Medical Toxicology

Information For Referring Providers

Patients should be referred for medical toxicology care by their health care provider. The managing provider must be the one requesting the consult.

Providers referring from outside UI Health Care can contact the medical toxicology team via UI Consult at 1-800-322-8442.

UI Health Care providers can page the medical toxicology team directly.

For noncritical requests, including outpatient concerns or assistance with clinical differentiation and testing, call UI Consult at 1-800-322-8442.

Providers may also email Medical-Toxicology@healthcare.uiowa.edu to discuss the appropriateness of outpatient medical toxicology referral.

Before requesting a consultation, perform a complete physical exam and send a complete history, including pertinent history of present illness, past medical history, and medication list.

Consultations are more efficient if information regarding the product or substance of concern is available.

About UI Health Care Medical Toxicology

Medical toxicologists evaluate and treat poisoned and envenomated patients, including patients experiencing adverse health effects of drugs and chemicals or who have been exposed to occupational and environmental toxins or radiological and biological agents.

UI Health Care Medical Toxicology fellowship-trained physicians have professional relationships with multiple regional and national toxicology agencies and education programs, helping to improve the specialized care of poisoned patients by working collaboratively with the clinicians caring for the patient.

Our medical toxicology physicians provide care for people who come into contact with drugs, substances, or other agents that cause adverse health effects. This requires expertise in many areas, including:

  • Unintentional and intentional overdoses of such agents as:
    • Therapeutic drugs including antidepressants, cardiac medications and many others
    • Over-the-counter medicines
    • Drugs of abuse
  • Exposure to industrial chemical products and environmental hazards such as:
    • Pesticides
    • Heavy metals
    • Household products
    • Toxic gases
    • Toxic alcohols
    • Other industrial and environmental agents, including radiation exposures
  • Assistance with management of states of intoxication and chemical dependence including:
    • Acute states of intoxication from prescription, over-the-counter, or illicit substances
    • Complicated acute withdrawal states from addictive agents such as alcohol, drugs of abuse, prescription, or over-the-counter substances
    • Chronic adverse physical effects from substance misuse
  • Diagnosis and management of exposures such as:
    • Snake, scorpion and spider envenomations
    • Marine toxins
    • Ingestion of food-borne toxins
    • Ingestion of toxic plants
  • Assistance with antidotal therapies
  • Laboratory interpretation in the potentially poisoned patient
  • Independent medical examinations, assessing injury or disability resulting from toxic exposures

Medical toxicology physicians assess for, and manage, the poisoned condition when requested and serve as physician consultants to assist during care. A primary care provider will need to continue to be involved in the patient’s care.

Care Team