Treatment of methanol poisoning involves several approaches:
Supportive Care: Initial management includes stabilization of the patient's vital signs, securing the airway, and providing oxygen if necessary. Antidotes: The mainstay of treatment is the administration of fomepizole or ethanol, which act as competitive inhibitors of alcohol dehydrogenase, preventing the formation of toxic metabolites. Correction of Acidosis: Sodium bicarbonate may be administered to correct metabolic acidosis. Hemodialysis: In severe cases, hemodialysis may be necessary to rapidly remove methanol and its toxic metabolites from the bloodstream.