Chemical Antidote / Medical Treatment

Acids and Sulphur Oxides (SOx), or  Wash with plenty of water if eyes or skin is affected.
Alkalis  Do not give chemical antidote because it increases heat and injury with
reaction. Do not induce vomiting.
 Milk, lemon water or milk of magnesia can be given.
Acetonitryl, Acrylonitryl,  Very careful treatment of cobalt E.D.T.A. (calocynor) and if that is not
Lactronitryl, Cyanogen chloride or effective give nitrite/thiosulphate treatment
bromide
Alkali phosphates and Ammonia Immediately give water or milk and induce vomiting. For the hypocalcimic
effect of phosphate give 5 ml intravenous injection of 10% calcium
gluconate. If eye or skin is affected wash with plenty of water for 15 min.
Ammonia If skin is affected then wash with plenty of water for 15 min. and then wash
with dilute lactic acid and apply soframycin cream.
If eye is affected then wash by eye fountain with plenty of water for 15 min.
Put one drop of 0.4% Benzocaine (Novocaine) solution in eye. Boric or
lactic acid solution eye drops can also be given,
If entered in throat then give smell through cotton dipped in ethanol or ether
through nose. Administer oxygen in case of breathing difficulty.

Aniline, Toludine and Nitrobenzene
Anticoagulants (Heparin) etc.
Antimony and Stibine
Benzene, Toluene & Xylene
Bromides
Boric acid and Boron derivatives
Methylene- Blue (1% solution). Ascorbic acid (5% solution)
Administer oxygen in case of breathing difficulty.
Protaminsulphate (1% solution), Vitamin-K (1% solution).
Dymercaprol (BAL)
Skin is affected then wash with plenty of water. Administer Oxygen or shift
to fresh air.
Diazepam 0.1 mg / kg. (iv), bed rest.
Skin is affected then wash with plenty of water. Give 1 gm. Salt in water by
mouth. If this is not possible then intravenous (iv) injection of normal saline.
Give milk and water.
Ipecac solution and activated charcoal. Infra muscular (im) injection of 5%
dextrose if nausea.

Chlorine, Bromine, Phosgene Skin is affected then wash with plenty of water. Apply Sodium bicarbonate
and again wash with water.
Eye is affected then flush eye in eye fountain. Put 2-3 drops in eye of
Pontocaine 0.5% solution ot Benzocaine (Novocain) 0.4% solution.
If inhaled then give smell through ethanol or ether dipped cotton. ; Give
milk, buttermilk or lemon water. Give O2 in case of breathing difficulty
Chromium Dimercaprol. .Give high vitamins, protein and carbohydrates in food.
Methylene blue.
Cyanides and Thiocyanate Methylene blue or Calocyanides injection. If inhaled gives smell of amyl
insecticides nitrate ampule (0.2 ml) every 5 minutes.
Intravenous injection of Sodium nitrite (3% solution) and Sodium
thiosulphate (25% solution) but if blood pressure decreases, then stop it.
4 DMAP (Dimethyl amino phenol) 3 mg/kg, iv, along with thiosulphate.
Hydroxocobalamine, 4 gm,iv, in 5% dextrose.
Dicobaltedetate, 300 - 600 mp-, iv, over l-5min.
Ethanol 2 gm. Of Sodium bicarbonate in 250 ml water, Diazepam 10 mg., by
intravenous. Skin or eye is affected then wash with plenty of water.
Ethylene or Diethylene glycol Ethanol, Calcium gluconate
 Pyridoxine
Fluorine, Hydrogen fluoride and Intravenous injection of 10 ml. Calcium gluconate (10% solution). If serum
derivatives. magnesium level is low then give 10 ml Milk of magnesia every hour. Give
more milk and liquids. If eye is affected then wash with plenty of water.
Formaldehyde Milk, activated charcoal or water.
Formalin Ammonium chloride or Ammonium carbonate (3% solution).
Hydrogen sulphide, other sulphides Shift in fresh air or administer Oxygen. Give inhalation of ethanol or ether
and Mercaptans drops. Amyl nitrite or Sodium nitrite, Pyridoxine 20 mg./kg. or 10% urea 1
gm./kg by intravenous injection.
Hydrogen cyanide Give inhalation of 0.2 ml amyl nitrite dipped cotton. Sodium nitrite (1%
solution). Sodium thiosulphate (30% solution), Cromosmon (1%
methylene blue in 25 % glucose solution).
Iodine and compositions Milk, Fine starch solution, 100 ml of 1% Sodium gluconate 10% solution.
Iron salts Careful treatment of deferroxamine therapy.
Lead compounds CaNa2EDTA, D-Penicilliamine (oral), BAL (with CaEDTA), Induce
vomiting, then give Magnesium sulphate in water.
Magnesium salts Intravenous injection of 1 ml/ kg of Calcium gluconate 10% solution.
Manganese Calcium edentate
Mercury as Hg, Alkyl or Aryl Give white of egg in water. Later give milk, Then induce vomiting. BAL, D-
compounds Pencilliamine, n-Acetylcysteine, Dimercaptopropane- 1 sulfonate DMPS).
Metals (Heavy metals, mercury, Unithol (BAL, dimercaprol, 5% solution), Tetacin calcium (10% solution),
lead, copper, cobalt, arsenic, nickel) Penicillamine Dextrose (10%) by intravenous injection. Chillating agent for
effect of mercury.
Metal Compounds (Heavy metals Activated carbon (carbolin)
compositions) BAL
Methanol Ethanol (30% solution from inside, 5% solution from outside i.e. by
intravenous injection), Epicake Syrup. In case of acidosis give Sodium
bicarbonate.
In case of delirium give Diazepam 10 mg. by intravenous injection.
Folinic acid (Leucovorin), 1 mg/kg, iv, 4 hourly.
Nitrates, Nitrites, Nitrobennzene Methylene blue, 1-2 mg / kg, iv, over 5 min.
Sulfonamides Dapsone
Orgao phosphorous insecticides (e.g. Atropine injection, atropine sulphate (0.1% solution),
Malathion, Parathion, Nalorphinehydrochloride (0.5% solution), Trimedoxim bromide (15%
Monocrotophos, Phorate) solution), Pyridine AldoxyMethyodate, Diperoxim, Biodexim and
Isonitrocin (40% solution), Pralidoxim, RAM, TOXOGONIN.
Oxalic acid Milk, lemon water, chalk or calcium lactate, calcium chloride or calcium
gluconate with liquid.
10% calcium gluconate or chloride 10 ml. by intravenous injection.
p-Nitro Chlorobenzene (PNCB) Methylene blue
Phenol & Derivatives Shift in fresh air, activated charcoal and 240 ml. milk. If skin or eye is
affected then wash with plenty of water for 15 min. If skin is affected then
wash with Polyethylene glycol(PEG).

Thionyl Chloride Milk of Magnesia, Soda Water, Castor Oil, Soframycine.

Nitric Acid  Milk of Magnesia.
Sulphuric Acid  Milk of Magnesia, 4% Sodium Hydro Carbonate SolutionMilk