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    There is no antidote for fugu poisoning, therefore treatment is limited to supportive measures and the removal of the unabsorbed toxin. If spontaneous vomiting does not occur, it should be induced. Gastric lavage (stomach washing) with an alkaline solution has been suggested, as well as endoscopy to remove the poison from the proximal small bowel. Following lavage, activated charcoal is reported to effectively bind the toxin. Other steps include administration of oxygen, assisted breathing, intravenous atropine for bradycardia (slow heartbeat) and intravenous fluids, along with dopamine, to manage hypotension. Since tetrodotoxins and opiates are similar, use of an opiate antagonist may be useful, according to the American Academy of Family Physicians.

    Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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