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Case Report

J App Pharm Sci. 2016; 6(1): 153-155


Amlodipine-Atenolol Overdose Management: A Physician’s Nightmare

Karthik Rao N, B. Jayaprakash, Navin Patil, N R Rau, Chaitan Jaunky, Talha Ahmed.




Abstract

The author reports a case of a 22 year old female , daughter of a known hypertensive patient happened to consume her mothers medicine who was on a fixed drug combination (FDC) of amlodipine and atenolol, was brought to the emergency department with drowsiness following ingestion of 15 tablets of amlodipine- atenolol FDC ( 5+ 50 mg) . On evaluation patient had refractory bradycardia and hypotension along with hyperkalemia . She was managed initially with gastric lavage with activated charcoal and subsequently with supplementation of atropine, inotropes, anti hyperkalaemia measures, pacemaker and levosimendan.

Key words: Amlodipine, Atenolol, Refractory bradycardia, hypotension






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