-date information on the assessment and treatment of poisonings.
Jump to: 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008
2021
Pediatric aripiprazole ingestions
December 2021
Imaging in toxicology
November 2021
Levocarnitine for valproic acid toxicity
October 2021
Succulent surprise
September 2021
Detergent suicides
August 2021
Ocular exposures to laundry pods
July 2021
Delta-8 distilled
June 2021
Anavip® vs Crofab®, the battle of the antivenoms
May 2021
NPS Benzodiazepines
April 2021
Tramadol revisited
March 2021
National Poison Prevention Week 2021
February 2021
Colchicine
January 2021
2020
Novichoks, Nerve Agents in the News
December 2020
Hyperbaric Oxygen Therapy in Carbon Monoxide Poisoning
November 2020
Milk-alkali Syndrome
October 2020
The Benadryl Challenge
September 2020
Oleandrin and Other Cardioactive Steroids
August 2020
Renal Injury with Isopropyl Alcohol
July 2020
Methadone and COVID-19
June 2020
Bleach Exposures During COVID-19
May 2020
The Nutmeg Challenge
April 2020
Chloroquine and Hydroxychloroquine - Old Drugs, Still Just as Toxic
March 2020
Click Here for a Chloroquine and Hydroxychloroquine Quick Reference Sheet
What's New with NAC?
February 2020
National Poison Prevention Week 2020
January 2020
2019
ToxTidbits (December 2019)
Topic: Pediatric Vilazodone Ingestions - A Medical Emergency
ToxTidbits (November 2019)
Topic: Metal Fume Fever
ToxTidbits (October 2019)
Topic: E-cigarette, or Vaping, Associated Lung Injury
(Note: Editing error corrected on October 17, 2019)
ToxTidbits (September 2019)
Topic: Carbapenems for Valproic Acid Toxicity
ToxTidbits (August 2019)
Topic: Dinitrophenol
ToxTidbits (July 2019)
Topic: Metformin-Associated Lactic Acidosis
ToxTidbits (June 2019)
Topic: Anavip for Timber Rattlesnake Envenomation
ToxTidbits (May 2019)
Topic: 2018 Maryland Poison Center Cases
ToxTidbits (April 2019)
Topic: Ethylene Glycol and the Lactate Gap
ToxTidbits (March 2019)
Topic: Enclosed Space Fires and Cyanide Poisoning
ToxTidbits (February 2019)
Topic: "How long do I need to watch this patient?"
ToxTidbits (January 2019)
Topic: Xylazine
2018
ToxTidbits (December 2018)*
Topic: Tianeptine
*Updated May 2024
ToxTidbits (November 2018)
Topic: Gabapentin Abuse
ToxTidbits (October 2018)
Topic: Cannabinoid Hyperemesis Syndrome
ToxTidbdits (September 2018)
Topic: Acute Isoniazid Toxicity
ToxTidbits (August 2018)
Topic: Intoxication Deaths in Maryland
ToxTidbits (July 2018)
Topic: Two-bag Acetylcysteine: Simpler and Safer
ToxTidbits (June 2018)
Topic: If it Smells Rotten, Beware!
ToxTidbits (May 2018)
Topic: Venomous Snakes in Maryland
ToxTidbits (April 2018)
Topic: Toxicity of Newer Atypical Antipsychotics in Young Children
ToxTidbits (March 2018)
Topic: Essential Oils
ToxTidbits (February 2018)
Topic: Class I Antiarrhythmics
ToxTidbits (January 2018)
Topic: Synthetic Cannabinoids
2017
ToxTidbits (November 2017)
Topic: Clonidine Overdoses
ToxTidbits (October 2017)
Topic: Acute Cyanide Toxicity from Amygdalin
ToxTidbits (September 2017)
Topic: Salicylate Poisoning
ToxTidbits (August 2017)
Topic: Phenibut - Wonder Drug or Unsafe Supplement?
ToxTidbits (July 2017)
Topic: Abrin
ToxTidbits (June 2017)
Topic: Black Widow Spider Bites
ToxTidbits (May 2017)
Topic: Bupropion Abuse
ToxTidbits (April 2017)
Topic: Calls to the Maryland Poison Center in 2016
ToxTidbits (March 2017)
Topic: Promethazine Abuse: A Growing Problem?
ToxTidbits (February 2017)
Topic: Pediatric Buprenorphine Ingestions
ToxTidbits (January 2017)
Topic: Hydrofluoric Acid
2016
ToxTidbits (October 2016)
Topic: Bystander Naloxone and the Poison Center
ToxTidbits (September 2016)
Topic: Carfentanil
(Note: Updated August 7, 2017)
ACMT and AACT Position Statement: Preventing Occupational Fentanyl and Fentanyl Analog Exposure to Emergency Responders: http://www.acmt.net/resources_position.html
ToxTidbits (August 2016)
Topic: Poison Hemlock
ToxTidbits (July 2016)
Topic: Lionfish Stings
Download Bibliography
ToxTidbits (June 2016)
Topic: Physostigmine for Anticholinergic Toxicity
ToxTidbits (May 2016)
Topic: Synthetic Opioids
ToxTidbits (April 2016)
Topic: Calls to the MPC in 2015
ToxTidbits (February-March 2016)
Topic: Osmol Gap and Poison Exposures
ToxTidbits (January 2016)
Topic: Carbon Monoxide Myths
2015
ToxTidbits (December 2015)
Topic: Holiday Hazard Myths
ToxTidbits (November 2015)
Topic: Loperamide
ToxTidbits (September/October 2015)
Topic: Marijuana Concentrates
ToxTidbits (August 2015)
Topic: Drug Induced QT Prolongation
ToxTidbits (June/July 2015)
Topic: Insect Repellents
ToxTidbits (May 2015)
Topic: Synthetic Cannabinoids
ToxTidbits (April 2015)
Topic: Pediatric Marijuana Ingestions
ToxTidbits (March 2015)
Topic: Calls to the Maryland Poison Center in 2014
ToxTidbits (February 2015)
Topic: Methylene Blue
ToxTidbits (January 2015)
Topic: Guanfacine Extended Release
2014
ToxTidbits (December 2014)
Topic: Compounded Pain Creams and Ointments
ToxTidbits (November 2014)
Topic: Kratom
ToxTidbits (October 2014)
Topic: Hydrocarbons
ToxTidbits (September 2014)
Topic: Expanding Access to Naloxone in Maryland
ToxTidbits (August 2014)
Topic: The EPA Rodenticide Ban and Bromethalin
ToxTidbits (July 2014)
Topic: Caffeine -- No Longer Just A Mild Stimulant!
ToxTidbits (June 2014)
Topic: Bupropion
ToxTidbits (April/May 2014)
Topic: E-Cigarettes and E-Liquid Nicotine
ToxTidbits (March 2014)
Topic: Hydrogen Peroxide Ingestions
ToxTidbits (February 2014)
Topic: Zohydro ER (Hydrocodone)
ToxTidbits (January 2014)
Topic: False Positive Urine Screens for Phencyclidine
2013
ToxTidbits (December 2013)
Topic: Pediatric Magnet Ingestions
ToxTidbits (November 2013)
Topic: What is "Krokodil"?
ToxTidbits (September/October 2013)
Topic: Maryland Poison Center 2012 Annual Report
ToxTidbits (August 2013)
Topic: Laundry Detergent Pod Ingestions
ToxTidbits (July 2013)
Topic: Fentanyl and Acetyl Fentanyl
ToxTidbits (June 2013)
Topic: Ethanol Therapy for Ethylene Glycol and Methanol Toxicity
ToxTidbits (May 2013)
Topic: The "Cinnamon Challenge"
ToxTidbits (March/April 2013)
Topic: Ricin
ToxTidbits (February 2013)
Topic: National Poison Prevention Week
ToxTidbits (January 2013)
Topic: 5 “Tox Tips” to help you manage your poisoned patients and a chart of Toxidromes
2012
ToxTidbits (December 2012)
Topic: Ibogaine
ToxTidbits (November 2012)
Topic: Treatment of Warfarin Over-Anticoagulation – Vitamin K1 Update
ToxTidbits (October 2012)
Topic: The Value of Poison Centers
ToxTidbits (August 2012)
Topic: Ondansetron and QT Interval Prolongation
ToxTidbits (July 2012)*
Topic: L-Carnitine Use in Valproic Acid Toxicity
*Updated October 2021
ToxTidbits (June 2012)
Topic: CroFab: Important Update
ToxTidbits (May 2012)
Topic: Intranasal Naloxone: Concentrate and Split
ToxTidbits (April 2012)
Topic: Methylene Chloride; also, a warning about the Cinnamon Challenge
ToxTidbits (March 2012)
Topic: MDMA (ecstasy)
ToxTidbits (February 2012)
Topic: Baclofen Overdoses
ToxTidbits (January 2012)
Topic: ACE Inhibitor Overdoses
2011
ToxTidbits (December 2011)
Topic: Dabigatran (Pradaxa)
ToxTidbits (November 2011)
Topic: Sulfonylurea Overdoses
ToxTidbits (October 2011)
Topic: Acute Metformin Overdose
ToxTidbits (September 2011)
Topic: Cofactors for Ethylene Glycol and Methanol Poisoning
ToxTidbits (August 2011)
Topic: Carisoprodol
ToxTidbits (July 2011)
Topic: Magnesium Toxicity; also an update on Synthetic Marijuana Compounds
ToxTidbits (June 2011)
Topic: Chlorine Inhalation Exposures
ToxTidbits (May 2011)
Topic: Cholinergic Toxidrome
ToxTidbits (April 2011)
Topic: Unintentional Insulin Errors
ToxTidbits (April 2011 Supplement)
Topic: Levothyroxine Overdose
ToxTidbits (March 2011)*
Topic: Nutmeg Abuse
*Updated April 2020
ToxTidbits (March 2011 Supplement)*
Topic: Tramadol Overdose
*Updated March 2021
ToxTidbits (February 2011)
Topic: “Bath Salts” (MDPV)
ToxTidbits (January 2011)
Topic: Benzonatate (Tessalon)
2010
ToxTidbits (December 2010)
Topic: Citalopram and Escitalopram
ToxTidbits (November 2010)
Topic: Alcoholic Energy Drinks
ToxTidbits (October 2010)
Topic: Whole Bowel Irrigation
ToxTidbits (September 2010)
Topic: Serotonin Syndrome
ToxTidbits (August 2010)
Topic: Button Battery Ingestions
ToxTidbits (July 2010)
Topic: Levamisole - A Cocaine Contaminant
ToxTidbits (June 2010)
Topic: Accidental Epinephrine Injections
ToxTidbits (May 2010)
Topic: Mushroom Poisoning- Amatoxins
ToxTidbits (April 2010)
Topic: Ziprasidone
ToxTidbits (March 2010)
Topic: Scombroid Fish Poisoning
ToxTidbits (February 2010)
Topic: Topical Imidazolines
ToxTidbits (January 2010)
Topic: Benzocaine and Methemoglobinemia
2009
ToxTidbits (December 2009)*
Topic: Chloroquine and Hydroxychloroquine Overdose
*Updated March 2020
ToxTidbits (November 2009)
Topic: Ingestion of Isopropanol
ToxTidbits (October 2009)
Topic: Acetaminophen -- A New Approach to an Old Problem
ToxTidbits (September 2009)
Topic: Hyperinsulinemia Euglycemia
ToxTidbits (August 2009)
Topic: Body Packers and Body Stuffers
ToxTidbits (July 2009)
Topic: Propofol Infusion Syndrome
ToxTidbits (June 2009)
Topic: Hydrogen Sulfide
ToxTidbits (May 2009)
Topic: Oxymorphone (Opana)
ToxTidbits (April 2009)
Topic: Intralipid for Overdoses
ToxTidbits (March 2009)
Topic: Prussian Blue
ToxTidbits (February 2009)*
Topic: Valproic Acid
*Updated July 2012
ToxTidbits (January 2009)
Topic: Methotrexate Toxicity
2008
ToxTidbits (December 2008)
Topic: Fomepizole: Drug Name Confusion
ToxTidbits (November 2008)
Topic: Iron Overdose
ToxTidbits (October 2008)
Topic: Stings from the Puss Caterpillar
ToxTidbits (September 2008)
Topic: Jimson Weed
ToxTidbits (August 2008)
Topic: Medication Errors with Intravenous Acetylcysteine
ToxTidbits (July 2008)
Topic: Brown Recluse Spider Envenomations
ToxTidbits (June 2008)*
Topic: Tramadol Overdose
*Updated March 2021
ToxTidbits (May 2008)
Topic: Emergency Medical Services and the Maryland Poison Center
ToxTidbits (March 2008)
Topic: Acute Phenytoin Overdose
ToxTidbits (February 2008)
Topic: National Poison Prevention Week
ToxTidbits (January 2008)*
Topic: Caffeine Overdose
*Updated July 2014