Citation

Karbek Akarca F, Akceylan E, Kıyan S. Cardiovasc. Toxicol. 2017; 17(4): 482-486.

Copyright

(Copyright © 2017, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s12012-017-9421-3

PMID

28766181

Abstract

We report the case of a 25-year-old female presenting to the emergency department after committing suicide by ingesting 100 mg amlodipine. The patient was initially treated with intravenous fluids, calcium gluconate, catecholamines and glucagone without effect. The clinical condition of the patient improved quickly and dramatically on the 20th minute of intravenous lipid emulsion (ILE) therapy. Different treatment methods have been developed for calcium channel blocker intoxication over the last years. Among these, lipid emulsion therapy has risen over the last decade as a salvation in cases which do not respond to other treatments. However, given the paucity of data, there are conflicting recommendations about the indications, dose and timing of ILE in the literature. In the light of this case report, we review the literature and discuss whether ILE therapy can find itself a place among first-line therapy recommendations.

Language: en

Keywords

Humans; Adult; Female; Drug Overdose; Treatment Outcome; Suicide, Attempted; Calcium channel blocker; Amlodipine; Calcium Channel Blockers; Fat Emulsions, Intravenous; Lipid emulsion therapy; Intravenous lipid emulsion; Amlodipine toxicity