Explorez tous les épisodes du podcast The Poison Lab
| Titre | Date | Durée | |
|---|---|---|---|
| A Morel Dilemma: Episode 2 — Investigations and Falsehoods | 03 Jun 2026 | 00:43:55 | |
As reports of severe illness and death come in, the Bozeman outbreak moves from medical mystery to full public health investigation. Local and state investigators race to identify the source, shut down the risk, interview patients, collect food samples, and figure out whether anyone else could still be in danger. The early signal points toward one unlikely ingredient: morel mushrooms. But for toxicologists, that raises more questions than answers. Morels are supposed to be edible. Rapid vomiting and diarrhea usually suggest foodborne illness, not a deadly mushroom poisoning. So investigators have to ask the question that will drive the rest of the series: is the morel really the culprit, or is something else hiding in the meal? In Episode 2 of A Morel Dilemma, we meet the public health team on the front lines, hear how the outbreak was contained, and begin testing the first theories behind what made diners so sick. | |||
| A Morel Dilemma: Episode 1 — Outbreak in Bozeman | 03 Jun 2026 | 00:33:56 | |
A deadly outbreak begins with a single meal at a sushi restaurant in Bozeman, Montana. Within hours, diners develop severe nausea, vomiting, and diarrhea. Some collapse. Two people die. At first, it looks like food poisoning, but investigators quickly notice one strange ingredient connecting many of the sick patients: morel mushrooms. In the first episode of A Morel Dilemma, we meet the people caught in the earliest moments of the outbreak and begin following the investigation as it unfolds in real time. What starts as a suspected restaurant-associated illness quickly becomes a much stranger question: how could a prized edible mushroom, eaten for centuries, suddenly be linked to death? This is not a retrospective summary. It is the beginning of a poisoning mystery, told the way investigators experienced it: with urgency, uncertainty, and more questions than answers. | |||
| Poisonous Fungus Amongus is Here— The Rhyming Kid (or Adult) Book For Mushroom Safety | 17 Nov 2025 | 00:03:17 | |
Get your copy here! https://a.co/d/8QUBmQy Want to hear it with insights from the author?: • Poisonous Fungus Among Us | Full Children’... Don't have time for the full thing: check the highlights: • Poisonous Fungus Amongus Highlights Reel Want a clearer picture: Full reading large scale here: • Poisonous Fungus Amongus- Children's Book ... From the mind of a toxicologist who treats real mushroom poisonings alongside doctors and poison centers comes Poisonous Fungus Amongus—a playful, rhyming adventure into the fascinating world of poisonous mushrooms! Inside, readers will find a colorful introduction to mushroom anatomy and ecology—learning the parts of a mushroom and discovering helpful hints for safe foraging and identifying dangerous look-alikes. Every species featured in these pages is a real poisonous mushroom, brought to life through vivid illustrations and engaging verse. This beautifully illustrated book goes beyond the basics, exploring how mushrooms grow, reproduce, and take shape in nature—from tiny spores to sprawling mycelium to the fruiting bodies we find in forests and fields. Through rhymes and clear explanations, readers learn to recognize essential mushroom features—caps, gills, pores, rings, bulbs (volvas), veils, warts, scales, spore prints, and gill types like free, adnate, and decurrent. Each detail helps distinguish the edible from the toxic—and shows how some features can fool us! The story encourages safe and curious observation: note each feature, dig gently to look for bulbs, observe nearby trees and seasons, and check for bruising or color changes. Along the way, readers also discover fungi’s hidden ecological roles, from tree-nurturing mycorrhizae to the saprotrophs that recycle the forest floor. With rhythm, rhyme, and a spark of scientific wonder, Poisonous Fungus Amongus blends accuracy with imagination—inviting kids and adults alike to explore and respect the natural world, while learning that curiosity and caution must always grow together when it comes to mushrooms. Perfect for young readers, nature lovers, teachers, and families who want to explore the mysterious and magical world of fungi! A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| LIVE from Chicago: 2025 NACCT Research Review – Insights from the North American Congress of Clinical Toxicology | 06 Oct 2025 | 01:41:48 | |
Show Notes In this special live episode from the 2025 North American Congress of Clinical Toxicology (NACCT), Ryan takes you inside the conference to hear directly from the researchers themselves. Covering 11 abstracts that span high-stakes management decisions, surprising case reports, and challenges to toxicology dogma, this year’s highlights feature everything from amlodipine overdoses to naturopathic misadventures, metformin-associated blindness, and more. The show kicks off with a foreword from Ryan and Dr. Jon Cole (abstract co-chair for AACT) discussing some of their favorite research from the conference. If you couldn’t make it to NACCT or just want to catch up on some of the most impactful new research in our field, this episode will give you a front-row seat. Check below for links to the published abstracts, the full list of studies discussed, and timestamps for where you can hear each one. Link to published abstract manuscript Foreword with Dr. Jon Cole10:43 #7. Is beta blocker toxicity associated with hypoglycemia?
18:17 #237. V-A ECMO as a treatment for vasoplegic shock in amlodipine poisoning: a comparison
27:59 #247. Blocked but not beaten: ECMO’s role in severe amlodipine toxicity – a poison center case series
28:18 #26. Amlodipine double-dose therapeutic errors reported to Poison Centers
30:38 #27. Dosing on the edge: unpacking inadvertent amlodipine ingestions reported to a single poison center
34:03 #292. Intravenous administration of sodium zirconium cyclosilicate resulting in death
Researcher interviews 44:16 – #21. Quantitative analysis of amlodipine removal by plasmapheresis
48:33– #23. Relationship between reported ingestion dose and outcome in amlodipine poisoning
51:37 – #24. Management of severe amlodipine toxicity with high-dose calcium alone
56:56– #70. Iatrogenic exposure to long-acting buprenorphine injectable in an opioid-naïve patient
01:00:11 – #182. Left in the dark: a case of blindness in the setting of metformin toxicity
01:12:11 – #169. Just because it’s natural doesn’t mean it’s safe: a case of pediatric toxicity from topical and herbal remedies
01:04:31 – #203. Serotonin syndrome after vaping Moocah
01:07:06 – #307. Intravenous ozone autohemotherapy: a retrospective observational case series
01:11:25 – #134. Do they really need n-acetylcysteine? Exploratory analysis of outcomes in patients with elevated liver function tests but no detectable acetaminophen
01:15:33 – #130. Outcomes of acute acetaminophen-poisoned patients treated with and without fomepizole: a Toxic registry study
01:21:23 – #295. Evaluation of onset and resolution of complications after chronic methotrexate poisoning
01:24:51 – #325. Implications of potassium in salicylate toxicity treated with urinary alkalinization
Bonus Content
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| Toxicologist vs The internet (#12) with Dr. Joe Kennedy MD | 10 Sep 2025 | 01:34:49 | |
In this episode of The Poison Lab, host Ryan Feldman is joined by Dr. Joe Kennedy, medical toxicologist at the University of Vermont and consultant for the Northern New England Poison Center. Together they work through real poisoning cases to sharpen toxic differentials, sum up practical resuscitation priorities, and connect first-principles pharmacology to bedside decisions. They also answer listener questions on THAM vs bicarbonate, when to dialyze even with “normal” kidneys, and why rattlesnake antivenom costs so much—plus the real-world logistics of sourcing exotic antivenoms in the U.S. Dr. Kennedy and Ryan discuss the topics below. Looking for timestamps? Join the subscribed feed!
Want the cases summarized and sent to you so you can come up with your differential before the show? SIGN UP FOR THE NEWS LETTER! Listener Q&A
Call outs from the show
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| GOTTA PICCEM is Here! — The Poisonous Mushroom Card Game Launch | 03 Sep 2025 | 00:03:21 | |
GOTTA PICCEM: The Poisonous Mushroom Card Game 👉 Order now right here OR go to www.gottapiccem.com and click "Buy GOTTA PICCEM" Why this is awesomeWhat started as a nerdy teaching tool made to teach mushroom poisoning by folks who treat mushroom poisoning is now a full-fledged card game—equally great for Friday game night and the classroom. What’s inside the deck
Learn while you play Dive into the companion blog at www.gottapiccem.com for:
📖 Start here: gottapiccem.com (Companion Blog → “Learn the Mushrooms”) How to get it👉 Order now right here OR go to www.gottapiccem.com and click "Buy GOTTA PICCEM"
P.S. We’re exploring U.S. manufacturing to lower costs and expand distribution—timeline TBD—so we made the game available now. Join the funIf you grab a copy: 📸 Snap a photo of your first round ✉️ Send it to toxtalk1@gmail.com or tag @LabPoison / @tox_talk Nothing would make Ryan happier than seeing the community play! | |||
| Ryan is LIVE on the Radio Thursday July 17th 11:45AM-12:30 PM CST WPR Larry Meiller Show! | 16 Jul 2025 | 00:00:54 | |
Listen here (https://www.wpr.org/shows/larry-meiller-show) to hear Ryan Live on AIR for the Larry Meiller show, Thursday July 17th 11:45AM-12:30 PM CST. Check this "Listen Live" link if your having trouble! | |||
| Poisoning Outbreak: Aconite Poisoning at Markham, Ontario Restaurant | 10 Jul 2025 | 00:07:31 | |
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More Show Resources The Poison Lab: Outbreak – Markham Aconite Poisoning On August 29, 2022, twelve diners at a Markham, Ontario restaurant fell critically ill with vomiting, numbness, and life-threatening arrhythmias. The culprit? A deadly plant toxin: aconite. In this episode—the first of a new Poison Lab Outbreak series—we go inside the Markham mass poisoning case. Join host Ryan Feldman, clinical toxicologist and emergency medicine pharmacist, as he investigates how a rare and lethal toxin ended up in a restaurant spice jar and nearly cost lives. You’ll hear firsthand from the experts who responded to the outbreak:
Together, they walk us through the outbreak timeline—from the first patients in VT to the public health investigation that uncovered a mislabeled spice bag full of pure aconite root. Looking for timestamps? A fully timestamped version of the episode—so you can jump to any topic—is available to our supporting members. 💡 Key topics:
📍 Resources & Mentions:
🎧 Listen now at: www.ThePoisonLab.com 💬 Have thoughts or questions? Connect on Instagram @tox_talk, Twitter @LabPoison, or email toxtalk1@gmail.com. | |||
| MURDER for Lunch: Toxicologist vs The internet (#11) with Dr. Amy Zosel MD | 30 Apr 2025 | 01:29:20 | |
In this episode of The Poison Lab, host Ryan Feldman is joined by Dr. Amy Zosel, a medical toxicologist, emergency physician, and educator. Together, they use real poisoning cases to practice identifying toxins and flexing their toxic differential The conversation dives into intriguing and challenging toxicology cases, with a focus on educating listeners about real-world poisoning scenarios, myth-busting internet misinformation, and providing practical clinical insights. Mini episode with Dr. Robert Bassett on Remembering Poisonous Mushrooms Dr. Zosel and Ryan discuss: 14:15 Case 1 33:04 Case 2 37:00 Case 3 48:00 Case 4 Study about Naloxone in Clonidine overdose ++Spoiler++:Below this will be key takeaways regarding managing the poisonings discussed, it may ruin your experience if you are guessing the poisons Key Takeaways:
A Lethal mushroom hiding in edible mushrooms Resources Mentioned:
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Subscribe and Review: Love what you're hearing? Help us reach more toxicology enthusiasts by leaving a review on Apple Podcasts, Spotify, or wherever you listen. Don’t forget to share this episode with your colleagues and friends! A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| A Mnemonic For Poisonous Mushrooms and Their Effects- GOTAA PPICEM | 30 Apr 2025 | 00:22:39 | |
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More Show Resources If you are looking for links to Dr. Basset's initiatives check back later, they are not fully launched yet! Check it out on Dr. Hamilton's website as well The GOTAA PPICCEM Mnemonic Late-Onset (Severe) Toxic Mushrooms ("GOTA")These mushrooms have delayed symptoms (>6 hours) and are associated with significant toxicity: G – Gyromitrin (Gyromitra esculenta) – False morels; inhibits GABA, leading to seizures. O – Orellanine (Cortinarius spp.) – Causes renal failure; famously poisoned The Horse Whisperer author. T – Tricholoma equestre (Man on Horseback) – Leads to rhabdomyolysis. A – Amatoxin (Amanita phalloides, Galerina spp.) – Causes liver failure; the most lethal mushroom toxicity. Early Onset Nausea, Late Toxicity Mushrooms ("A²P²") A² – Allenic norleucine (Amanita smithiana) – Found in the Pacific Northwest; early GI symptoms followed by renal failure. These may present early but still cause significant toxicity. P² – Paxillus spp. – Can cause hemolytic anemia and multi-organ injury. Early-Onset Nausea Mushrooms ("PICCEM") P– Psilocybin (Psilocybe spp.) – Hallucinogenic, similar to LSD, typically low toxicity but may cause hyperthermia or seizures. Symptoms appear within 6 hours and are usually self-limited. I – Ibotenic Acid & Muscimol (Amanita muscaria, Amanita pantherina) – Acts like a “mushroom speedball”, causing both stimulant and sedative effects. C – Coprine (Coprinus spp., Inky Caps) – Induces disulfiram-like reaction with alcohol. E – Emetic Mushrooms (LBMs: Little Brown Mushrooms) – Various species that cause self-limited vomiting and diarrhea. M – Muscarine (Clitocybe, Inocybe spp.) – Cholinergic crisis (SLUDGE symptoms), similar to nerve agents. Ryan's Modified Mnemonic GOTTAAA PICCEM The GOTTA3 P2ICCEM Mnemonic (Ryan's Modification) Late-Onset (Severe) Toxic Mushrooms ("GOTTAA")These mushrooms have delayed symptoms (>6 hours) and are associated with significant toxicity: G – Gyromitrin (Gyromitra esculenta) – False morels; inhibits GABA, leading to seizures. While this is classically taught, newer data suggests its extremely rare, GI effects, with or without hepatoxicity or minor neurologic symptoms predominate O – Orellanine (Cortinarius spp.) – Causes renal failure; famously poisoned The Horse Whisperer author. T – Tricholoma equestre (Man on Horseback) – Leads to rhabdomyolysis. A – Amatoxin (Amanita phalloides, Galerina spp.) – Causes liver failure; the most lethal mushroom toxicity. A- Acromelic Acid is found in Clitocybe acromelalga in Japan and C amoenolens in France causes erythromelalgia. It can be treated with IV nicotinic acid! Early Onset Nausea, Late Toxicity Mushrooms ("A²P²") A² – Allenic norleucine (Amanita smithiana) – Found in the Pacific Northwest; early GI symptoms followed by renal failure. These may present early but still cause significant toxicity. P² – Paxillus spp. – Can cause hemolytic anemia and multi-organ injury. Early-Onset Nausea Mushrooms ("PICCEM")
P– Psilocybin (Psilocybe spp.) – Hallucinogenic, similar to LSD, typically low toxicity but may cause hyperthermia or seizures. Symptoms appear within 6 hours and are usually self-limited. I – Ibotenic Acid & Muscimol (Amanita muscaria, Amanita pantherina) – Acts like a “mushroom speedball”, causing both stimulant and sedative effects. C – Coprine (Coprinus spp., Inky Caps) – Induces disulfiram-like reaction with alcohol. Thee are actually many species that have been implciated here incuding Verpa bohemica (early morel) and Boletus luridus (luride bolete). C- Cholinergics (muscarine containing, Clitocybe, Inocybe spp.) Cholinergic crisis (SLUDGE symptoms), similar to nerve agents. E – Emetic Mushrooms (LBMs: Little Brown Mushrooms) – Various species that cause self-limited vomiting and diarrhea. M – Morchella (morels) while an edible delicacy, they must be thoroughly cooked, recently multiple deaths have been links to eating morels, and the exact mechanism of toxicity is unclear but they result in incredibly fast GI effects. | |||
| Leafy Greens & Injured Beans: Natures Nephrotoxins – A Poison Lab & NephMadness Collaboration | 01 Mar 2025 | 01:21:41 | |
In this special collaboration with NephMadness, we're diving into the world of nephrotoxins with an expert panel from Virginia Commonwealth University. NephMadness is an educational competition modeled after March Madness, and this year, one of the featured regions focuses on plant-based nephrotoxins. Together, with our expert panel we break down the competing nephrotoxin teams: Tubular Toxins vs. Oxalate Offenders. Joining us are Dr. Anna Vinnokova (Nephrologist), Dr. Rachel Khan PharmD (Neph pharmacist), Dr. Ethan Downes (Nephrology fellow), and the legendary nephrotoxicologist, Dr. Josh King (Board certified Nephrologist and Toxicologist). We ALMOST named this episode "Getting Downe with the Mad Neph King and the Bean Queens"... but we didn't, your welcome. After the show, go to the blog and vote for your favorite! Expect irreverent musings, deep dives into toxic plant exposures, and a mystery case reveal that will leave you questioning your diet. Topics and Timeline of Episode: Intro Listener Guesses With Josh and Ryan– 8:30 Listener Winner – 25:42 NephMadness and Guest Introductions – 28:07 Toxin Reveal – 33:41 Tubular Toxins – 35:46
The Oxalate Offenders Team: How Dietary Oxalates Harm the Kidneys – 52:00
Practical Advice for Clinicians & Patients on Herbal Medicine Use – 1:00:00
Herbals may not all be safe: Josh King Discovering Contaminants– 1:01:11 Wrap up– 1:08 Key Takeaways:
Resources Mentioned:
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Don’t forget to rate and review the podcast on Apple Podcasts, Spotify, or your preferred platform. Share this episode with your fellow nephrology and toxicology enthusiasts! Thanks for tuning in, and remember: If it sounds too good to be true, it might just be nephrotoxic. Stay safe and stay curious! | |||
| A Mysterious Case of Weakness, Low Potassium, and Kidney Injury | 12 Feb 2025 | 00:01:55 | |
Do you think you know the cause of these symptoms? Send your guesses to toxtalk1@gmail.com to take part in the next episode | |||
| Introducing: A Morel Dilemma | 01 Jun 2026 | 00:04:06 | |
Available June 3rd- A deadly outbreak begins at a sushi restaurant in Bozeman, Montana. Diners develop rapid, severe gastrointestinal illness. Some collapse. Two people die. And the only clue pointing investigators toward a cause is also the hardest one to believe: morel mushrooms. A Morel Dilemma is a serialized outbreak investigation from The Poison Lab, following the story in real time as clinicians, toxicologists, public health officials, mycologists, and families try to answer one unsettling question: How could a prized edible mushroom suddenly be linked to death? This is a story about poisoning, public health, uncertainty, and the uncomfortable process of discovering that something we thought we understood may be far more complicated than it seemed. A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Should we Give Naloxone in Cardiac Arrest? Insights From the Authors of Three Key Studies | 06 Jan 2025 | 01:25:38 | |
Finally, the journal club to rule ALL journal clubs. In this episode of The Poison Lab, we tackle one of the biggest topics in emergency medicine and toxicology: Should naloxone be given during opioid-associated cardiac arrest? With three fantastic studies published in 2024, we’re diving into the data and hearing directly from the authors themselves. Join host Ryan Feldman as he interviews Dr. Eric Quinn, Dr. Joshua Lupton, and Dr. David Dillon, some of the minds behind the latest research exploring the role of naloxone in out-of-hospital cardiac arrest (OHCA). With perspectives ranging from clinical outcomes to practical implementation, this episode offers a deep dive into what these studies tell us—and what remains unanswered. But that’s not all! Featuring special guests Spencer Oliver and Chris Pfingston from EMS 2020, this roundtable discussion incorporates the real-world insights of prehospital EMS professionals who face these decisions every day. Together, the panel unpacks:
Whether you’re a toxicologist, EMS professional, or just curious about the intersection of drugs, overdose, and resuscitation, this episode is packed with actionable insights, expert opinions, and engaging discussions. Tune in now to explore the science, controversy, and future directions for naloxone in cardiac arrest care! Studies discussed in the show
Studies and guidelines mentioned
Shows mentioned
Timestamps and chaptersIntroduction (0:00–12:25)
Background (12:26–26:08) Rationale for Studying Naloxone in OHCA
Overview of Existing Guidelines and Research
Challenges in Determining Opioid Overdose as the Cause of OHCA
Summary of the Three 2024 Studies
Discussion (26:09–48:31) Identifying Potential Opioid Overdose
Study Methodologies and Confounding Factors
Potential Benefits and Harms of Naloxone in OHCA
Review of Current Guidelines
Future Directions and Conclusion (48:32–55:00) Need for a Randomized Controlled Trial (RCT)
Final Takeaways
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| The Poison Lab Holiday Bonus- Stump The Toxicologist Reel 2022 | 25 Dec 2024 | 02:10:04 | |
In this special holiday bonus episode, Ryan takes a look back at some of the most captivating episodes of The Poison Lab from 2022. Get ready for an ultimate test of your toxicology differential diagnosis skills as we compile all the "Stump the Toxicologist" segments into one streamlined, binge-worthy episode. Explore eight unique poisoning cases, be sure to check the show notes for a description of each case. time stamp of where it begins, and links to the original episodes, where you can dive deeper into the discussions and unravel the mysteries behind these intriguing cases! Case Teasers and Time Stamps Episode 13, March 2nd, 2022: Dr. Howard Greller
Episode 15, July 6th, 2022: Dr. Josh Trebach
Episode 17, November 9th, 2022: Dr. Emily Kieran
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| What Should We Do About Forever Chemicals? With Dr John Downs (The Wizard of PFAS) | 27 Nov 2024 | 01:21:55 | |
Join host Ryan Feldman in an insightful episode of "The Poison Lab" as he sits down with Dr. John Downs, Director of the Virginia Poison Center, and one of the leading experts on per- and polyfluoroalkyl substances (PFAS), commonly known as "forever chemicals." Known for their persistence in the environment and human body, PFAS have raised significant public health concerns over the past few decades. Dr. Downs shares his journey through occupational medicine, toxicology, and public health, which uniquely positioned him to provide expertise on PFAS exposure, health risks, and ongoing regulatory efforts. Together, they delve into the origins, uses, and potential health effects of these ubiquitous compounds, while examining government policies, environmental impact, and strategies to reduce exposure. A must-listen for anyone interested in the intersection of environmental health and toxicology! Episode Breakdown:
Key Topics Discussed 2:42 – What Are Forever Chemicals?
8:01 – History of PFAS and Associated Health Concerns
PFAS in the Environment
15:41 – Government Regulation of PFAS
Practical Steps for Individuals
The Future of PFAS Management
Additional Resources
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| Poison Updates: Newsletter, Poison Ads?, and Guest Spots on 22 at the Lips and The Continuing Studies Podcast | 11 Nov 2024 | 00:13:10 | |
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| LIVE from Denver: 2024 NACCT Research Review – Insights from the North American Congress of Clinical Toxicology | 04 Oct 2024 | 01:27:54 | |
In this exciting live episode from the 2024 North American Congress of Clinical Toxicology (NACCT) in Denver, Ryan dives into 12 of the most impactful research abstracts presented at the conference directly with the authors themselves. Covering a wide range of toxicology topics—from the NACSTOP2 trial on acetaminophen overdose, ECG intervals, cannabis toxicity in young children, and more—each guest breaks down their study’s findings and clinical relevance. If you missed the conference or want a deeper understanding of the year's most important toxicology research, this episode is for you. Check the show notes for links to the published abstracts, the full list of studies discussed, and time stamps for where you can find those studies. Link to published abstract manuscript Abstracts 07:48-Abstract #1. The NACSTOP2 trial: a multi-center randomized controlled trial investigating the early cessation of n-acetylcysteine in acetaminophen overdose
21:33- Abstract #36. ECG intervals: does one size really fit all?
25:41- Abstract #85. Do abnormal electrocardiographic intervals predict death in poisoned patients older than 65 years?
30:06- Abstract #61. Minimum tetrahydrocannabinol dose that produces severe symptoms in children <6 years old with cannabis edible ingestions
36:25- Abstract #114. Frequency and severity of cannabis toxicity before and after legislative change to increase cannabis edible package size
38:24- Abstract #101. Quantification of acetaminophen line-crossers in the setting o f overdose with delayed gastric absorption
41:41- Abstract #175. Cause for pause: bradycardia induced by transdermal rivastigmine in anticholinergic delirium
46:21- Abstract #199. Cerebellar, hippocampal, and basal nuclei transient edema with restricted diffusion (CHANTER) Syndrome with poor neurological outcome in the setting of suspected opioid use
49:49- 191. Severity scores for caustic injury: Zargar they even used?
53:!2- Abstract #9. Disparity in immune-mediated reactions to Crotalidae polyvalent immune fab (ovine) and Crotalidae immune F(ab’)2 [equine] in alpha-gal endemic regions and alpha-gal sensitized adults
59:10- Abstract # 26. Acute propranolol overdose and dose thresholds of severe toxicity
1:06:05- 28. Risk of serotonin toxicity following acute lamotrigine overdose
1:12:36- Interview with AACT President Elect
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| The Poison Letter To The Editor: Listener Critiques and Author Responses for The AHA 2023 Life Threatening Poisoning Guidelines with Dr. Michael Mullins, Dr. Donna Seger, Dr. Leon Gussow, and Dr. Eric Lavonas | 28 Aug 2024 | 00:23:47 | |
In this episode the poison lab hosts scientific discourse . Three listeners (Dr. Michael Mullins, Dr. Donna Seger, and Dr. Leon Gussow) write in their critiques surrounding specific recommendations and language used with the AHA 2023 Management of Poisoning Cardiac Arrest or Life-Threatening Toxicity guidelines. Lead author of the guidelines Dr. Eric Lavonas then responds to and addresses their points with counterpoints or appraisals. Tune in and draw your own conclusions! A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Send in Your Questions For "Ask a Toxicologist" | 13 Aug 2024 | 00:02:07 | |
Have a burning question you have always wanted to ask a toxicologist? What are tips for managing an anticholinergic overdose? What is the deadliest poison? Why are they called lead pencils if there is no lead?! Send your questions in to toxtalk1@gmail.com to take part in a future episode! (If you would like to be anonymous simply state it in the email) A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Open and Shut (Mystery case 31) with Guests Dr. Dan McCabe and Dr. Crissy Lawson | 02 Aug 2024 | 01:47:36 | |
In this episode Ryan is joined by two expert guests to help read listener guesses for the cause of this poisoning murder and shed light on the toxin involved in the case, which puzzled medicolegal investigators. Ryan is joined by Dr. Dan McCabe, MD (emergency medicine physician, medical toxicologist, medical director of Iowa poison center) and Dr. Crissy Lawson PharmD (emergency medicine pharmacist).
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| The Poison Lab - Stump The Toxicologist Reel 2023 | 01 Jul 2024 | 01:43:56 | |
In this bonus episode Ryan highlights some of the great episodes done in 2023 and compiles ALL of the stump the toxicologist segments from 2023 into one easy to consume episode. Test your toxicology differential skills with more than six poisoning cases. Check out the actual episodes for more information in the show notes on each of the poisonings. A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| A Mysterious Case of Fatal Arrhythmia in a Newly Wed (Episode #31 Mystery Case) | 15 Jun 2024 | 00:06:54 | |
Do you think you know the cause of these symptoms? Send your guesses to toxtalk1@gmail.com to take part in the next episode | |||
| Gas Station Heroin? Kratom, Regulation, and Recovery — A Co-Broadcast with the Kratom Sobriety Podcast | 24 May 2026 | 01:16:10 | |
In this special co-broadcast episode, The Poison Lab joins forces with The Kratom Sobriety Podcast for a deeper conversation about kratom, regulation, addiction, recovery, and what poison center data can tell us about real-world harm. Kratom is a plant-derived substance that contains mitragynine and 7-hydroxymitragynine, compounds with opioid-like effects. It is sold in many forms, including powders, capsules, drinks, tonics, and concentrated extracts, often in gas stations, smoke shops, and online. For many people, kratom is encountered with little warning about its risks, including dependence, withdrawal, and toxicity. Study NewsThis episode grew out of our newly published study in Addiction, which examined kratom-related poison center calls across states with different legal approaches: states with bans, states with kratom consumer protection acts, and states with no specific regulation. The study began with a real policy question in Wisconsin: is the public better protected by prohibition, by regulated access, or by leaving kratom largely unregulated? As clinical toxicologists and poison center clinicians, our goal was not to write policy, but to add objective data to a debate that often moves faster than the evidence. Ryan discusses how that question led to a broader debate within medical toxicology and poison center circles: What are the harms of prohibition? What are the risks of unfettered access? Is regulation safer than a ban? And what can poison center data actually tell us about those questions? After the study was published, people reached out from several directions: journalists, policymakers, people concerned about the risks of prohibition, and people who had experienced harm from easy access to kratom. That included the team behind The Kratom Sobriety Podcast, who wanted to talk about the study and the lived experience of kratom dependence and recovery. The conversation highlights both the data and the human side of the issue: people who developed kratom dependence, struggled to stop, and found their way into recovery. The episode explores why policy decisions around kratom are so difficult, why easy access to opioid-like substances can be dangerous, and why lived experience matters alongside epidemiologic data. Topics covered include:
This episode is a longer-form conversation about science, policy, toxicology, and recovery. It is not medical advice, and it is not meant to tell any individual person what they should do. But it is meant to bring more evidence, nuance, and humanity into a debate that needs all three. If you or someone you know is struggling with kratom or any substance use, help is available. In the United States, you can contact the SAMHSA National Helpline at 1-800-662-HELP. Extras News articles about the study
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| Where is Episode #31 and Bonus Episodes- Ryan Joins "The Larry Meiller Radio Show" and The "EMS2020" Podcast | 06 Jun 2024 | 00:21:54 | |
A quick update to share some other shows Ryan has been on in the last few weeks! Check the show notes for links to each episode! Ryan on "The Larry Meiller Show" discussing delta cannabanoids Ryan on EMS2020 talking prehospital overdose | |||
| Bromazolam, Etonitazene, and Carfentanil Walk into a Bar – Trends in Novel Illicit Drugs with Dr. Alex Krotulski | 01 May 2024 | 01:46:50 | |
In this episode Ryan interviews Dr. Alex Krotulski PhD from the Center for Forensic Science Research and Education. Together take a look at trends in novel opioids, benzodiazepines, stimulants, hallucinogens, synthetic cannabinoids, and "hemp products" that are showing up in your patients, drug products, and fatal overdoses. The conversation takes places around the Center for Forensic Science Research and Education quarterly report on Novel Psychoactive Substances found in patients and drug products.
The episode starts with a discussion of the novel benzodiazepines market, highlighting bromazolam and how long it may remain in the market. Then they discuss the opioids highlighting where we are seeing carfentanil, what is happening with Para Fluorofentanyl, and other super potent opioids emergening (such as N -pyrrolidino etonitazene). After a quick discussion of synthetic cathinone's and PCP/ketamine derivatives they jump to synthetic cannabinoids, examining the history of brodifacoum contamination and how regulation has led to market changes.
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| Inefficient Heat (Mystery Case 29) & Toxicologists vs The internet (#10) with Dr. Ann Arens | 29 Feb 2024 | 01:40:07 | |
Dr. Ann Arens, MD an emergency medicine physician and medical toxicologist with Oschner Medical center in New Orleans, LA joins the show to educate us on some HOT toxins, solve toxic cases, and opine on the philosophical and existential reasons drugs even exist. Tune in for a fantastic discussion with Dr. Arens and to hear the answer to our mystery case.
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| A Mysterious Case of Fatally High Temperature and Organ Failure in a Young Woman (Episode #29 Mystery Case) | 22 Dec 2023 | 00:06:14 | |
Do you think you know the cause of these symptoms? Send your guesses to toxtalk1@gmail.com to take part in episode 29 A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| A very NACCT Holiday-2023 North American Congress of Clinical Toxicology High Yield Abstract Review | 21 Dec 2023 | 01:39:01 | |
In this episode Ryan is joined by a guest panel (Dr. Grant Comstock MD, Dr. Joshua Trebach MD, Dr. Emily Kiernan DO, and Dr Frank Paloucek PharmD, DABAT) to review nine of the most interesting or clinically impactful research abstracts that were presented at the 2023 North American Congress of Clinical Toxicology (NACCT) in Montreal Canada. If you didn't get a chance to read all 363 research abstracts from some of Toxicology's best and brightest this year, tune in for a high yield review as well as clinical a break down of the studies and their relevance from the expert panel. Check the show notes for a link to the published abstracts and the list of all studies discussed in the show 10:40- Abstract 1 (PDF #225) Methotrexate toxicity in the setting of therapeutic error, a multicenter retrospective review
24:12- Abstract #2 (PDF #251) Oleander seeds in candlenut weight loss product strike again
31:16- Abstract #3 (PDF #2) Efficacy of sodium tetrathionate when administered intramuscularly for the treatment of acute oral cyanide toxicity in a swine model (Sus scrofa)
39:45- Abstract #4 (PDF #10) Is HOUR enough after out-of hospital naloxone for opioid overdose? Prospective preliminary data from real-world implementation of the modified St. Paul’s early discharge rule
49:05- Abstract #5- Poster titles at NACCT 2013–2022: is NACCT experiencing a pun-demic?
52:40- Rivastigmine discussion
58:40- Abstract #6 (PDF #5) Randomized controlled trial of ANEB-001 as an antidote for acute cannabinoid intoxication in healthy adults
1:08:00- Abstract #7 (PDF#216) Successful use of expired physostigmine to treat anticholinergic delirium in a pediatric patient
01:20:00- Abstract #8 (PDF #202) Enough negativity? Clinically significant salicylism with first detectable concentration twelve hours )post-ingestion
01:25:24 - Abstract #9 (PDF #267) High sensitivity troponin is frequently elevated after carbon monoxide exposure
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| APAPalooza. A North American Congress of Clinical Toxicology 2023 Acetaminophen Research Highlight | 19 Nov 2023 | 00:56:33 | |
In this episode, Ryan dives into cutting-edge research on the treatment of acetaminophen (APAP) overdose, featuring interviews with authors of several key abstracts from the North American Congress of Clinical Toxicology (NACCT) in Montreal Canada (Abstracts and posters available in the show notes). We get first looks insights into research evaluating the impact of fomepizole high risk acetaminophen overdose, as well as who gets fomepizole for acetaminophen overdose and dies. Then we evaluate the effectiveness of standard N-acetylcysteine (NAC) treatment in high risk patients and high dose NAC in high risk patients. Join us for an insightful discussion on these advancements that are reshaping the management of APAP toxicity. Guests include Dr. Masha Yemets PharmD, Dr. Molly Stott PharmD, Dr. Alexandru Ulici PharmD, and Dr. Michael Moss MD.
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| AHA 2023 Management of Poisoning Cardiac Arrest or Life-Threatening Toxicity Guidelines with Co-Author Dr. Eric Lavonas MD | 15 Oct 2023 | 00:55:39 | |
In this episode, Ryan sits down with Dr. Eric Lavonas MD, a seasoned EM resuscitation guideline writer, emergency medicine physician, medical toxicologist, and lead author of the latest update to the American Heart Association's guidelines for the management of cardiac arrest and life-threatening toxicity due to poisoning. They have an in-depth discussion as they explore the key aspects of the 2023 AHA treatment recommendations and the rationale behind each decision point. A great review to discover how to effectively apply these guidelines in real-world scenarios and find out what knowledge gaps exist in the realm of toxin resuscitation. Be sure to also check out the accompanying mini-episode for a high-yield review of the major treatment recommendations.
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| High Yield Highlight- 2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning | 15 Oct 2023 | 00:20:31 | |
In this episode Ryan does a high yield "just the facts" break down of the recently released "2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Tune in to learn about the most recent treatment recommendations made by AHA via a panel of toxicology experts. This was released alongside a full interview with the lead author Dr. Eric Lavonas MD. Be sure to check out the full interview to hear it straight from the source! (link in show notes). A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| The Poison Lab Does Psilocybin- A Deep Dive with Psilocybin Research Pharmacist Dr. Paul Hutson | 20 Sep 2023 | 01:42:40 | |
In this enlightening episode, Ryan engages in a deep conversation with Dr. Paul Hutson, PharmD, a renowned researcher in the field of psilocybin and director of the Transdisciplinary Center for Research in Psychoactive Substances at the University of Wisconsin Madison. Dr. Hutson shares his extensive knowledge and insights into the promising role of psilocybin in the treatment of depression and substance use disorder. Throughout the discussion, they delve into the research that supports the use of psilocybin in medical therapy, shedding light on the rigorous processes involved in conducting such studies. Dr. Hutson elucidates the efficacy and safety findings that have emerged from his and others research, offering listeners a glimpse into the potential future of psilocybin in mainstream medical practices. Listeners will gain a deeper understanding of the meticulous approach to research that ensures both safety and effectiveness. Dr. Hutson shares firsthand experiences and observations, providing a rich and detailed perspective on the current state of psilocybin research. Moreover, the conversation ventures into the practical aspects of integrating psilocybin into contemporary medical practices, discussing the potential frameworks and guidelines that would govern its use. They explore what the future might hold for patients and practitioners alike as they stand on the cusp of a revolutionary shift in mental health treatment. Whether you're a healthcare professional keen on the latest developments in medical research or someone interested in the evolving landscape of mental health treatment, this episode promises to be a rich source of information and insight. Tune in to be informed and to foster a deeper understanding of the promising horizon that psilocybin research is unveiling in the medical community.
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| New Podcast Artwork & Tox Trinkets! | 04 Sep 2023 | 00:02:21 | |
New Art and New Tox Trinkets. If you want to share your tox joy in the real world, find some trinkets here: https://www.etsy.com/shop/thepoisonlab A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Outbreak: 75 Fatalities After a Funeral Poisoning in Mozambique | 07 May 2026 | 00:02:30 | |
In this episode of The Poison Lab Outbreak, Ryan talks with Dr. Alaina Steck about a devastating mass poisoning in Mozambique that began at a funeral and ultimately sickened more than 200 people, with a fatality toll of over 70. Early reports blamed crocodile bile. Others suspected intentional poisoning. But as the investigation unfolded, the clinical picture, timeline, and exposure history did not fit neatly with the early theories. Dr. Steck, then a medical toxicology fellow at Emory, joined a CDC-supported outbreak investigation team sent to Mozambique. She walks through what it was like to investigate the outbreak on the ground, including the overwhelmed rural health center, limited medical records, scarce biological and environmental samples, early toxicologic hypotheses, and the eventual role of comparative food testing in identifying the cause. This episode explores the real-world uncertainty of outbreak investigation: incomplete data, competing theories, community fear, and the importance of epidemiology, toxicology, public health, and analytical chemistry working together. Topics Covered
Guest Dr. Alaina Steck Medical toxicologist, Emory University Former medical toxicology fellow involved in the CDC-supported investigation of the Mozambique outbreak Resources (Spoilers)Instagram @tox_talk • Twitter @LabPoison • Email toxtalk1@gmail.com Disclaimer: The Poison Lab is for educational purposes only and does not provide medical advice. If you suspect a poisoning, contact your local poison center. In the U.S., call 1-800-222-1222. A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Acetaminophen Poisoning Management: US & Canada Consensus Statement with Co-Author Dr. Richard Dart, MD, PhD | 18 Aug 2023 | 00:58:05 | |
In this Ryan sits down with Dr. Richard Dart MD, PhD. He is the lead author of the recently released "Management of Acetaminophen Poisoning in the US and Canada Consensus Statement" from the American Academy of Clinical Toxicology, American College of Medical Toxicology, Americans Poisons Centers, and the Canadian Association of Poison Centers. Listen to be informed on the most recent treatment recommendations. They dive in to the definitions established by the guideline and notable treatment recommendations, dissecting the ratinonale for each desiscion point and how to apply the guidelines. A mini episode was released along side this episode that is a high yield review of major treatment recommendations and definitions estabilished by the consensus statement. Links :
Definitions made by the guideline
Notable treatment recommendations
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| High Yield Highlight-Consensus Statement on Management of Acetaminophen Poisoning in the US and Canada | 18 Aug 2023 | 00:13:12 | |
This episode is a a high yield "just the facts" break down of the recently released "Management of Acetaminophen Poisoning in the US and Canada Consensus Statement" from the American Academy of Clinical Toxicology, American College of Medical Toxicology, Americans Poisons Centers, and the Canadian Association of Poison Centers. Listen to be informed on the most recent treatment recommendations. This was released alongside a full interview with the consensus statement corresponding author Dr. Richard Dart MD, PhD. Be sure to check out the full interview to hear it straight from the source! (link in show notes). Link to the guidelines:
Definitions made by the guideline
Notable treatment recommendations
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| Toxicologists vs the Internet (#9) With Guest Dr Frank Paloucek PharmD DABAT FAACT | 09 Aug 2023 | 01:33:34 | |
Dr. Frank Paloucek, PharmD, DABAT (@itsalltox) joins the show. He was one of the very first emergency medicine pharmacists and one of the original board-certified clinical toxicologists (DABAT). He is now a proudly retired professor emeritus at The Univeristy of Illinois at Chicago. In his tenure there he spent nearly 20 years as the program director for their clinical pharmacy residency, was an integral part of the Toxikon Consortium toxicology fellowship, and coauthored the text book "Poisoning and Toxicology Handbook (Poisoning and Toxicology Handbook (Leiken & Paloucek's)) 4th Edition. Frank and Ryan kick off the show hearing about Frank's fledgling years working in an emergency department without EM attendings. Then they bust some toxicology myths (do you REALLY need BAL before Calcium disodium edetate in severe lead poisoning? Frank thinks no...) before jumping into solving some toxic cases. Finally, the episode ends with Frank and Ryan solving a case of poisoned AI. They ask GPT to take on the role of a poisoned patient and work together to identify the culprit. Enjoy and don't forget to leave a review. Introduction
Stump the toxicologist Case 1 Case 2 Case 3
Case 4 A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| The Undead Patient: The Complexity of Brain Death Determination in Drug Overdose | 06 Jun 2023 | 01:22:05 | |
In this episode Ryan explores the concept of brain death and the implications of drug overdoses causing false positive diagnosis of brain death. He is joined by an author of the ACMT Position statement on brain death in overdose (Dr. Andrew Stolbach MD) as well as authors of two case reports (neuro critical care physician Dr. Ranier Reyes and emergency physician Dr. Doug Stranges) involving bupropion where patients had absent brain stem reflexes after overdose but made a full neurologic recovery. We delve into the criteria used to determine brain death and the challenges faced by families and healthcare professionals when dealing with this sensitive topic.
Links references in show
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| Toxicologists vs the Internet (#8) With Guest Dr Adam Blumenberg MD | 12 Apr 2023 | 01:35:26 | |
Dr. Adam Blumenberg, MD (@ABlumenbergMD) Join's the show. He is an emergency medicine physician, medical toxicologist, and Assistant Professor at Columbia University Medical Center in New York City. He hosts his own toxicology youtube series (www.ToxicHistory.com) and has developed multiple free medical education software programs in toxicology (www.toxicrunner.net) and medical simulation (www.medsimstudio.com). Most impressively, he has produced his own free base lidocaine crystals on a stove top, if you ask nicely he might just loan you one. He joins the show to sleuth the cause of fatal poisoning cases and tackle internet questions from reddit.com/r/askdrugs
Cases Case 1 Case 2 Case 3 Case 4 Case 5 Questions A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| High yield highlight- Managing a Bupropion overdose | 27 Feb 2023 | 00:12:08 | |
Ready for a high-octane dose of knowledge? 🔥🧠 Ryan's got you covered with this electrifying mini-episode on managing a bupropion overdose! 💊💥 Beware - there are plenty of pitfalls you'll want to avoid. Check out the full episode and other mini-episodes for even more tips and tricks! 🎧👀
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| A Prescription for Heartache (& Seizures) (Bupropion) | 15 Feb 2023 | 01:35:41 | |
What Do Bath Salts, Face-Eating Zombies, and Antidepressants Have in Common? In this episode of The Poison Lab, Ryan is joined by Dr. Filip, Dr. Olives, and Dr. Reyes to discuss a unique and heartbreaking poisoning scenario involving an antidepressant now recognized as the #1 cause of major life-threatening effects in antidepressant overdoses in the U.S. Check out the mini-episodes for more details! Key HighlightsThis Antidepressant:
Mechanism of Toxicity
Clinical EffectsSympathetic Toxidrome
Takeaway (TL;DR):
Key Literature Insights
Treatment OverviewDecontamination
Supportive Care
Cardiogenic Shock
Observation Times
Additional Considerations
Don't Fall into Traps:
Rohr 2004: "Role of gap junctions in the propagation of the cardiac action potential" Vink 2004: "Connexin 43 is the most important protein for connexon formation and cardiac signal transmission" Callier 2012: "QRS widening and QT prolongation under bupropion: a unique cardiac electrophysiological profile" Shaikh Quereshi 2014: "Bupropion interferes with connexin43 production and localization in chicken cardiac myocytes at concentrations >50 µM" Shepherd 2004: "Seizures after overdose of sustained-release bupropion" Starr 2009: "Seizures in extended-release bupropion overdoses" Offerman 2020: "Predictors of seizures and death in bupropion overdoses: a 10-year retrospective study" Rianprakaisang 2021: "Risk factors for seizures in bupropion overdose: a ToxIC database study" A Morel DilemmaSupport the show Review the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Mini Episode: Bridging the Gap- Bupropion's not your average wide QRS with Dr. Travis Olives | 15 Feb 2023 | 00:18:21 | |
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| Mini Episode: Who Seizes in Bupropion Overdose with Dr Ari Filip MD | 15 Feb 2023 | 00:30:48 | |
Key Studies
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| 2022 North American Congress of Clinical Toxicology (NACCT) High Yield Abstract Review | 29 Dec 2022 | 01:32:47 | |
All published abstracts can be found here Abstracts Category 1: Amlodipine Vasoplegia
Category 2: Xylazine
Category 3: Case Reports with Terrifying Clinical Implications
Category 4: Comparative evidence, Prognostication, and Triage
Category 5: Rapid Review
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| Rebroadcast: Phenibut. The emerging drug you don’t know about (yet) | 04 May 2026 | 01:06:17 | |
Phenibut is an emerging and unfamiliar drug taking hold in the US that is readily available online and legal to obtain. It acts as a GABA-B agonist and carries risks of dependency and withdrawal. In this episode Ryan interviews phenibut users as well as experts involved in phenibut treatment. They explore the history, current trends, toxicity, and management of phenibut, a novel GABA-B agonist. He is joined by guest Dr. Matthew Stanton PharmD and Dr. Benjamin Weston MD who listen in to an audio documentary that includes clips from Dr. Janessa Graves PhD and Dr. Erica Liebelt MD who wrote a recent report on increasing phenibut exposures, Dr. Dan McCabe MD who is the author of the largest published phenibut case series, and Elliot, a recovered phenibut user who we would like to sincerely thank for sharing his story of use and recovery.
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| Episode 19 Mystery Case | 10 Dec 2022 | 00:06:14 | |
Do you think you know the cause of these symptoms? Send your guesses to toxtalk1@gmail.com to take part in episode 19 A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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| Toxicologists vs the Internet (#7) With Guest Dr Emily Kiernan DO | 09 Nov 2022 | 01:30:41 | |
Dr. Emily Kiernan, DO (@em2kiernan) an emergency medicine physician and medical toxicologist with Emory university school of medicine joins the show to solve toxic cases, opine on recent healthcare related poisoning, and dive head first into the bongwater on this episode. (Remember friends, don't drink the bong water).
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| Phenibut. The emerging drug you don’t know about (yet) | 12 Sep 2022 | 01:09:58 | |
Phenibut is an emerging and unfamiliar drug taking hold in the US that is readily available online and legal to obtain. It acts as a GABA-B agonist and carries risks of dependency and withdrawal. In this episode Ryan interviews phenibut users as well as experts involved in phenibut treatment. They explore the history, current trends, toxicity, and management of phenibut, a novel GABA-B agonist. He is joined by guest Dr. Matthew Stanton PharmD and Dr. Benjamin Weston MD who listen in to an audio documentary by that includes clips from Dr. Janessa Graves PhD and Dr. Erica Liebelt MD who wrote a recent report on increasing phenibut exposures, Dr. Dan McCabe MD who is the author of the largest published phenibut case series, and Elliot, a recovered phenibut user who we would like to sincerely thank for sharing his story of use and recovery.
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| Episode 16 Mystery Case | 03 Aug 2022 | 00:01:26 | |
Do you think you know the cause of these symptoms? Send your guesses to toxtalk1@gmail.com to take part in episode 16 A Morel DilemmaSupport the showReview the show where ever your listening Get Messages from Toxo (Join the Newsletter!)
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