Amitriptyline poisoning may result in severe neurological and cardiac problems. We report a case of (13-month girl) severe amitriptyline intoxication with neurological, respiratory and electrocardiographic findings. With respiratory support, seizure control, NaHCO3 infusion, intravenous lipid infusion, selective plasma exchange and arrhythmia control the patient recovered. We stressed that amitriptyline intoxication may lead to severe problems. Electrocardiographic findings may not be differentiated from ventricular tachycardia. In these patients, survey may be well with aggressive treatment modalities.
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