Case Report | Volume: 6, Issue: 1, January, 2016

Amlodipine-Atenolol Overdose Management: A Physician’s Nightmare

N. Karthik Rao,  B. Jayaprakash,  Navin Patil,  N. R. Rau,  Chaitan Jaunky,  Talha Ahmed   
N. Karthik Rao1, B. Jayaprakash1, Navin Patil2, N. R. Rau3, Chaitan Jaunky4, Talha Ahmed4

1Department of Medicine, KMC Manipal, Manipal University, Manipal, India.

2Department of Pharmacology, KMC Manipal, Manipal University, Manipal, India.

3Department of Medicine, Yenepoya medical college, Mangalore.

4Undergraduate students, KMC Manipal, India.

Open Access   

Published:  Jan 26, 2016

DOI: 10.7324/JAPS.2016.600124
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Abstract

The author reports a case of a 22-year-old female, daughter of a known hypertensive patient, who happened to consume her mother’s medicine. Her mother was on a fixed drug combination (FDC) of amlodipine and atenolol. The patient was brought to the emergency department with drowsiness following ingestion of 15 tablets of amlodipine-atenolol FDC (5+ 50 mg). On evaluation, she 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-hyperkalaemic measures, pacemaker and levosimendan.


Keyword:     Amlodipine Atenolol Refractory bradycardia hypotension.

Citation:

Rao NK, Jayaprakash B, Patil N, Rau NR, Jaunky C, Ahmed T. Amlodipine-Atenolol Overdose Management: A Physician’s Nightmare. J App Pharm Sci, 2016; 6 (01): 153-155.

Copyright:The Author(s). This is an open access article distributed under the Creative Commons Attribution Non-Commercial License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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