<s>[INST] Hi Sir, Hope you are doing good. My sister took a dosage of 9 tablets of stalopalm and was noticed sleeping unusual. Later, after discovering this after 5 hours after the intake, we had her stomach washed and we saw her going drowsy. After 3 days she started complaining of drowsiness, heavy head, vertigo and breathlessness. All the ABG,Biochemical and LFT results came normal. Vitals are also stable. I am not certain about CO2 levels. May I know what can be the reason for this and how this can be recovered from? Regards [/INST] Hello, This medication is an antidepressant and when taken in excessive quantities can cause excessive sleepiness and fatigue.  In your sisters' case she took an overdose.  It is possible that with that much medication in her system at once that her liver was overwhelmed and could not expedite the metabolism of the excess medication.  Also, that much medication at once will also cause an excess amount of metabolite to be formed, some of which can be active as the original parent Chat Doctor.  It will take some time for everything to wash out.  Finally, you should have your sisters liver and renal functions checked again in about 2 weeks after the incident to make sure she has not suffered some type of significant damage to these organs. Hope I have answered your query. Let me know if I can assist you further. Take care  </s>