Antidote Stock List

Recommended Antidotes and Quantities for Nova Scotia Health Authority Emergency Departments

Antidote Poison Regional Kit a
Qty & Stock Location
(kit or ED)
Community Kit b
Qty & Stock Location
(kit or ED)
Stock for
70 kg patient
x 24
Comments
Acetylcysteine (6 g/30 mL vial) Acetaminophen 12 vials ED ward stock

12 vials ED ward stock

12 vials
Atropine (0.6 mg/mL ampoule) Organophosphate insecticides 160 ampsc Antidote kit

80 ampsc 

Antidote kit

up to 1600 ampoules

Black Widow spider antivenin (Antivenin Latrodectus Mactans)

(1 vial)

Black Widow spider None

None

1 vial

1 vial stocked only at HI Pharmacy

Refrigerator item; To acquire more vials in an emergency situation: Merck Emergency Line 1-800-463-7251 Special Access - fill out forms
Calcium chloride (1 g/10 mL syringe) Calcium channel blocker, Beta-blocker 8 syringes Antidote kit 8 syringes Antidote kit 4 g

Calcium gluconate

(2.5% gel)

(1 g/10 mL ampoule)

Hydrofluoric acid burn

2 tubes

25 ampoules

Antidote kit

1 tube

25 ampoules

Antidote kit

1 tube (30 g) / 25 ampoules KY Jelly stocked in Antidote kit (2 x 56 g tubes)

Deferoxamine (Desferrioxamine)

(2 g vial)

Iron 3 vials Antidote kit 2 vialsc Antidote kit 6 g

Digoxin immune Fab

(40 mg vial)

Digoxin 5 vialsc Antidote Fridge Kit 3 vialsc Antidote Fridge Kit up to 20 vials

Refrigerator item

Additional stock may need to be obtained from nearest ED.  Additional vials stocked in HI pharmacy.  

Dimaval

(RS)-2,3-Bis(sulfanyl) propane-1- sulfonic acid, sodium salt 1 H20 250 mg sodium salt /5 mL ampoule

Arsenic, Gold, Lead, Mercury

3 ampsc

Antidote kit

none 6 ampoules

Stocked only in Regional Kits. Additional stock may need to be obtained from nearest ED.  

Special Access – fill out forms
Fat emulsion (lipids) 20% (Intralipid brand) Local anesthetics 2 x 500 mL Antidote kit 2 x 500 mL Antidote kit 560 mL
Flumazenil (0.5 mg/5 mL vial) Benzodiazepines 5 vials c ED ward stock

5 vials c ED ward stock

20 vials
Fomepizole (1.5 g/1.5 mL vial) Ethylene glycol; Methanol 2 vials Antidote kit 1 vial Antidote kit 4 vials

Additional vials stocked in HI Pharmacy.

Facilities offering emergency hemodialysis should consider extra stock

Glucagon (1 mg kit) Beta-blockers 40 kitsc Antidote kit 10 kitsc Antidote kit 100 kits

Recommended only as adjunctive therapy for beta-blocker toxicity.

Hydroxocobalamin (Cyanokit)

2 x 2.5 g vials

Cyanide 2 x 2.5 g vials Antidote kit 2 x 2.5 g vials Antidote kit up to 10g
Insulin-Regular 100 units/mL Calcium channel blockers, Beta-blockers

20 mL

ED ward stock

20 mL

ED ward stock

1500 units

Refrigerator item

20 mL of regular insulin 100 units/mL (e.g. 2 x 10 mL, 7 x 3 mL, etc) IN ADDITION to stock provided for non-antidote purposes

Methylene blue (50 mg/5 mL vial) Anilines, Nitrates, Nitrites (methemoglobinemia) 10 vials Antidote kit 3 vialsc Antidote kit 10 vials
Naloxone (0.4 mg/mL ampoule) Opioids 40 ampsc Antidote kit 30 ampsc Antidote kit up to 75 ampoules
Octreotide (100 mcg/mL ampoule) Sulfonylurea (hypoglycemia) 4 amps Antidote Fridge Kit 1 ampc Antidote Fridge Kit 2 ampoules Refrigerator item

Pralidoxime (2-PAM)

(1 g vial)

Anticholinesterases, Organophosphate insecticides 4 vialsc Antidote kit none 12 vials

Stocked only in Regional Kits. Additional stock may need to be obtained from nearest ED.  

Special Access – fill out forms

Pyridoxine (Vitamin B6)

(3 g/30 mL vial)

Isoniazid 4 vials Antidote kit 4 vials Antidote kit 4 vials

Sodium bicarbonate 8.4%

(50 mEq/50 mL syringe)

Cyclic antidepressants, Salicylates (Urine Alkalinization) 20 syringes ED ward stock

10 syringes ED ward stock

10 syringes
Sodium thiosulfate 25% 250 mg/mL (100 mL vial) Cyanide none

none

1 vial

1 vial stocked only at the HI Pharmacy

a All Regional Hospital EDs stock Regional Kits

b ED sites (outside the Regional ED) may stock Regional or Community Kits 

c in the event of an overdose, additional stock will need to be obtained

Updated January 2018