Administration of multiple doses of activated charcoal has a definite therapeutic role in the management of patients with carbamazepine overdose and is particularly helpful in reducing serum levels by interfering with the enterohepatic circulation. Inducing emesis can cause aspiration and, therefore, is contraindicated in this lethargic child. The lack of water solubility of carbamazepine renders dialysis ineffective. Whole bowel irrigation is not helpful in this particular case of overdose.
