➤ How does activated charcoal help after a TCA overdose?
Activated charcoal adsorbs tricyclic molecules in the gut. A single dose reduces absorption if given early; multiple‑dose charcoal can enhance elimination by interrupting enterohepatic or enteroenteric recirculation. It lowers total body burden and systemic toxicity. Give oral charcoal within an hour of ingestion unless airway or consciousness is compromised.
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