JIST

Abstract

In this article, we present a case report of a gabapentin-nortriptyline overdose causing the death of an elderly Indian woman. This combination medication is increasingly being prescribed for chronic peripheral neuropathy in our part of the world and has a high potential for misuse/abuse. The safety profile of tricyclic antidepressants should always be gauged while prescribing them to the elderly population. With the increasing use of gabapentinoids in practice, Indian emergency care physicians should start considering them as one of the differential diagnoses in all cases of elderly patients presenting to ER with altered consciousness.