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No specific antidote exists. Treatment involves decontamination (gastric lavage and activated charcoal), reducing phosphine production by decreasing the acidity of the gastric lumen through administration of a liquid antacid (e.g. magnesium or aluminium hydroxide and calcium carbonate) or 2–5% solution of sodium bicarbonate orally or through gastric lavage tube, symptomatic and supportive care (intravenous fluids, oxygen supplementation, gastro protectants, analgesia and hepatic supportive agents) and AEMs (see Table 4.1 and Chapters 12 and 24). Adequate room ventilation is imperative during gastrointenstinal decontamination (Gray et al., 2011).