rollinginit
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It's actually more accurate to look at concentrations from others who overdosed on amitriptyline and compare their values to Morgan's. In the paper I provided to Herding, the patients took overdoses of 1000 to 5000 mg, and the maximum value recorded for ami was about half of Morgan's value (4400 ng/mL).
Source:
Bengt-Ake Hulen, et al. AMITRIPTYLINE AND AMITRIPTYLINE METABOLITES IN BLOOD AND CEREBROSPINAL FLUID FOLLOWING HUMAN OVERDOSE. CLINICAL TOXICOLOGY, 30(2), 181-201 (1992). (sorry only the abstract is free online.)
I don't know how many pills Morgan would have had to have taken to get up to 7900, but the ballpark of 100 pills (2500 mg) seems a fair conservative guesstimate considering that is in the midrange of the article I used (which still was much lower exposure than what Morgan had).
The point of estimating at all was it was too many pills to end up with no pill fragments in her stomach. Even if one were to postulate that she obtained higher dose pills clandestinely, you should remember that the larger the mg pill strength, the larger the pill itself....there is more of the inert excipients in the higher strength pills...very bulky and nothing left behind of the pill fragments.
BBM....can vomiting cause there not to be any pill fragments? Just wondering.