Oxygen and supportive care is given as necessary. Use epinephrine and sympathomimetic amines with caution because dysrhythmias can be induced. The use of steroids or prophylactic antibiotics for aspiration is controversial and cannot be recommended to due lack of evidence for their efficacy. Enhanced elimination with repeat dose activated charcoal or cholestyramine is indicated. Cholestryramine reduces reabsorption and retains bound agent in GI tract for fecal elimination.
Corticosteroids are controversial.
Treatment is essentially supportive. Benzodiazepines - Mainstay of treatment for hydrocarbon insecticide induced seizures. DOC due to its longer duration of seizure control. May be administered IM if unable to obtain vascular access. Important to monitor patient's blood pressure after administering dose.