if vomiting has not occurred spontaneously, it should be induced.
Immediate gastric lavage is also recommended. General supportive care, including frequent monitoring of the vital sign and close observation of the patient, is indicated. Hypotension, though unlikely, may be controlled with IV fluid and Levophed (levarterenol) or Aramine (metaraminol) Do not use epinephrine as Atarax counteracts its pressor action.