Should I seek immediate help?

Patient : A friend swallowed a bunch of pill about 24 hours ago. Names of pills and amount consumed: about 10 Methylphenidate HCL, generic brand for concerta (54mg), 20 vyvanse(50mg), 8 Mirtazapine (15mg), Methylphenidate, genetic brand for Ritalin (10mg). Exactly an hour prior to ingesting these medications, she threw 3 times within the time span of approximately 15 to 20 minutes. Will she be okay? She seek any forms of medical assistant? If so, how long would it take for this to actually cause her serious harm??
Symptoms:  Dizziness, vomiting, severe dry mouth, tightness in throat and feeling 'out of it'
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