In patients suffering from thiocyanate toxicity, what sort of treatment options are available for the unstable patient?
Lipid emulsion therapy may be a suitable therapy option in patients suffering from thiocyanate toxicity as the molecule is lipid soluble. Furthermore, hemodialysis can be considered in patients as well. Lipid emulsion therapy was successfully used in a case of thiocyanate toxicity in a patient suffering from wide complex tachycardia and altered mental status.
Watson C, Overbeek D, Allegri-Machado G, Kellogg M, Patterson A, McAlvin B, Burns Ewald MM. Thiocyanate toxicity: a teaching case. Clin Toxicol (Phila). 2022 Mar 4:1-6
Contributed by: Dawn Sollee, PharmD DABAT & Molly Stott, PharmD on behalf of Florida/USVI Poison Information Center-Jacksonville