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Contact

Dr Richard McNulty, Clinical Toxicologist,
Richard.mcnulty@health.nsw.gov.au

 

Current Projects

  • Retrospective cohort study of the utility of head CT in toxicology patients. Dr R McNulty.
  • NACSTOP. Multi-centre trial of early cessation of NAC in low risk paracetamol overdose. Site Lead: Dr R McNulty.
  • 2NAC. The hepatotoxicity rate with the new -2bag NAC protocol in paracetamol overdose. Site Lead: Dr R McNulty.
  • Pharmacogenetics of serotonin toxicity. Principal investigator: Dr N Gunja.
  • Role of c-peptide in insulin overdose. Dr N Gunja.
  • Characterisation of recreational drugs which cause morbidity and mortality used at dance festivals in Western Sydney. Dr N Gunja.

 

Publications

Anselm Wong, Richard McNulty, David McD Taylor, Marco L.A. Sivilotti, Shaun Greene, Naren Gunja, Zeff Koutsogianis, Andis Graudins. The NACSTOP trial: A multi-center, cluster-controlled trial of early cessation of acetylcysteine following acetaminophen overdose. Hepatology (Baltimore, Md.), 69(2), 774-784.

McNulty R, Lim JLE, Chandru P & Gunja N. Fewer adverse effects with a modified two-bag acetylcysteine protocol in paracetamol overdose. Clinical Toxicology Vol. 0, Iss. 0, 2017

Wong A, Sivilotti MLA, Gunja N, McNulty R, Graudins A. Accuracy of the paracetamol-aminotransferase product to predict hepatotoxicity in paracetamol overdose treated with a 2-bag acetylcysteine regimen. Clinical Toxicology Vol. 56, Iss. 3, 2018

Wong A, Gunja N, McNulty R and Graudins A. Analysis of an 8-hour acetylcysteine infusion protocol for repeated supratherapeutic ingestion (RSTI) of paracetamol. Clinical Toxicology Vol. 56, Iss. 3, 2018

Jayaweera D, Islam S, Gunja N, et al. Chloroform ingestion causing severe gastrointestinal injury, hepatotoxicity and dermatitis confirmed with plasma chloroform concentrations. Clin Tox, Oct 2016

Hochholzer K, Li W & Gunja N. A heavy burden: Remaining vigilant with herbal remedies. Australian Family Physician, 2014; 43(8): 545-6. 

 

Abstracts and Conference Presentations

McNulty R, Bandaranayake L, Garner A, Tahmid F, Wong T, Salter M, Symes E, Mohammad M, Gunja N. The utility of non-contrast head computed tomography in poisoned patients. Accepted for presentation at EAPCCT meeting May 2019, Naples, Italy

Wong A, McNulty R, Gunja N and Graudins A. Efficacy of a two bag acetylcysteine regimen to treat paracetamol overdose (2NAC study). Accepted for presentation at EAPCCT meeting May 2019, Naples, Italy

Wong A, McNulty R, Yarema M, Sivilotti M, Graudins A, Gunja N, Isbister GI, Chiew A. Comparison of adverse reactions to a two-bag versus three-bag intravenous acetylcysteine regimen during treatment of paracetamol overdose. Accepted for presentation at EAPCCT meeting May 2019, Naples, Italy

Richard McNulty, Adrienne Kirby, Naren Gunja. Fewer adverse drug reactions to acetylcysteine in paracetamol overdose using a reduced bolus 2-bag protocol compared to the traditional 3-bag protocol: a meta-analysis. Clinical Toxicology, 56(6), 524-525.

McNulty R, Lim JME, Chandru P, Gunja N. Fewer adverse effects with a modified 2-bag intravenous acetylcysteine protocol compared to the traditional 3-bag protocol in paracetamol overdose. EAPCCT 2017. Basel, Switzerland. CLINICAL TOXICOLOGY, 2017 VOL. 55, NO. 5, 380.

Wong A, McNulty R, Gunja N and Graudins A. Analysis of an abbreviated acetylcysteine infusion protocol for repeated supratherapeutic ingestion (RSTI) of paracetamol. EAPCCT 2017. Basel, Switzerland. CLINICAL TOXICOLOGY, 2017 VOL. 55, NO. 5, 419.

Mann G and Gunja N. QT prolongation in opioid poisoning is mostly due to methadone. EAPCCT 2017. Basel, Switzerland. CLINICAL TOXICOLOGY, 2017 VOL. 55, NO. 5, 473.

Jayaweera D, Islam S, Gunja N et al. Severe poisoning after ingestion of chloroform. Clinical Toxicology, 2016; 54(4): 420.

Mann G, Gunja N. Lack of serious cardiotoxicity in patients with desvenlafaxine overdose. Clinical Toxicology, 2015; 53(4): 384-5.

Mitter S, Jayaweera D, Gunja N. Hypoglycaemia Secondary to Sulthiame Overdose. Hong Kong Journal of Emergency Medicine, 2012; 19(6): 462-3.

 

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