Diltiazem hydrochloride injection overdosage: Difference between revisions

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#REDIRECT [[Diltiazem#Overdosage]]
{{Diltiazem}}
{{CMG}}; {{AE}} {{AK}}
 
==OVERDOSAGE==
 
Overdosage experience is limited. In the event of overdosage or an exaggerated response, appropriate supportive measures should be employed. The following measures may be considered:
 
'''[[Bradycardia]]:''' Administer atropine (0.6 to 1.0 mg). If there is no response to vagal blockade administer isoproterenol cautiously.
 
'''High-degree [[AV Block]]:''' Treat as for [[bradycardia ]]above. Fixed high-degree [[AV block]] should be treated with cardiac pacing.
 
'''[[Cardiac Failure]]:''' Administer [[inotropic ]]agents ([[isoproterenol]], [[dopamine]], or [[dobutamine]]) and [[diuretics]].
 
'''[[Hypotension]]:''' [[Vasopressors ]](eg, [[dopamine ]]or [[levarterenol]] bitartrate).
 
Actual treatment and dosage should depend on the severity of the clinical situation and the judgment and experience of the treating physician.
 
Diltiazem does not appear to be removed by [[peritoneal ]]or [[hemodialysis]]. Limited data suggest that [[plasmapheresis ]]or [[charcoal ]]hemoperfusion may hasten diltiazem elimination following overdose.
 
The intravenous LD50's in mice and rats were 60 to 38 mg/kg, respectively. The toxic dose in man is not known.<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = DILTIAZEM HYDROCHLORIDE INJECTION [AKORN, INC.] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=81c5cf23-a6f8-454a-9575-d01edf49ed34 | publisher =  | date =  | accessdate = 5 March 2014 }}</ref>
 
==References==
 
{{Reflist|2}}
 
[[Category:Cardiovascular Drugs]]
[[Category:Drugs]]

Latest revision as of 01:33, 22 July 2014