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Management of massive verapamil overdose
Author(s) -
Watson Nicholas A,
FitzGerald C Paul
Publication year - 1991
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1991.tb142148.x
Subject(s) - verapamil , bradycardia , dobutamine , medicine , limiting , anesthesia , isoprenaline , drug overdose , calcium , heart rate , blood pressure , medical emergency , poison control , hemodynamics , mechanical engineering , stimulation , engineering
A 53‐year‐old man presented to hospital after an overdose (4.8 g) of verapamil. He developed profound bradycardia and hypotension, requiring treatment with calcium salts, dobutamine, isoprenaline and cardiac pacing. As calcium channel blockers are more widely used, self‐poisoning will become more common. The effects, although serious, are self‐limiting and recovery within 48 hours is the rule provided adequate support is given.