Re-elevation of serum amlodipine level after lipid emulsion therapy in an overdose case.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:Amlodipine overdose is common; however, the dose and timing of intravenous lipid emulsion (ILE) therapy as a management strategy remain debatable. CASE DESCRIPTION:A 73-year-old man received a single bolus (1.5 mL/kg) of ILE therapy following massive ingestion of multiple drugs, including amlodipine. After approximately 20 hours of ILE therapy, the serum amlodipine level that had decreased from 90.2 to 49.9 ng/mL increased to 70.8 ng/mL. WHAT IS NEW AND CONCLUSION:A single bolus (1.5 mL/kg) of ILE therapy is probably insufficient to completely capture and partition serum amlodipine following amlodipine overdose.

journal_name

J Clin Pharm Ther

authors

Ando M,Nakasako S,Ariyoshi K,Yamaguchi M,Sakizono K,Minowa K,Fukushima S,Sugioka N,Hashida T

doi

10.1111/jcpt.13018

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

970-973

issue

6

eissn

0269-4727

issn

1365-2710

journal_volume

44

pub_type

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