TY - JOUR PY - 2006// TI - Amisulpride deliberate self-poisoning causing severe cardiac toxicity including QT prolongation and torsades de pointes JO - Medical journal of Australia A1 - Haider, Tedo A1 - Hackett, L. Peter A1 - John, Siji A1 - Daly, Frank F. A1 - Gosselin, Sophie A1 - O'Mullane, Phebe A1 - Murray, L. A1 - Isbister, Geoffrey K. SP - 354 EP - 356 VL - 184 IS - 7 N2 - Although clinical trials of the antipsychotic amisulpride revealed no cardiac adverse effects, four patients with severe cardiac toxicity after overdose were reported to Australian poisons information centres in 2004-2005. All four had QT prolongation over 500 ms, two had rate-dependent bundle branch block, two developed torsades de pointes, and one died after cardiac arrest. Pending further studies, we recommend electrocardiogram assessment until at least 16 h after amisulpride overdose and, if QT interval is prolonged, cardiac monitoring until the patient is clinically well and conduction intervals are normal.

Language: en

LA - en SN - 0025-729X UR - http://dx.doi.org/ ID - ref1 ER -