Symptoms: Initially epigastric pain, diarrhoea & vomiting & may include metabolic acidosis; convulsions & coma after apparent recovery.
Treatment (Antidote): Speed is essential for effective treatment which is dependent upon removing excess Iron from the alimentary tract prior to absorption. Initially an emetic should be given, followed by gastric lavage with 1% sodium bicarbonate & oral administration of Desferrioxamine to complex with residue. Fluid loss may be corrected with IV normal saline or Dextrose solution.