Carbamate Poisoning with Benzodiazepines Overdose and Alcohol Dependence Syndrome - A Clinical Case Report

Globally, self-poisoning with various substances like pesticides, and chemical substances with suicidal intention is a major cause of death and disability. It appears that the variety of drugs that induce poisoning is influenced by several obscure factors, including ease of access to poisons, sociodemographic characteristics, and geographic location. The most often used toxins in India reportedly include chemicals, pharmaceutical substances, and pesticides. Poisoning management by the healthcare team is made more difficult by various aspects like the difficulty in identifying the allegedly consumed poison, co-ingestion of alcohol, and overdosing of other medications, the variety of clinical symptoms, and the requirement for prompt access to precise information for treatment. Furthermore, due to a lack of reliable diagnostic tools and criteria, conditions like poison-induced seizures, respiratory paralysis, and neuropsychiatric disorders are frequently misdiagnosed. Inappropriate treatment resulting from a misdiagnosis may raise the risk of morbidity or suicidality. This case report aims to present the conservative measures taken, the consequences seen, and the clinical results of carbamate poisoning in a chronic liver disease-diagnosed adult man. Adhering to the evidence-based guidelines for the ultimate management of poisoning may reduce poison-related morbidity and mortality while also improving patient outcomes.