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Reminder of important clinical lesson
Life-threatening calcium channel blocker overdose and its management
  1. Imran Rizvi1,
  2. Ajaz Ahmad2,
  3. Ankush Gupta3,
  4. Shamsuz Zaman4
  1. 1Department of General Medicine, J N Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  2. 2Department of General Medicine, Holy Family Hospital, New Delhi, India
  3. 3Department of General Medicine, Military Hospital, Jodhpur, Rajasthan, India
  4. 4Department of Pathology, J N Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  1. Correspondence to Dr Imran Rizvi, imranrizvi09{at}gmail.com

Summary

A young woman presented to the emergency department with complaints of nausea, vomiting, pain in the abdomen and difficulty in breathing after ingestion of 56 tablets of amlodipine 5 mg each (total 280 mg of amlodipine). She was managed using hyperinsulinaemia/euglycaemia therapy and other measures like calcium gluconate, glucagon and vasopressors. She was discharged from hospital in a stable condition after 5 days.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.