Medications · LIVE
Fomepizole
Compute adult IV fomepizole loading and maintenance milligrams from body weight using the AACT 1999 ethylene glycol guideline schedule, with a 12-hour or 4-hour interval from the hemodialysis flag.
Markdown: /docs/fomepizole.md · Canonical: https://magentlab.com/docs/fomepizole
Not a medical device. Not a diagnosis, dose, or listing recommendation.
What it computes
Compute adult IV fomepizole loading and maintenance milligrams from body weight using the AACT 1999 ethylene glycol guideline schedule, with a 12-hour or 4-hour interval from the hemodialysis flag.
When to use
When an agent needs published AACT 1999 fomepizole milligram-per-kilogram arithmetic and must not invent an ethanol-as-antidote dose, an indication, or a prescription.
When not to use
- Not a medical device, not a prescription, and not Antizol. magent does not name a brand or choose a vial.
- Not an indication decision. magent does not decide whether to treat ethylene glycol or methanol poisoning.
- magent does not assay ethylene glycol or methanol.
- Adult IV milligram arithmetic only. Does not encode a Rumack nomogram or ethanol-as-antidote doses.
Formula
load_mg = weight_kg * 15; maintenance_10_mg = weight_kg * 10; maintenance_15_mg = weight_kg * 15; interval_hours = hemodialysis ? 4 : 12
Citation
- Authors
- Barceloux DG, Krenzelok EP, Olson K, Watson W
- Source
- J Toxicol Clin Toxicol. 1999;37(5):537-560
Worked example
70 kg, no hemodialysis
Given:
hemodialysis=falseweight_kg=70
- load_mg = 70 * 15 = 1050.0 mg
- maintenance_10_mg = 70 * 10 = 700.0 mg every 12 hours for four doses
- maintenance_15_mg = 70 * 15 = 1050.0 mg every 12 hours after 48 hours
- interval_hours = 12
70 kg during hemodialysis
Given:
hemodialysis=trueweight_kg=70
- same milligrams as the no-hemodialysis case
- interval_hours = 4 during hemodialysis
Also searched as
- fomepizole dose
- ethylene glycol antidote
- methanol antidote
- AACT fomepizole
- fomepizole loading dose
- fomepizole hemodialysis
Try
Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.
/api/calc/fomepizole?weight_kg=70&hemodialysis=false
Full URL: https://api.magentlab.com/api/calc/fomepizole?weight_kg=70&hemodialysis=false
Call
Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params
return HTTP 400 before any quote or charge.
curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/fomepizole?weight_kg=70&hemodialysis=false"
Parameters
| Name | Type | Required | Description |
|---|---|---|---|
weight_kg |
number | required | Weight in kilograms (1-200). |
hemodialysis |
boolean | required | true during hemodialysis (same milligrams, interval 4 hours). false otherwise (interval 12 hours). Required. |
Bulk (POST)
POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.
- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
- The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
- HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
- Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
- x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.
Example request (fixture)
{
"items": [
{
"hemodialysis": "false",
"weight_kg": "70"
},
{
"hemodialysis": "false",
"weight_kg": "70"
}
]
}
Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.
Example 200 (fixture)
{
"count": 2,
"path": "/api/calc/fomepizole",
"items": [
{
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "Barceloux DG, Krenzelok EP, Olson K, Watson W",
"doi": "10.1081/CLT-100102445",
"id": "barceloux-1999",
"pmid": "10497633",
"source": "J Toxicol Clin Toxicol. 1999;37(5):537-560",
"title": "American Academy of Clinical Toxicology Practice Guidelines on the Treatment of Ethylene Glycol Poisoning"
},
"formula": "fomepizole",
"formula_expression": "load_mg = weight_kg * 15; maintenance_10_mg = weight_kg * 10; maintenance_15_mg = weight_kg * 15; interval_hours = hemodialysis ? 4 : 12",
"weight_kg": 70.0,
"hemodialysis": false,
"interval_hours": 12,
"load_mg": 1050.0,
"maintenance_10_mg": 700.0,
"maintenance_15_mg": 1050.0
},
{
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "Barceloux DG, Krenzelok EP, Olson K, Watson W",
"doi": "10.1081/CLT-100102445",
"id": "barceloux-1999",
"pmid": "10497633",
"source": "J Toxicol Clin Toxicol. 1999;37(5):537-560",
"title": "American Academy of Clinical Toxicology Practice Guidelines on the Treatment of Ethylene Glycol Poisoning"
},
"formula": "fomepizole",
"formula_expression": "load_mg = weight_kg * 15; maintenance_10_mg = weight_kg * 10; maintenance_15_mg = weight_kg * 15; interval_hours = hemodialysis ? 4 : 12",
"weight_kg": 70.0,
"hemodialysis": false,
"interval_hours": 12,
"load_mg": 1050.0,
"maintenance_10_mg": 700.0,
"maintenance_15_mg": 1050.0
}
]
}
Response
| Field | Type | Description |
|---|---|---|
formula |
string | fomepizole |
formula_expression |
string | Exact expression used |
weight_kg |
number | Input weight in kg |
hemodialysis |
boolean | true during hemodialysis; false otherwise |
load_mg |
number | Loading dose in milligrams (15 mg/kg), 1 decimal |
maintenance_10_mg |
number | Maintenance 10 mg/kg milligrams for the first four doses, 1 decimal |
maintenance_15_mg |
number | Maintenance 15 mg/kg milligrams after 48 hours (auto-induction), 1 decimal |
interval_hours |
integer | 12 without hemodialysis; 4 during hemodialysis |
citation |
object | Barceloux et al. AACT 1999 citation |
disclaimer |
string | Not-a-device notice |
Example JSON
Machine form of the same example. Frozen fixture. Not a live lookup.
{
"disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
"citation": {
"authors": "Barceloux DG, Krenzelok EP, Olson K, Watson W",
"doi": "10.1081/CLT-100102445",
"id": "barceloux-1999",
"pmid": "10497633",
"source": "J Toxicol Clin Toxicol. 1999;37(5):537-560",
"title": "American Academy of Clinical Toxicology Practice Guidelines on the Treatment of Ethylene Glycol Poisoning"
},
"formula": "fomepizole",
"formula_expression": "load_mg = weight_kg * 15; maintenance_10_mg = weight_kg * 10; maintenance_15_mg = weight_kg * 15; interval_hours = hemodialysis ? 4 : 12",
"weight_kg": 70.0,
"hemodialysis": false,
"interval_hours": 12,
"load_mg": 1050.0,
"maintenance_10_mg": 700.0,
"maintenance_15_mg": 1050.0
}
Client errors (HTTP 400)
Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.
| HTTP | Code | When |
|---|---|---|
| 400 | invalid_fomepizole |
Fomepizole inputs must match Barceloux 1999 AACT weight and hemodialysis flag from that guideline. Returned before settlement; you are not charged. |
| 400 | invalid_flag |
boolean clinical flags must be true or false Returned before settlement; you are not charged. |
| 400 | invalid_items |
POST body must be a JSON object with only an items array Returned before settlement; you are not charged. |
| 400 | invalid_item_count |
items must be an array of 1 to 25 objects Returned before settlement; you are not charged. |
| 400 | invalid_item |
each items entry must be a JSON object Returned before settlement; you are not charged. |
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Payment
Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. Unpaid valid requests return HTTP 402 with a base64
PAYMENT-REQUIRED
header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake
and shared payment errors: Payments.
Stdio MCP: /docs/mcp.
Guarantees
- HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
- exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
- HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
- Execution is timeout-bounded and concurrency-capped.
- Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.