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Intravenous Lipid Emulsion (ILE) Therapy for Severe Felodipine Toxicity
Author(s) -
Lee RC Barnicott,
Nick T Tarmey,
Gordon Craig,
Simon HL Thomas
Publication year - 2013
Publication title -
journal of the intensive care society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.551
H-Index - 14
eISSN - 2057-360X
pISSN - 1751-1437
DOI - 10.1177/175114371301400415
Subject(s) - felodipine , medicine , lipid emulsion , circumstantial evidence , refractory (planetary science) , toxicity , emulsion , pharmacology , intensive care medicine , chemistry , parenteral nutrition , biochemistry , physics , astrobiology , political science , blood pressure , law
Intravenous lipid emulsion (ILE) is increasingly used for the treatment of poisoning caused by lipid-soluble drugs. We report a case of reversal of cardiovascular collapse after the use of ILE in a patient with a mixed overdose, mainly of the calcium channel blocker felodipine. Conclusions that can be drawn from a single case are limited, but this report provides circumstantial evidence of benefit of ILE for felodipine poisoning. The use of ILE appears justified in cases refractory to conventional therapy.

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