Drug Toxicity Index

Appendix D4: Fatal Toxicity Index 1

FATAL DRUG TOXICITY INDEX [Quinalbarbital = 100; multiply by 7 to get deaths/1,000,000 prescriptions]

Barbiturates:

Name Toxicity

quinalbarbital 100

pentobarbital (Nembutal) 65.8

amylobarbital (Amytal) 59.2

butobarbital (Butalan) 15.1

phenobarbital (Luminal) 5.7
     

Phenothiazines:

   

thioridazine (Mellaril) 16.6

chlorpromazine (Thorazine) 14.3

trifluoperazine (Stelazine) 9.9

perphenazine (Trilafon) 4.5

fluphenazine (Prolixin) 1.0

perchlorperazine (Compazine) 0.2

promethazine (Phenergan) 0.2
     

Tricyclic antidepressants:

   

amitriptyline (Elavil) 11.5

doxepin (Sinequan) 11.3

dothiepin 11.1

trimipramine (Surmontil) 10.1

imipramine (Tofranil) 9.2

clomipramine (Anafranil) 6.1

nortriptyline (Pamelor) 5.0
     

Benzodiazepines:

   

flurazepam (Dalmane) 6.8

diazepam (Valium) 1.8

oxazepam (Serax) 1.7

nitrazepam 1.5

chlordiazepoxide (Librium) 1.5

lorazepam (Ativan) 0.8
     

Other:

   

chlormethiozole 79.6

chloral (Noctec) 19.8

glutethimide (Doriden) 16.4

methaqualone (Quaalude) 15.1

cyclizine (Marezine) 10.4

orphenadrine (Norflex) 9.3

dextropropoxyphene (Darvon) 3.5

pentazocine (Talwin) 2.8

phenytoin (Dilantin) 1.8

meprobamate (Equanil) 1.6

primidone (Mysoline) 1.6

dihydrocodeine 1.1

oxprenolol (Trasicor) 1.0

quinine (Quinamm) 0.9

propranolol (Inderal) 0.8

ethoheptazine 0.7

digoxin (Lanoxin) 0.6

diphenhydramine (Benadryl) 0.4

codeine 0.3

phenylbutazone (Butazolidin) 0.3

Source: King, L.A. Med Sci Law 1983 V23 (3) P193-198.