Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services now if the person:
Has trouble breathing, wheezing, or blue or grey lips
Collapses, has a seizure, or cannot be awakened
Is severely confused or becoming rapidly less responsive
Vomits blood or passes black, sticky stool
Has severe weakness, fainting, or signs of shock
And for anyone, someone who:
is unconscious, or cannot be woken
you believe has taken an overdose or swallowed something poisonous
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
2
Is any of this happening?
Be seen today
Contact a poison centre promptly after any suspected tolmetin overdose, even if the person feels well.
Have the container, strength, possible amount, and approximate time available, but do not delay the call if some details are unknown.
Urgent medical assessment is also appropriate for repeated vomiting, worsening stomach pain, very little urine, marked drowsiness, or an overdose involving other medicines.
3
Does any of this apply?
Book an appointment
Routine follow-up may be needed after discharge to repeat kidney function or blood-count tests.
Keep that follow-up even if symptoms have resolved, because some complications are found through testing rather than how you feel.
And for anyone, someone who:
is having side effects from a medicine, or is struggling to take it as prescribed
Every sign above is quoted from the sofidex article on Tolmetin overdose. If you are not sure, err upward — it is always reasonable to be checked.