Amlodipine poisioning complicated with acute non-cardiogenic pulmonary oedema.
Amlodipine poisoning is an uncommon presentation with potentially life threatening complications. As there are few cases of severe poisoning documented, management guidelines are limited. The authors present the case of a 22-year-old female who presented to hospital 6 h after ingesting 280 mg of amlodipine. She was treated with aggressive fluid resuscitation and calcium gluconate infusion. She went on to develop acute non-cardiogenic pulmonary odema for which she needed a frusemide infusion. She stayed in hospital for 5 days and was discharged after a psychiatric review with no long-term complications. The authors discuss the other management options available for patients presenting with amlodipine overdose.
Department of Acute Medicine, Whipps Cross Hospital, London, UK.
Ruairi
R
Hasson
Victoria
V
Mulcahy
Hasan
H
Tahir
D017311:Amlodipine / Q000506:poisoning*; D003937:Diagnosis, Differential; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D005665:Furosemide / Q000627:therapeutic use; D006801:Humans; D010102:Oxygen Inhalation Therapy; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000628:therapy*; D013406:Suicide, Attempted; D055815:Young Adult
D004232:Diuretics; D017311:Amlodipine; D005665:Furosemide