The use of vasopressin in the setting of recalcitrant hypotension due to calcium channel blocker overdose
Karthikeyan Kanagarajan(Coney Island Hospital), Jeanna M. Marraffa(Coney Island Hospital), Nicole Bouchard(SUNY Upstate Medical University), Krishnan Padmanabhan(SUNY Upstate Medical University), Robert S. Hoffman(Washington Poison Center), Christine M. Stork(Washington Poison Center)
Cited by 30
Abstract
Treatment of hypotension caused by calcium channel blocker overdose (CCB) remains a challenge. We describe the successful use of vasopressin in two patients with massive CCB overdoses in whom hypotension was unresponsive to calcium, glucagon, insulin, and conventional vasopressor therapies. While various modes of treatments have been used to treat the hypotension of CCB overdose, this is the first report to our knowledge of the successful use of vasopressin in this clinical setting.
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